Week 4 NCLEX practice quiz WITH 100% CORRECT ANSWERS /GRADED A+/25, Quizzes of Nursing

Download Week 4 NCLEX practice quiz WITH 100% CORRECT ANSWERS /GRADED A+/25 and more Quizzes Nursing in PDF only on Docsity! Week 4 NCLEX practice quiz WITH 100% CORRECT ANSWERS /GRADED A+/25 1. The nurse is aware that one of the time flexible tasks to be accomplished would be: administering daily insulin 30 minutes before breakfast. taking the patient's vital signs once a day. weighing the patient before breakfast. monitoring a critical patient's vital signs every 15 minutes.: answer: taking the patient's vital signs once a day. *Daily vital signs can be taken at any time during the day, whereas the other tasks mentioned have a time constraint. 2. At the 7:00 AM handoff report, the nurse receives the report that patient A had a sleepless night related to pain and just fell asleep after an increased pain medication administration 1/2 hour ago. Patient B, who is scheduled for surgery at 8:30 AM, is also sleeping. How would an organized nurse plan the early morning activities? Wake patient A for breakfast. Perform time flexible tasks that can be done while both patients sleep. Prepare patient B now; allow patient A to sleep. Assign a nursing assistant to wake and help feed patient A.: Answer: Prepare patient B now, allow patient A to sleep. *Setting priorities and identifying time fixed tasks would indicate that patient B needs to be prepared for surgery. Patient A needs to sleep. 3. The nurse explains that a multidisciplinary step-by-step approach to patient care is: documented in the nursing care plan in the patient's medical record. not used often since managed care became part of health care. referred to as a clinical pathway and is used instead of a nursing care plan. more expensive than the traditional separation of health care services.: An- nurse will assist the patient to the bathroom every 2 hours. patient will be free of injury from falls. patient will call for assistance when ambulating for the next week. nurse will keep room well lit 24 hours a day.: Answer: patient will call for assis- tance when ambulating for the next week. *An appropriately worded outcome is a patient centered, measurable, and time defined goal based on a nursing diagnosis. 7. Before performing a catheterization, the inexperienced nurse should: close the door or curtains to provide the patient with privacy. provide necessary education and explanation of the procedure to the patient. observe rules of Standard Precautions to protect herself from exposure to blood or body fluids. review the agency's procedure manual for the accepted way of performing the procedure.: Answer: review the agency's procedure manual for the accepted way of performing the procedure *Reviewing the procedure manual should occur before the inexperienced nurse explains to the patient, provides privacy, or observes Standard Precautions 8. A review of a patient's nursing care plan before beginning care allows the nurse to: make revisions in the plan as indicated by the shift report. use critical thinking skills to organize care for the patient. begin nursing interventions without needing an initial assessment. skip the shift report and begin with the initial assessment.: Answer: Use critical thinking skills to organize care for the patient *Reviewing the patient's care plan gives the nurse a starting point for organizing care. 9. The nurse giving a patient a back massage is performing an intervention considered to be: a dependent nursing action. an independent nursing action. an interdependent nursing action. a semi-dependent nursing action: Answer: An independent nursing action *an independent nursing action does not require a primary care provider's order, but it does require critical thinking and nursing judgment. Giving a back massage would be an independent nursing action. 10. The nurse caring for a group of patients would show cultural sensitivity to assign an older male nursing assistant to the care of: a 45-year-old white male patient with uncontrolled diabetes. a 50-year- old Hispanic man with a broken leg. a 55-year-old Japanese man with irritable bowel syndrome. hang the next 1000 mL when the first is finished. check to label on the present IV. confirm the flow rate. check the order for the IVs. speed up the flow so that the IV will be completed by 9:00 AM.: ANS: check to label on the present IV. confirm the flow rate. check the order for the IVs. *The nurse should check the order and the flow rate, and the amount and type of fluid to follow for accuracy, and not depend on the handoff report 14. Standards of care are set by: (Select all that apply.) the state's nurse practice act. professional medical association standards. the facility's policies and procedures. the primary care provider in charge of the patient's treatment. the director of nurses and the agency administrator.: Answer: the state's nurse practice act , professional medical association standards , the facilities policies and procedures *Standards of care are set by the state's nursing practice act, professional associa- tion standards, and the facility's policies and procedures 15.When an agency is using a clinical pathway/care map protocol of health care provision, there is no need for a .: nursing care plan