Module 1 &2 nclex based questions

The primary health care provider prescribes pain medication to a patient with the notation "prn" in the prescription. What should the nurse interpret from the prescription? A. The medication should be taken as needed B. The medication should be taken every hour C. The medication should be taken before meals D. The medication should be taken twice a day

A

The professional obligation of a nurse to assume responsibility for actions is referred to as what? A. Accountability B. Individuality C. Responsibility D. Bioethics

A

Which health care provider would best help a homeless client receive needed medication for a communicable disease? A. Navigator B. Case Manager C. Primary Nurse D. Unlicensed Assistive Personel

A

Which are considered as nurse competencies within the synergy model of care delivery? Select all that apply A. Collaboration B. Care Planning C. Communication D. Clinical Judgement E. Cultural Competency

A, D, E

The registered nurse is teaching a nursing student about guidelines of safe narcotic control. Which statement made by the nursing student indicates a need for further teaching? A. "A second nurse witnesses the disposal of unused narcotics." B. "Unused narcotic medication should be disposed of in sharps containers." C. "All narcotics should be placed in a locked, secured cabinet or container." D. "A nurse should maintain the count of the prescribed narcotics to prevent drug abuse."

B

The nurse accidently gives a patient a medication at the wrong time. What is the nurse's first priority? A. Complete an occurrence report B. Notify the healthcare provider C. Inform the charge nurse of the error D. Assess the patient for adverse effects

D

What is the acceptable range for diastolic blood pressure in a healthy adult? A. Less than 120 mm Hg B. Less than 80 mm Hg C. 30 to 50 mm Hg D. 35 to 45 mm Hg

B

A nurse is assessing the body temperature of an older adult. Which body temperature indicates fever in this patient? A. Rectal temperature of 36*c (96.8*f) B. Rectal temperature of 36.7* c (98*f) C. Single oral temperature of 38*c (100.4*f) D. Repeated oral temperature of 36.1*c (97*f)

C

A nursing student takes a patient's antibiotic to his room. The patient asks the nursing student what it is and why he should take it. How should the nursing student respond to the patient? A. Explain that only the patient's physician can give this information. B. Provide the name of the medication and a description of its desired effect. C. State that information about medications is confidential and cannot be shared. D. Tell the patient he has to speak with his assigned nurse about this.

B

What is a high priority assignment in an emergency department when a nurse is providing care for clients during a mass casualty? A. Resolving stock availability problems B. Taking inventory and restocking supplies C. Debriefing to promote effective coping strategies D. Outlining emergency expectations and arrangements

B

What type of delivery method is used when the nurse provides care to the same client for the entire work period? A. Primary B. Case Method C. Case Management D. Practice Partnership

B

Which characteristic indicates that nursing is a profession? A. The nurse is trained to perform specific tasks B. The nurse is required to follow a code of ethics C. The nurse is required to have a collection of specific skills D. The nurse has limited autonomy in decision making and practice

B

While administering eardrops in a patient, the nurse straightens the ear canal by pulling the auricle down and back. What is the age group of the patient? A. Adult B. Toddler C. Adolescent D. Preschooler

B

Which client requires non-emergent treatment after a mass casualty incident? A. Neonate with a body temp of 103*f B. An elderly person with a rapidly falling pulse C. A middle-aged man with a skin rash from shaving D. A pregnant woman with a Blood Pressure of 140/90 mmhg

C

Which manifestation is often called the fifth vital sign? A. Temperature B. Blood Pressure C. Pain D. Pulse

C

Which parental route of administration uses the Z-track method? A. Intravenous Route B. Intradermal Route C. Intramuscular Route D. Subcutaneous Route

C

An older adult is admitted for evaluation of anemia and unsteady gait. While obtaining a health history, the nurse notes that the client seems to make up stories to fill in for memory lapses. How should the nurse document what the nurse is doing? A. Lying B. Denying C. Fantasizing D. Confabulating

D

Litigation resulting from improper restraint use is a common nursing legal issue. A nursing student is listing points related to the use of restraints. Which factor needs correction? A. Restraints can be used when less restrictive interventions are not successful. B. Restraints can be used when all alternatives have been tried and exhausted. C. Restraints can be used only to ensure the physical safety of the resident or other residents. D. Restraints can be used any time without a written order from the HCP

D

The registered nurse is teaching a nursing student about the advantages and disadvantages of selecting temperature measurement sites. Which statement by the nursing student indicates the need for further teaching? A. "The rectal site for temperature measurement requires lubrication." B. "Skin is a safe and non-invasive site for temperature measurement." C. "The oral site for temperature measurement is contraindicated in infants and children." D. "The tympanic membrane site is easily accessible without changing position to measure temperature."

D

What gross motor skills is found in infants between 2-4 months of age? A. Child can creep on hands and knees B. Child has predominant inborn reflexes C. Child can sit alone without any kind of support D. Child can bare weight on forearms when prone

D

Which caring intervention helps to provide comfort, dignity, respect and peace to a client? A. Listening B. Spiritual Caring C. Providing Presence D. Relieving pain and suffering

D

Which instruction is beneficial for a patient who receives medication through buccal mucosa? A. "You should drink adequate fluids with the medication." B. "You should use the same cheek for the subsequent administration." C. "You should swallow the medication after a few minutes of administration." D. "You should place the medication against the mucous membrane of the cheek."

D

Which route is most commonly used to administer regular insulin? A. Intravenous B. Intradermal C. Intramuscular D. Subcutaneous

D