Chapter 1 Practice NCLEX Questions

The nurse is discussing the recommended entry level for professional nursing practices. Which is the most accurate statement by the nurse? "BSN is the recommended entry level by national nursing organizations." "National nursing organizations are promoting diploma nursing." "National nursing organizations are eliminating accelerated programs." "ADN programs are the recommended entry level by national nursing organizations."

"BSN is the recommended entry level by national nursing organizations."

The registered nurse is teaching a community health class about illness prevention. Which statement reflects understanding of this concept? "My family will call hospice for an evaluation." "I will take my medication for hypertension every day." "If I am injured, I will call an ambulance." "It is important to enroll in a smoking cessation class."

"I will take my medication for hypertension every day."

A nurse educator is discussing the criteria that define nursing as a profession. Which nursing actions are based on these criteria? Select all that apply. A nurse performs actions based on the standards of performance determined by the medical community. A nurse is committed to using ongoing research when planning nursing care for clients. A nurse uses diagnosis, interventions and evaluation to plan nursing care for clients. A nurse follows an established code of ethics when performing actions for clients who are in hospice. A nurse graduate applies for membership in the American Nurses Association.

A nurse uses diagnosis, interventions and evaluation to plan nursing care for clients. A nurse follows an established code of ethics when performing actions for clients who are in hospice. A nurse is committed to using ongoing research when planning nursing care for clients.

A nurse documents on a client's electronic chart that the client has an advance directive, makes a copy of the advance directive, and immediately informs the client's physician. Which role is the nurse demonstrating? Leader Researcher Advocate Counselor

Advocate

A long-term care facility is seeking an advanced practice nurse to educate the staff regarding palliative care for the residents. The facility would benefit most by hiring which advanced practice nurse? Nurse researcher Nurse administrator Nurse practitioner Clinical nurse specialist

Clinical nurse specialist

A client is brought to the emergency department with a head injury following an all-terrain vehicle (ATV) accident. The nurse asks the family members to describe how the accident occurred. The nurse is implementing which ANA standard? Diagnosis Education Collaboration Evaluation

Collaboration

Which are approved as nursing diagnoses? Select all that apply. Compromised Family Coping Impaired Skin Integrity Abdominal Hernia Caregiver Role Strain Congestive Heart Failure

Compromised Family Coping Impaired Skin Integrity Caregiver Role Strain

Which action should the nurse implement when working with a medically homeless client? Encourage client to utilize the free health care clinic. Assist the client in finding a job. Assist the client in finding housing. Encourage the client to utilize the emergency room when ill.

Encourage client to utilize the free health care clinic.

Which standards are monitored by the Quality and Safety Education for Nurses (QSEN)? Select all that apply. Evidence-based practice Nursing certification Quality improvement Informatics Client-centered care

Evidence-based practice Quality improvement Informatics Client-centered care

Which action by the nurse is the best indication that the nurse is incorporating the quality and safety education for nursing (QSEN) competency of teamwork and collaboration in the plan of care for a client? Keeping up all four side rails for a confused client to prevent falls Including the client in the morning rounds of the health care team Asking a client about his or her personal goals for rehabilitation following a stroke Using a new client positioning technique described in research to prevent pressure ulcers

Including the client in the morning rounds of the health care team

The nurse discussing the importance of professional nursing organizations setting standards should include which statement? It helps identify nursing as a profession. It helps regulate nursing licensure. It sets the standard for nursing research. It helps to identify nurses.

It helps identify nursing as a profession.

Which is a characteristic of nursing practiced from early civilization to the 16th century? The nurse was a nun committed to caring for the needy and homeless. The physician was the priest who treated disease with prayer. Nursing changed from a spiritual focus to an emphasis on knowledge expansion. Most early civilizations believed that illness had supernatural causes.

Most early civilizations believed that illness had supernatural causes.

Florence Nightingale was a nursing pioneer who challenged prejudices against women and elevated the status of all nurses. Which statement accurately describes one of her accomplishments? She established the tenets of the American Red Cross. She promoted the publication of books about nursing and health care. She promoted the addition of nursing education as part of a medical degree. She established the fact that nursing is the same as medicine.

She promoted the publication of books about nursing and health care.

The nurse asks a client about his spiritual health. Which statement best explains the standard of care utilized by the nurse? The RN collaborates with spiritual healers. The RN collects comprehensive data. The RN provides spiritual counseling. The RN prays with clients.

The RN collects comprehensive data.

Which nurse is demonstrating a type of nursing whose roots go back to the ancient Greek times when temples were the center of nursing care? The nurse offering to get a shaman for a dying client The nurse providing communion to a client in the hospital The nurse working in a Christian hospital The nurse conducting a blood pressure screening at a local church

The nurse conducting a blood pressure screening at a local church

The nurse is caring for a client after a stroke rendered the client's right side weaker than the left. The nurse coordinates the plan of care with the physical therapist. The nurse's interventions reflect which one of nursing's four broad goals? To prevent illness To promote health To faciliate coping To restore health

To restore health

A physician tells the nurse that nursing is a discipline, but not a profession. Which criteria should the nurse utilize to demonstrate that nursing is increasingly recognized as a profession? Select all that apply. Well-defined body of knowledge Regulation by the medical profession Sets standards Ongoing research Code of ethics

Well-defined body of knowledge Code of ethics Ongoing research Sets standards

The nurse is planning an educational visit with a client. Which must the nurse assess to identify the client's readiness to learn? Select all that apply. Willingness to follow the health regimen Physical and psychological abilities to carry out the plan Level of motivation The composition of the patient's family Level of knowledge

Willingness to follow the health regimen Physical and psychological abilities to carry out the plan Level of motivation Level of knowledge

The nursing process is: a mechanism for increasing the knowledge and skill of the nurse through programs of education. an approach for identifying and analyzing the best available scientific evidence for nursing care. a critical thinking method used by nurses to provide nursing care that is individualized and holistic. the promotion of health, prevention of illness, and care of ill, disabled, and dying individuals.

a critical thinking method used by nurses to provide nursing care that is individualized and holistic.

A nurse must possess several characteristics to be successful in this profession. Secondary to critical thinking skills, which is of great value? good teamwork and team-building skills educational attainment such as Master's of Nursing delegation of responsibilities advocating for the client at all times

advocating for the client at all times

Which social force has most significantly impacted the future supply and demand of nurses? science economics aging technology

aging

The nurse is caring for a client who cannot meet health needs independently. Which action made by the nurse depicts concern and attachment? talking about diabetes and teaching the client how to do foot care telling the client, "I will be back in 15 minutes to change your dressing." organizing the work for the day and evaluating how the day went asking the client, "How are you today? I am really worried about you."

asking the client, "How are you today? I am really worried about you."

A nurse practitioner considering going back to school to obtain a Doctor of Nursing Practice degree (DNP) anticipates that the main focus of the curriculum will be on: clinical practice. managerial styles. conducting research. ethics.

clinical practice.

Trends in managed care have resulted in an increased focus on the care of clients by nurses in which settings? hospital settings critical care units community-based settings long-term care settings

community-based settings

Due to the rising cost of health care services, many procedures and treatments are being delivered in what type of setting? community health care centers hospitals outpatient facilities medical centers

outpatient facilities

Which nursing actions will increase efficient management of client care and decrease the ramifications of the nursing shortage? (Select all that apply.) taking early retirement coordinating health care services before client discharge implementing evidenced-based clinical pathways pursuing postlicensure education becoming cross-trained in another area of the hospital

pursuing postlicensure education becoming cross-trained in another area of the hospital implementing evidenced-based clinical pathways coordinating health care services before client discharge

Although all of the following are nursing responsibilities, which one would be expected of a nurse with a baccalaureate degree? providing direct physical care administering medications as prescribed collaborating with other health care providers using research findings to improve practice

using research findings to improve practice

Which national nursing organization serves as a primary source of research data about nursing education, and is the professional organization for nurse educators? National League for Nursing (NLN) American Nurses Association (ANA) Sigma Theta Tau International American Association of Colleges of Nursing (AACN)

National League for Nursing (NLN)

A nurse is thinking about pursuing a master's degree in nursing (MSN) and is reviewing information about various programs. What would the nurse expect to find about such programs? Students need to take the licensure examination after the course. Master's degree nursing education began in the late 18th century. Nurses pursuing such programs require solid scholastic abilities. Such degrees can be attained only in a certain specific area of interest.

Nurses pursuing such programs require solid scholastic abilities.

A nurse mentoring second-year nursing students from a community college plans clinical experiences for them. These students will most likely graduate in which time frame? in 2 more years in 3 more years at the end of the year in 1 more year

at the end of the year

The nurse and a student are discussing entry into the profession of nursing. Which statement should the nurse use to describe a diploma program? "It is obtained through a 2-year program at a university." "It is obtained by a 4-year program at a university." "It is obtained by a 36-month program at a hospital." "It is obtained by a 36-month program at a community college."

"It is obtained by a 36-month program at a hospital."

Based on its jurisdiction, which actions may a state licensing board of nursing take? Select all that apply. Deny licensing due to criminal actions License nurses during the lifetime of the holder Protect nurses from being suspended for professional misconduct Allow graduates of approved schools of nursing to take the NCLEX Authorize nurses to practice nursing in any state Issue special licenses to nurses practicing in long-term care facilities as a priority

Allow graduates of approved schools of nursing to take the NCLEX License nurses during the lifetime of the holder Deny licensing due to criminal actions

Which organization has established standards that help the nurse determine which clinical actions fall under the scope of nursing practice? National League for Nursing International Council of Nurses American Nurses Association National Council of State Boards of Nursing

American Nurses Association

The nurse is considering medical-surgical certification after working in a medical-surgical floor for the past five years. Nursing specialty certification is given by which group? National League for Nursing (NLN) American Nurses Association (ANA) American Association of Colleges of Nursing (AACN) American Nurses Credentialing Center (ANCC)

American Nurses Credentialing Center (ANCC)

Which scenario is the best example of the nurse in the role of teacher/educator? Teaching a first-grader to read Communicating discharge status to a home care agency Assessing whether the client is able to perform a dressing change Conducting research on dressing changes

Assessing whether the client is able to perform a dressing change

The founder of public health nursing is: Clara Barton Lillian Wald Linda Richards Dorothea Dix

Lillian Wald

The nurse offers a client two possible times to ambulate, as prescribed by the health care provider. The nurse is acting in which nursing role? Caregiver Communicator Client advocate Manager and coordinator

Manager and coordinator

The nurse going back to school for nurse midwifery can trace education for nurse midwifery to which nursing leader? Mary Breckenridge Lillian Wald Florence Nightingale Dorothea Dix

Mary Breckenridge

Nursing is described in various ways. The focus of all nursing interventions can be described by which statement? Nursing focuses on the human experience and responses of individuals, families, and groups. Nursing focuses on birth, health, illness, and death of individuals. Nursing focuses on the spiritual dimension of the client. Nursing focuses on curing illness in individuals.

Nursing focuses on the human experience and responses of individuals, families, and groups.

Which nursing actions demonstrate the aim of nursing to facilitate coping? Select all that apply. Changing the bandages of a client who has undergone heart surgery Teaching a client and her family how to live with diabetes Assisting a client and his family to prepare for death Providing counseling for the family of a teenager with an eating disorder Starting an intravenous line for a malnourished older adult client Teaching a class on the nutritional needs of pregnant women

Teaching a client and her family how to live with diabetes Assisting a client and his family to prepare for death Providing counseling for the family of a teenager with an eating disorder

Which action by the nurse best represents the evaluative portion of the nursing process? determining that a client is at risk for a fall while in the hospital assessing a client's blood pressure after teaching stress reduction techniques assessing a client's blood pressure after giving a cup of coffee educating a client on how to take one's own blood pressure every morning

assessing a client's blood pressure after teaching stress reduction techniques

The nurse conducts a home safety assessment for a client. Which statement best explains the standard of care being implemented? Th RN identifies client outcomes. The RN promotes a safe environment. The RN develops a plan of care. The RN educates about preventing falls.

The RN promotes a safe environment.

The role of the nurse developed from the pre-civilization era through the eras representing the beginning of civilization, the beginning of the 16th century, the 18th and 19th centuries, World War II era, and up to the present day. Place the following roles of the nurse listed below in the correct chronological order to follow this timeline. Click an option, hold and drag it to the desired position, or click an option to highlight it and move it up or down in the order using the arrows to the left. 1: Nurses were viewed as slaves, carrying out menial tasks based on the orders of the priest. 2: Florence Nightingale elevated nursing to a respected occupation and founded modern methods in nursing education. 3: Efforts were made to upgrade nursing education, and women were more assertive and independent. 4: Nurses were portrayed as a mother, caring for family and delivering physical care and health remedies. 5: Nursing was broadened in all areas and was practiced in a wide variety of settings; nursing was viewed as a profession. 6: There was a shortage of nurses; criminals were recruited as nurses; nursing was viewed as disreputable.

1: Nurses were portrayed as a mother, caring for family and delivering physical care and health remedies. 2: Nurses were viewed as slaves, carrying out menial tasks based on the orders of the priest. 3: There was a shortage of nurses; criminals were recruited as nurses; nursing was viewed as disreputable 4: Florence Nightingale elevated nursing to a respected occupation and founded modern methods in nursing education. 5: Efforts were made to upgrade nursing education, and women were more assertive and independent. 6: Nursing was broadened in all areas and was practiced in a wide variety of settings; nursing was viewed as a profession.

Which activity by the nurse is an example of exercising professional standards of practice? Networking at a professional organization meeting Mentoring a new nurse employee on the unit Attending a conference for continuing education credits Referring to clients as "Mr." or "Ms."

Attending a conference for continuing education credits explanation: Professional standards of nursing practice are important, as they promote and guide clinical practice ensuring that care given is proficient and safe. These standards encourage nurses to maintain competence through experiences, evidence-based guidelines, and continuing education. As such, attending a conference for continuing education demonstrates the basic professional standard of maintaining competence in practice. Networking at a professional nursing organization meeting would help to connect with other members in the nursing profession but is not a standard of practice. Mentoring a new nurse is important for the successful transition of the new nurse from school to professional nursing but is not a professional care standard. Referring to clients as "Mr." or "Ms." is polite but not a care standard.

Which scenario is the best example of the nurse implementing the ANA standard relating to diagnosis? Assessing a client's apical pulse rate Determining a client is at risk for falls Teaching a diabetic client to inject insulin Evaluating a client's laboratory results

Determining a client is at risk for falls explanation: Determining a client is at risk for falls is an example of the nurse identifying/diagnosing a nursing issue. Assessing a client's apical pulse is assessment. Evaluating a client's laboratory results is part of analysis. Teaching a diabetic client to inject insulin is an intervention.

Which nursing actions are characteristic of the nurse's role as communicator? Effecting change within a group Establishing and maintaining helping relationships with clients of all ages in a variety of settings Facilitating clients' problem-solving and decision-making skills Assessing, implementing, and evaluating individual teaching plans to meet learning needs

Establishing and maintaining helping relationships with clients of all ages in a variety of settings