Funds Final NCLEX Questions

A patient who underwent a total abdominal hysterectomy is assisted out of bed as soon as her vital signs are stable. This intervention is most likely being directed by a: 1) Critical pathway 2) Nursing care plan 3) Social worker 4) Traditional care model

1) Critical pathway

Which statement best describes theology? 1) Discussions and theories related to God and His relation to the world 2) Doctrines about the human soul and its relation to eternal life 3) A lifelong journey involving accumulation of experience and understanding 4) Codes of conduct that integrate beliefs and values

1) Discussions and theories related to God and His relation to the world

An agnostic nurse is caring for a devoutly religious patient. The client says, "I am so frightened. Please say a prayer with me." The patient begins praying aloud. What should the nurse do? 1) Remain quietly beside the bed until the client finishes the prayer. 2) Walk quietly from the room while the client is praying. 3) Stop the client and say, "I am not comfortable with prayer. I will get someone to join you." 4) Stay during the prayer and say "Amen" at pauses and when the prayer is finished.

1) Remain quietly beside the bed until the client finishes the prayer.

In which step of the nursing process does the nurse analyze data and identify client problems? 1) Assessment 2) Diagnosis 3) Planning outcomes 4) Evaluation

2) Diagnosis

Which intervention should be included in the plan of care for a patient in the end-stage death process? 1) Encourage the patient to accept as much help as possible. 2) Avoid administering laxatives. 3) Wet the lips and mouth frequently. 4) Administer pain medication on a prn basis.

3) Wet the lips and mouth frequently.

After a patient dies of ovarian cancer, her daughter says to the nurse, "You'll probably think I'm terrible, but I'm glad she can finally rest peacefully." Which response by the nurse is best? 1) "Your feelings are a normal response to watching your loved one suffer." 2) "It's unusual for family members to be grateful that a loved one has died." 3) "Your mother's death has been very hard on you; you should seek counseling." 4) "I don't understand what you mean by this comment."

1) "Your feelings are a normal response to watching your loved one suffer."

A patient is hospitalized with severe depression after her divorce is finalized. Which type of loss is the patient experiencing? 1) Actual 2) Perceived 3) Physical 4) External

1) Actual

Which of the following demonstrates a health restoration activity? Select all that apply. 1) Administering an antibiotic every day 2) Teaching the importance of handwashing 3) Assessing a client's surgical incision 4) Advising a woman to get an annual mammogram after age 50 years

1) Administering an antibiotic every day 3) Assessing a client's surgical incision

The nurse is admitting a Roman Catholic adult patient who is critically ill. Based on her knowledge of the patient's religion, for which religious practice should she expect to notify the hospital chaplain? 1) Anointing of Sick 2) Baptism 3) Eucharist 4) Sacrament of Reconciliation

1) Anointing of Sick

Critical thinking and the nursing process have which of the following in common? Both: 1) Are important to use in nursing practice 2) Use an ordered series of steps 3) Are patient-specific processes 4) Were developed specifically for nursing

1) Are important to use in nursing practice

A Muslim client has asked the nurse to pray with her. Which item should the nurse anticipate that the patient may request before praying? 1) Bathing water 2) Rosary beads 3) Mala beads 4) Prayer cloth

1) Bathing water

The nurse working in the surgical intensive care unit complains to a coworker about her anger with her new schedule. She says that she feels like she is just going through the motions, and doesn't seem to care much anymore. In the past few months, the nurse has gained weight and started smoking again. What maladaptive stress response is the nurse experiencing? 1) Burnout 2) Crisis 3) Post-traumatic stress disorder 4) Somatization

1) Burnout

A middle-aged man experienced the sudden death of his wife 2 weeks before his hospitalization. Along with the stress of hospitalization, you realize he is most likely experiencing which type of stressor? 1) External 2) Internal 3) Developmental 4) Physiological

1) External

Which of the following are examples of a health promotion activity? (Select all that apply). 1) Helping a client develop a plan for a low-fat, low-cholesterol diet 2) Disinfecting an abraded knee after a child falls off a bicycle 3) Administering a tetanus vaccination after an injury suffered in a car accident 4) Distributing educational brochures about the benefits of exercise

1) Helping a client develop a plan for a low-fat, low-cholesterol diet 4) Distributing educational brochures about the benefits of exercise

Which core issue of spirituality includes a patient's basic human need for achievement? 1) Hope 2) Faith 3) Love 4) Forgiveness

1) Hope

What is the most basic reason that self-knowledge is important for nurses? Because it helps the nurse to: 1) Identify personal biases that may affect his thinking and actions 2) Identify the most effective interventions for a patient 3) Communicate more efficiently with colleagues, patients, and families 4) Learn and remember new procedures and techniques

1) Identify personal biases that may affect his thinking and actions

How are critical-thinking skills and critical-thinking attitudes similar? Both are: 1) Influences on the nurse's problem-solving and decision making 2) Like feelings rather than cognitive activities 3) Cognitive activities rather than feelings 4) Applicable in all aspects of a person's life

1) Influences on the nurse's problem-solving and decision making

Nurses have the potential to be very influential in shaping healthcare policy. Which of the following factors contributes most to nurses' influence? 1) Nurses are the largest health professional group. 2) Nurses have a long history of serving the public. 3) Nurses have achieved some independence from physicians in recent years. 4) Political involvement has helped refute negative images portrayed in the media

1) Nurses are the largest health professional group.

A patient with high blood pressure receives a daily oral medication to control his blood pressure. However, he has been vomiting for the past 24 hours. The nurse knows that oral medications are absorbed in the gastrointestinal tract, and that without the drug, the patient's blood pressure may become dangerously high. So the nurse notifies the primary provider to see whether the drug can be given by another route (e.g., intravenously or rectally). The nurse's thinking and actions illustrate which of the following? 1) Nursing is an applied discipline. 2) Nursing uses knowledge from other fields. 3) Nursing is fast paced. 4) Nursing requires ethical knowledge.

1) Nursing is an applied discipline. 2) Nursing uses knowledge from other fields.

According to William Worden, which task in the grieving process takes longest to achieve? 1) Realizing that the loved one is gone 2) Experiencing the pain from the loss 3) Adjusting to the environment without the deceased 4) Investing emotional energy

1) Realizing that the loved one is gone

The patient says to the Charge Nurse, "I have a great group of nurses. The RN and UAP are all very attentive to my care needs and work very well together." Which nursing model of care is this unit following? 1) Team nursing 2) Case method nursing 3) Functional nursing 4) Primary nursing

1) Team nursing

All of the following are aspects of the full-spectrum nursing role. Which one is essential for the nurse to do in order to successfully carry out all of the others? 1) Thinking and reasoning about the client's care 2) Providing hands-on client care 3) Carrying out physician orders 4) Giving instructions to assistive personnel

1) Thinking and reasoning about the client's care

Years after being in a building that exploded, killing and injuring 10 people, a client is still having flashbacks and anxiety. These symptoms most likely represent: 1) post-traumatic stress disorder 2) ego defense mechanisms 3) crisis 4) somatization

1) post-traumatic stress disorder

A patient with a history of chronic obstructive pulmonary disease has a living will that states he does not want endotracheal intubation and mechanical ventilation as a means of respiratory resuscitation. As the patient's condition deteriorates, the patient asks whether he can change his decision. Which response by the nurse is best? 1) "I'll call your physician right away so he can discuss this with you." 2) "You have the right to change your decision about treatment at any time." 3) "Are you sure you want to change your decision?" 4) "We must follow whatever is written in your living will."

2) "You have the right to change your decision about treatment at any time."

The nurse is caring for a patient who is terminally ill with lung cancer. Recently, the patient's blood pressure has been decreasing and heart rate increasing. He is experiencing temperature fluctuations and perspires profusely with limited movement. Based on these findings, the patient will most likely die within which time period? 1) 1 to 3 months 2) 1 to 2 weeks 3) Days to hours 4) Moments

2) 1 to 2 weeks

During the admission assessment, a patient tells the nurse that he does not believe there is a God. The nurse should document his religious affiliation as: 1) Agnostic 2) Atheist 3) Christian Scientist 4) Rastafarianist

2) Atheist

According to the Uniform Determination of Death Act, which bodily function must be lost to declare death? 1) Consciousness 2) Brainstem function 3) Cephalic reflexes 4) Spontaneous respirations

2) Brainstem function

The nurse assesses her patient to determine whether his condition has changed since her assessment 4 hours earlier. What process is the nurse using? 1) Critical thinking 2) Clinical judgment 3) Problem-solving 4) Reciprocity

2) Clinical judgment

A healthy patient tells the nurse that he uses acupuncture and yoga to obtain pain relief and does not take pain medication. The nurse recognizes this as what type of treatment? 1) Rationing 2) Complementary and alternative medicine 3) Tertiary 4) High-technology medicine

2) Complementary and alternative medicine

Which statement about the nursing process is correct? 1) It was developed from the ANA Standards of Care. 2) It is a problem-solving method to guide nursing activities. 3) It is a linear process with separate, distinct steps. 4) It involves care that only the nurse will give.

2) It is a problem-solving method to guide nursing activities.

Which statement pertaining to Benner's practice model for clinical competence is true? 1) Progression through the stages is constant, with most nurses reaching the proficient stage. 2) Progression through the stages involves continual development of thinking and technical skills. 3) The nurse must have experience in many areas before being considered an expert. 4) The nurse must have experience in many areas before being considered an expert.

2) Progression through the stages involves continual development of thinking and technical skills.

Which of the following is an example of theoretical knowledge? 1) A nurse uses sterile technique to catheterize a patient. 2) Room air has an oxygen concentration of approximately 21%. 3) Glucose-monitoring machines should be calibrated daily. 4) An irregular apical heart rate should be compared with the radial pulse.

2) Room air has an oxygen concentration of approximately 21%.

The nurse is preparing to admit a patient from the emergency department. The patient has chronic lung disease and has used tobacco for 30+ years. The nurse used to smoke a pack of cigarettes a day and worked very hard to quit smoking. She thinks to herself, "I know I tend to disapprove of people who use tobacco, especially when they have a serious lung condition; I figure if I can stop smoking, they should be able to. I must remember how difficult that is, and be very careful not to let be judgmental of this patient." This best illustrates: 1) Theoretical knowledge 2) Self-knowledge 3) Using reliable resources 4) Use of the nursing process

2) Self-knowledge

A patient of Mormon faith is admitted to the hospital with new onset diabetes mellitus. Based on his religious affiliation, which item(s) should the nurse remove from the patient's dinner tray? Select all that apply. 1) Pork 2) Tea 3) Meat 4) Coffee

2) Tea 4) Coffee

Which of the following best explains why it is difficult for the profession to develop a definition of nursing? 1) There are too many different and conflicting images of nurses. 2) There are constant changes in healthcare and the activities of nurses. 3) There is disagreement among the different nursing organizations. 4) There are different education pathways and levels of practice.

2) There are constant changes in healthcare and the activities of nurses.

Which of the following questions would provide information about "O" in a HOPE assessment and "S" in a SPIRIT assessment? 1) Do you have any dietary restrictions or needs on religious holidays? 2) What is your religion or what church do you go to? 3) How comfortable are you with discussing spirituality? 4) Do you have an advance directive?

2) What is your religion or what church do you go to?

Mr. Jackson is terminally ill with metastatic cancer of the colon. His family notices that he is suddenly more focused and coherent. They are questioning whether he is really going to die. The nurse recognizes that a sudden surge of activity may occur: 1) moments before death 2) days to hours before death 3) 1 to 2 weeks before death 4) 1 to 3 months before death

2) days to hours before death

The public health nurse witnesses a client in the waiting room of the clinic in an agitated state who is also carrying a knife. How would the nurse best intervene in this crisis situation? Order the following steps she would take to intervene in this crisis situation. 1) Ensure the safety of people in the clinic. 2) Assess the situation. 3) Decide on what help is needed. 4) Determine the problem. 5) Defuse the problem.

2, 1, 5, 4, 3

Which of the following patients demonstrates successful adaptation to a stressor? 1) A man who discovers a testicular lump and avoids seeing a physician 2) A woman who gives up a job she loves because it is stressful to her 3) A mother who finds ways to care for her child who requires the use of a wheelchair 4) An adolescent who continues a relationship with an abusive boyfriend

3) A mother who finds ways to care for her child who requires the use of a wheelchair

Arrange the steps of the nursing process in the sequence in which they generally occur. A. Assessment B. Evaluation C. Planning outcomes D. Planning interventions E. Diagnosis 1) E, B, A, D, C 2) A, B, C, D, E 3) A, E, C, D, B 4) D, A, B, E, C

3) A, E, C, D, B

A client has been involved in an abusive relationship for more than 10 years. Her self-esteem is low. After an overnight stay in the hospital to be treated for cuts, bruises, a concussion, and a broken arm, she is tearful and shaky. She will not go to a shelter, even though she says she is afraid because "he said he will kill me if he ever sees me again." She admits, "I barely know my children are around; I just am so on edge all the time. I make them stay in their room. But I'm sure I can make this all better." Which stage of crisis does this situation represent? 1) Precrisis 2) Impact 3) Crisis 4) Adaptive

3) Crisis

The student nurse asks her preceptor why the patient is being discharged 2 days after surgery when he still needs wound care and help with basic hygiene. The preceptor should educate the student nurse on which concept? 1) Preferred Provider Organizations (PPOs) 2) Health Maintenance Organizations (HMOs) 3) Diagnosis-Related Groups (DRGs) 4) Point of Service (POS)

3) Diagnosis-Related Groups (DRGs)

Which of the following is considered a religious denomination within the tradition of Christianity? 1) Buddhism 2) Rastafarianism 3) Mormonism 4) Islam

3) Mormonism

When performing a spiritual assessment, who is the preferred source of information? 1) Durable power of attorney 2) Next of kin 3) Patient 4) Patient's clergyperson

3) Patient

Which of the following aspects of nursing is essential to defining it as both a profession and a discipline? 1) Established standards of care 2) Professional organizations 3) Practice supported by scientific research 4) Activities determined by a scope of practice

3) Practice supported by scientific research

A nurse is caring for a dying patient who is nonresponsive. Which of the following is it important for the nurse to do? 1) Be alert to the patient's nonverbal cues. 2) Direct explanations about care to family members. 3) Tell the patient when the nurse is about to leave the room. 4) Sit by the head of the bed when speaking to the patient.

3) Tell the patient when the nurse is about to leave the room.

You are caring for a young adult who frequently complains of feeling nervous. The patient asks you to explain the difference between fear and anxiety. Your best response is: 1) "Fear is an emotional response, whereas anxiety is a physical response to stress." 2) "Fear is a form of anxiety that forms related to an anticipated event." 3) "Unlike anxiety, fear is a cognitive response, usually with an identifiable source." 4) "Unlike anxiety, fear results from a psychological conflict about a previous decision or action."

4) "Unlike anxiety, fear results from a psychological conflict about a previous decision or action."

A patient has been in the dying process for about 10 days. His wife has left his side only for very short periods during that time, and she looks pale and exhausted. The nurse, realizing the wife has not eaten much, suggests that she take a break to eat and rest. The woman refuses, saying, "I don't want to leave him. I won't have him much longer, and I don't want him to go when I'm gone." What should the nurse do? 1) Explain that she will be of more help to her husband if she is rested and well. 2) Tell the wife that it is safe to leave her husband for an hour or two because he won't die that soon. 3) Call the primary care provider to come and try to persuade her to take physical care of herself. 4) Arrange for a cot for the wife at the bedside and arrange to have food brought to her.

4) Arrange for a cot for the wife at the bedside and arrange to have food brought to her.

A patient who is recently diagnosed with pancreatic cancer is angry and demanding. He uses profanity toward the nurse. What is the nurse's best response? 1) Firmly inform the patient that she doesn't deserve this kind of treatment. 2) Shrug it off, knowing the patient is under a great deal of stress. 3) Warn the patient to stop the inappropriate behavior immediately. 4) Ask the patient to talk more about what is bothering him.

4) Ask the patient to talk more about what is bothering him.

A patient remarks to the nurse, "What's the point of going through all these medical treatments? They make me feel so bad, and I will never be well anyway." What is the most helpful action for the nurse to take? 1) Explore with the patient what has triggered his emotions. 2) Treat the patient with dignity and respect. 3) Pray with the patient in a private setting. 4) Assist the patient to identify areas of hope in life.

4) Assist the patient to identify areas of hope in life.

A clinic client has not been keeping his scheduled follow-up appointments. In talking with him about that, the nurse asks, "Do you have a car or other transportation to bring you to the clinic?" Which critical-thinking process does that question illustrate? 1) Inquiry based on credible sources 2) Reflective skepticism 3) Analyzing assumptions 4) Contextual awareness

4) Contextual awareness

What emotional response is typical during Rando's confrontation phase of the grieving process? 1) Anger and bargaining 2) Shock with disbelief 3) Denial 4) Emotional upset

4) Emotional upset

After assessing a patient, the nurse is analyzing and synthesizing the data she obtained. She thinks, "I know the patient must sit up to breathe; his respirations are shallow and fast; and he is pale. What does this mean? What are some possible explanations for these symptoms?" Which of the following critical-thinking attitudes is the nurse illustrating? 1) Fair-mindedness 2) Independent thinking 3) Intellectual courage 4) Intellectual curiosity

4) Intellectual curiosity

A family member asks the nurse to explain the purpose of hospice care. Which of the following is the best response? Hospice care: 1) Is appropriate when the patient desires to intentionally end his life 2) Focuses on minimizing the disease process as rapidly as possible. 3) Focuses on symptom management for patients not responding to treatment 4) Is holistic care for patients dying or debilitated and not expected to improve

4) Is holistic care for patients dying or debilitated and not expected to improve

Because of religious beliefs, which of the following patients will most likely refuse a blood transfusion? One who is affiliated with? 1) Islam 2) Mormonism 3) Hinduism 4) Jehovah's Witnesses

4) Jehovah's Witnesses

A 34-year-old patient who suffered a stroke has right-sided weakness and impaired mobility. To which facility will the patient be sent after discharge from the hospital? 1) Assistive living 2) Behavioral health center 3) Independent living facility 4) Rehabilitation center

4) Rehabilitation center

An elderly man lost his wife a year ago to cardiovascular disease. During a healthcare visit, he tells the nurse he has begun adjusting to life without his wife. According to John Bowlby, which stage of grief does this comment most likely indicate? 1) Shock and numbness 2) Yearning and searching 3) Disorganization and despair 4) Reorganization

4) Reorganization

Which factor is held in common by many of the world religions? 1) Strict health code, including dietary laws 2) Belief that one must submit to a god or gods 3) Rules prohibiting alcohol consumption 4) Sacred writings that reveal the nature of the Supreme Being

4) Sacred writings that reveal the nature of the Supreme Being

For a client who is experiencing multiple stressors, which of the following interventions could a nurse use without special training? 1) Biofeedback 2) Therapeutic touch 3) Acupuncture 4) Visualization

4) Visualization