Concepts Unit 1 NCLEX and Practice Questions

4. Defines the principles of right and wrong to provide patient care.

You are participating in a clinical care coordination conference for a patient with terminal cancer. You talk with your colleagues about using the nursing code of ethics for professional registered nurses to guide care decisions. A nonnursing colleague as

3. Assessment

An 18-year-old woman is in the emergency department with fever and cough. The nurse obtains her vital signs, auscultates her lung sounds, listens to her heart sounds, determines her level of comfort, and collects blood and sputum samples for analysis. Whi

4. Implementation

A patient in the emergency department has developed wheezing and shortness of breath. The nurse gives the ordered medicated nebulizer treatment now and in 4 hours. Which standard of practice performed?
1. Planning
2. Evaluation
3. Assessment
4. Implementa

2. Advocate

A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the risk and benefits of the surgery to the family an

3. A problem-solving approach that integrates best current evidence with clinical practice

Evidence-based practice is defined as:
1. Nursing care based on tradition
2. Scholarly inquiry of nursing and biomedical research literature
3. A problem-solving approach that integrates best current evidence with clinical practice
4. Quality nursing prov

4. Provides a minimal standard of knowledge for a registered nurse in practice

The examination for registered nurse licensure is exactly the same in every state in the United States. The examination:
1. Guarantees safe nursing care for all patients
2. Ensures standard nursing care for all patients
3. Ensures that honest and ethical

1. Caregiver
2. Autonomy and accountability
3. Patient advocate
4. Health promotion

Contemporary nursing requires that the nurse has knowledge and skills for a variety of professional roles and responsibilities. Which of the following are examples? (Select all that apply.)
1. Caregiver
2. Autonomy and accountability
3. Patient advocate
4

1. Function independently

Advanced practice registered nurses generally:
1. Function independently
2. Function as unit directors
3. Work in acute care settings
4. Work in the university setting.

1. Moving from an acute illness to a health promotion, illness prevention model

Health care reform will bring changes in the emphasis of care. Which of following models is expecting from health care reform?
1. Moving from an acute illness to a health promotion, illness prevention model
2. Moving from illness prevention to a health pr

2. Nurse practitioner
3. Certified clinical nurse specialist

Which of the following nursing roles may have prescriptive authority in their practice? (Select all that apply.)
1. Critical care nurse
2. Nurse practitioner
3. Certified clinical nurse specialist
4. Charge nurse

4. Informatics

A critical care nurse is using a computerized decision support system to correctly position her ventilated patients to reduce pneumonia cause by accumulated respiratory secretions. This is an example of which Quality and Safety in the Education of Nurses

2. Safety

A nurse is caring for an older-adult couple in a community-based assisted living facility. During the family assessment he notes that the couple has many expired medications and multiple medications for their respective chronic illnesses. They note that t

4. nurse researcher

The nurses on an acute care medical floor notice an increase in pressure ulcer formation in their patients. A nurse consultant decides to compare two types of treatment. The first the procedure currently used to assess for pressure ulcer risk. The second

3. In-service education

Nurses at a community hospital are in an education program to learn how to use a new pressure-relieving device for patients at risk for pressure ulcers. This is which type of education?
1. Continuing education
2. Graduate education
3. In-service education

4. Problem solving.

While assessing a patient, the nurse observes that the patient's intravenous (IV) line is not infusing at the ordered rate. The nurse assesses the patient for pain at the IV site, checks the flow regulator on the tubing, looks to see if the patient is lyi

1. Diagnostic reasoning.

The nurse sits down to talk with a patient who lost her sister 2 weeks ago. The patient reports she is unable to sleep, feels very fatigued during the day, and is having trouble at work. The nurse asks her to clarify the type of trouble. The patient expla

3. Conducting reflective practice.

A patient on a surgical unit develops sudden shortness of breath and a drop in blood pressure. The staff respond, but the patient dies 30 minutes later. The manager on the nursing unit calls the staff involved in the emergency response together. The staff

3. Analyticity
4. Self-Confidence

A nurse has worked on an oncology unit for 3 years. One patient has become visibly weaker and states. "I feel funny." The nurse knows how patients often have behavior changes before developing sepsis when they have cancer. The nurse asks the patient quest

2. Think about past experience with patients who develop postoperative complications.
3. Decide which activities can be combined for patient B and C.

A nurse who is working on a surgical unit is caring for four different patients. Patient A will be discharged home and is in need of instruction about wound care. Patients B and C have returned from the operating room within an hour of each other, and bot

3. Consistent

The surgical unit has initiated the use of a pain-rating scale to assess patients' pain severity during their postoperative recovery. The registered nurse (RN) looks at the pain flow sheet to see the pain scores recorded for a patient over the last 24 hou

1. "I understand your reluctance, but the exercises are necessary for you to regain function in your shoulder. Let's go a bit more slowly and try to relax.

During a home health visit the nurse prepares to instruct a patient in how to perform range-of-motion (ROM) exercises for an injured shoulder. The nurse verifies that the patient took an analgesic 30 minutes before arrival at the patient's home. After dis

2. Description of the efforts to restore the child's blood pressure, what was used, ad questions about the child's response
3. The meaning the experience had for the nurse with respect to her understanding of dealing with a patient's death
4. A descriptio

The nurse cared for a 14-year old with renal failure who dies near the end of the work shift. The health care team tried for 45 minutes to resuscitate the child with no success. The family was devastated by the loss, and, when the nurse tried to talk with

3. Basic critical thinking

A nurse has been working on a surgical unit for 3 weeks. A patient requires a Foley catheter to be inserted, so the nurse reads the procedural manual for the institution to review how to insert it. The level of critical thinking that the nurse is using is

2. Evaluation

A patient had hip surgery 16 hours ago. During the previous shift the patient had 40 mL of drainage in the surgical drainage collection device for an 8 hour period. The nurse refers to the written plan of care, noting that the health care provider is to b

3, 5, 2, 4, 1

A 67-year old patient will be discharged from the hospital in the morning. The health care provider has ordered three new medications for her. Place the following steps of the nursing process in the correct order:
1. The nurse returns to the patient's roo

3. knowledge application

The nurse asks a patient how she feels about her impending surgery for breast cancer. Before the discussion the nurse reviewed the description of loss and grief and therapeutic communication principles in his textbook. The critical thinking component invo

1. A nurse explain to the NAP the approach to use in getting the patient up and why the patient has activity limitations.
3. The nurse sees the NAP preparing to help a patient out of bed, goes to assist, and thanks the NAP for her efforts to get the patie

A nurse is working with a nursing assistive personnel (NAP) on a bust oncology unit. The nurse has instructed the NAP on the tasks that need to be performed, including getting patient A out of bed, collecting a urine sample from patient B, and checking vi

4. Anticipated when to make choices without others' assistance.

Which of the following is unique to the commitment level of critical thinking?
1. Weighs benefits and risks when making a decision.
2. Analyzes and examine choices more independently.
3. Concrete thinking.
4. Anticipated when to make choices without other

4. The nurse explains the procedure for giving a tube feeding to a second nurse who has floated to the unit to assist with care.

In which of the following examples is the nurse not applying critical thinking skills in practice?
1. The nurse considers personnel experience in performing intravenous (IV) line insertion and ways to improve performance.
2. The nurse uses a fall risk inv

4. Feedback

The nurse summarizes the conversation with the patient to determine if the patient has understood him or her. This is what element of the communication process?
1. Referent
2. Channel
3. Environment
4. Feedback

2. Coach her to give herself positive messages about her ability to do this

Mrs. Jones states that she gets anxious when she thinks about giving herself insulin. How do you use your understanding of intrapersonal communication to help with this?
1. Provide her the opportunity to practice drawing up insulin
2. Coach her to give he

3. The patient is short of breath.

The nurse has a patient who is short of breath and calls the health care provider using SBAR (situation-background-assessment-recommendation) to help with the communication. What does the nurse first address?
1. The respiratory rate is 28.
2. The patient

4. Talk with him about his favorite hobbies

You are caring for Mr. Smith, who is facing amputation of his leg. During the orientation phase of the relationship, what would you do?
1. Summarize what you have talked about in the previous sessions
2. Review his medical record and talk to other nurses

2. Clarifying

The nurse states, "When you tell me that you're having a hard time living up to expectations, are you talking about your family's expectations?" The nurse is using which therapeutic communication technique?
1. Providing information
2. Clarifying
3. Focusi