Board Vitals NCLEX Prep RN 126 preguntas ALL ANSWERS SPRING FALL-2022 LATEST SOLUTION 100% CORRECT GUARANTEED GRADE A+

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1. While administering medications to a group of clients on a medical-surgical unit, a client who is postoperative from an accidental above-the-knee amputation indicates to the nurse that he is ready ... to talk about his feelings. The nurse keeps her promise and returns to talk with the client as soon as she finishes administering medications. Which of the following ethical principles is the nurse demonstrating? A. Veracity B. Justice C. Nonmalecence D. Fidelity 2. A nurse has assigned client care activities to an assistive personnel (AP). Which of the following statements by the AP indicates a need for assistance with time management? A. "I will start working with the client in room 1, then work my way to room 10." B. "I will give this client his meal tray first because he is going to physical therapy early." C. "After breakfast, I will pack the belongings of clients who will be discharged this morning." D. "I will start by providing partial baths before breakfast." 3. A nurse is updating the plan of care for a client who has a new diagnosis of hypertension and a prescription for atenolol. Which of the following referrals should the nurse request from the provider as the priority referral? A. Dietitian B. Physical therapist C. Pharmacist D. Social worker 4. A nurse on a pediatric unit is planning care for a group of clients. Which of the following clients should the nurse plan to assess first? A. A school-age child who has diabetes mellitus and requires blood glucose monitoring B. An infant who has pertussis and is receiving oxygen via nasal cannula C. An adolescent who is 1 day postoperative following an appendectomy D. A toddler who is scheduled for an upper gastrointestinal X-ray series 5. A nurse is caring for a client who has terminal lung cancer. The client's provider has recommended hospice services for the client. Which of the following statements by the client should indicate to the nurse that the client understands hospice care? A. I will have to be admitted to a long-term care facility in order to receive hospice care." B. "I should expect the hospice team to help me manage my difficulty breathing." C. "Hospice care services are available to anyone who is terminally ill, regardless of life expectancy." D. "My oncologist will continue to look for a cure for my cancer while I am receiving hospice care." 6. A nurse in a provider's office is reviewing the laboratory findings for a client who is receiving chemotherapy. The client has a platelet count of 60,000/mm3. Which of the following actions should the nurse take first? A. Provide the client with information about the treatment. B. Discuss these findings with the provider. C. Ask the client to return to the clinic for further laboratory tests. D. Obtain a referral to a specialized provider. 7. A charge nurse is delegating tasks to nursing personnel on a ten-bed dementia care unit. Which of the following assignments is an example of overdelegation? A. Assigning two assistive personnel (AP) to ambulate each client on the unit B. Assigning a newly licensed nurse to perform a wet-to-dry dressing change C. Assigning one AP to feed each client on the unit D. Assigning an experienced RN to perform a central line dressing change 8. A nurse on a medical-surgical unit is delegating care for a group of clients. Which of the following specimens should the nurse delegate an unlicensed assistive personnel (UAP) to collect? A. Wound drainage for culture B. Urine from an indwelling catheter C. Blood for an ABG test D. Random stool specimen 9. A nurse accuses a newly licensed nurse of providing inadequate care for a client who underwent hip arthroplasty. Which of the following responses by the newly licensed nurse demonstrates assertiveness? A. "I feel as though I met the standard of care. Would you tell me more about your concerns?" B. "You shouldn't make accusations. Your nursing care doesn't always set a good example." C. "I am sorry you are displeased. I always do my best to give good care to my clients." D. "Yes, you might be right. I haven't had the best role models since I started this position. 10. A nurse is caring for a client who is participating in a research study for an experimental chemotherapy medication. After three treatments, the experimental medication is discontinued due to evidence of rapidly advancing kidney failure. The nurse should recognize that discontinuing this medication demonstrates which of the following ethical principles? A. Justice B. Autonomy C. Fidelity D. Nonmalecence 11. A nurse on a quality assurance team is reviewing unit incident reports that were led within the last six months. Which of the following incidents meets the criteria for a sentinel event? A. A client who was postoperative from surgery reported a valuable piece of jewelry was stolen from his room. B. A client who was experiencing acute alcohol withdrawal hits a nurse, causing the nurse to fall to the floor and break their wrist. C. A client who was having an anaphylactic reaction was administered epinephrine 0.75 mg intramuscularly. The client experienced a cardiac event and died. D. An AP left a client on fall precautions unattended in the restroom, where the client fell and sustained a scrape to the knee. 12. A nurse manager is reviewing the admission history of four adult clients. The nurse is required to report which of the following situations to an outside agency? A. An older adult client who is dependent on caregivers and was admitted for the treatment of burns on the buttocks B. A young adult client who was admitted for asthma and has track marks that might indicate IV substance use C. A young adult client who was admitted for acute glomerulonephritis following a viral infection D. An emancipated minor who has acute appendicitis and wants to leave the facility without treatment 13. A nurse is planning an in-service for nursing staff about managing care for clients who develop disequilibrium syndrome. Which of the following interventions should the nurse include in the teaching? A. Administer an opioid medication. B. Monitor for the development of chest pain. C. Assess level of consciousness. D. Start an intravenous infusion of dextrose 50% 14. A nurse is preparing to delegate tasks to an LPN and an assistive personnel (AP). Which of the following tasks should the nurse assign to the LPN? A. Transporting a client who experienced a stroke 72 hr ago to the radiology department B. Providing a back rub to a client who has right-sided paralysis C. Removing and cleaning the cannula of a client who has a stable, exisiting tracheostomy D. Emptying the drainage from the ostomy bag of a client who has a new colostomy 15. A nurse is planning an education program about heart health for adults in the community. Which of the following principles should the nurse use when planning the program? A. The program should be teacher-directed. B. The content of the program should be problem-centered. C. The goals of the program should be set by the teacher. D. The program should be conducted in a formal atmosphere. 16. A nurse is teaching a client about choosing a health care surrogate. Which of the following statements by the client indicates an understanding of the teaching? A. "I can change who I designate as my health care surrogate as long as I have my provider's approval." B. "If I become incapacitated, end-of-life choices will be made by my health care surrogate." C. "I have to choose a family member as my health care surrogate." D. "I can verbally indicate to my nurse who I want to assign as my health care surrogate." 17. A nurse manager is planning strategies to overcome resistance among unit nurses for a proactive policy change. Which of the following interventions should the nurse include? A. Emphasize that future revisions to the policy change are not an option. B. Openly discuss the reason for the change. C. Avoid redirecting the resistance of the nursing staff until opposition is resolved. D. Emphasize the reason for the change rather than the benefits of the change 18. A nurse in a preoperative unit is caring for a client who is scheduled for surgery. The nurse is a witness on the client's consent form. The nurse provides a signature on the consent form for which of the following purposes? A. Ensuring the client is of age to sign the form B. Confirming the client appears competent to provide consent C. Asserting the nurse has explained the risks and benefits of the procedure D. Recording that the client's partner agrees the procedure is necessary 19. A nurse is completing a medication reconciliation with a newly licensed nurse on a client admitted to the unit from the emergency department. Which of the following statements by the newly licensed nurse indicates an understanding of the process? A. "The American Hospital Association requires accredited facilities to have protocols in place requiring medication reconciliation." B. "The purpose of medication reconciliation is to compare the medications a client is taking with newly prescribed medication." C. "When I perform medication reconciliation, I am demonstrating the ethical principal of veracity." D. "I should perform a medication reconciliation once each shift." 20. A client who has liver cancer informs the nurse that the provider has recommended that she consider receiving a liver transplant. The client tells the nurse she does not want to pursue this option because she "has already been through enough suffering." Which of the following responses should the nurse make? A. "It is your right to make decisions regarding your care." B. "Your doctor made this recommendation because she feels you are a good candidate for a transplant; perhaps you should reconsider your decision." C. "Your family is supportive; maybe you should allow them to make the decision." D. "Liver transplants are a common procedure at this hospital, so you shouldn't have to worry about having complications." 21. A nurse is presenting an in-service about delegation to a group of newly licensed nurses. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching? A. "Delegation ensures the client receives appropriate resources." B. "Delegation permits a designated individual to meet a goal on your behalf." C. "Delegation promotes client discharge teaching by unlicensed personnel." D. "Delegation shifts accountability to the individual performing the task." 22. A nurse is providing dietary teaching to a client who has dysphagia following a stroke. Which of the following instructions should the nurse include in the teaching? A. "Rest for 15 minutes prior to meals." B. "Place food in the weaker side of your mouth to chew." C. "Sit up in a chair for 20 minutes after eating." D. "Flex your head with your chin tucked down to assist with swallowing." 23. A nurse in an urgent care clinic is triaging clients. Which of the following clients should the nurse identify as the priority for the provider to examine? A. An adolescent client who is confrontational has decreased reasoning and has slurred speech B. A toddler who has a laceration on the forehead and is screaming C. A middle adult client who is diaphoretic and reports epigastric pain D. A young adult who has a painful sunburn over the face and arms 24. A nurse is completing an incident report for a client who has fallen. Which of the following actions should the nurse take? A. Make a copy of the incident report for the provider. B. Submit the incident report to the risk manager. C. Place the incident report in the client's medical record. D. Document in the medical record that an incident report has been led 25. A nurse is caring for a client who had a stroke 3 days ago and has developed dysphagia. The nurse should identify that a referral to which of the following members of the interdisciplinary team is the priority? A. Pharmacist B. Occupational therapist C. Dietitian D. Speech therapist 26. A charge nurse hears a provider yelling at a staff nurse about the lack of supplies available to perform a procedure. Which of the following statements by the charge nurse is appropriate? A. "You should think about how you make others feel when you lose your temper." B. "I will help you with this procedure instead of the staff nurse." C. "It must be very frustrating when you don't have what you need to perform the procedure." D. "No one knew you were planning to perform a procedure. We cannot be blamed for not having the supplies needed." 27. A charge nurse assigns an obstetrical (OB) nurse to oat to the acute medical-surgical (AMS) unit due to a staffing shortage. The nurse does not feel comfortable with the assignment. Which of the following actions should the nurse take? A. Refuse the assignment and remain on the OB unit. B. Ask the charge nurse to appoint a resource nurse on the AMS unit. C. Report the charge nurse for unsafe client care practices. D. Float to the AMS unit and perform certified nursing assistant (CNA) duties. 28. A nurse is preparing to administer a bisacodyl enema to a client who has constipation. The client states, “The doctor didn't tell me I was supposed to receive an enema." Which of the following actions should the nurse take first? A. Check the client's medication administration record for the provider's prescription. B. Explain the procedure to the client. C. Assure the client that enemas are often prescribed for constipation. D. Assist the client to the left lateral position. 29. A nurse is providing teaching about home tracheostomy care to the partner of a client who is to be discharged. When considering cost-effective care, which of the following instructions should the nurse give to the partner? A. Wear clean gloves when suctioning the client's tracheostomy. B. Rinse and dry suction catheters and reuse for up to 24 hr. C. Empty and rinse the suction container in a sink every 24 hr. D. Discard oral suction tubes (Yankauer) after each use. 30. A nurse is caring for a client who has a terminal illness and is using a ventilator. The client is alert and oriented and tells the nurse he wants to discontinue the use of the ventilator. The nurse should identify that continued treatment against the client's wishes is a violation of which of the following ethical principles? A. Veracity B. Autonomy C. Utility D. Justice 31. A nurse on an oncology unit accidently administered doxorubicin to the wrong client, resulting in harm to the client. This action is an example of which of the following torts? A. Battery B. Invasion of privacy C. Malpractice D. Assault 32. A nurse is providing change-of-shift report about a group of clients to the oncoming nurse. Which of the following information should the nurse include in the report? A. "Mr. Rodriguez in room 200 needs another IV bag at 0700." B. "Mrs. Smith in room 201 had a visitor yesterday evening." C. "Mr. Jones in room 202 had routine vitals obtained this morning." D. "Mrs. Hassler in room 203 is grumpy after waking up." 33. A nurse is planning discharge for a client who has cirrhosis and experienced ascites and esophageal varices during hospitalization. The nurse should collaborate with which of the following members of the interdisciplinary team to perform specialized care for this client A. A physical therapist to teach the client how to live with paralysis of the lower extremities B. A dietitian to teach about a low-sodium diet C. A social worker to attend to the spiritual needs of the client D. A pharmacist to teach about home warfarin therapy 34. A charge nurse assigns a client's dressing change to a licensed practical nurse (LPN). Several hours later, the client reports that the dressing has not been changed. Which of the following actions should the charge nurse take? A. Inform the client that the task had been delegated hours ago. B. Reassign the task to another nurse. [Show More]

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