Chpt 28 The NCLEX RN Examination 61 Questions with Verified Answers,100% CORRECT

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Chpt 28 The NCLEX RN Examination 61 Questions with Verified Answers The Nclex is - CORRECT ANSWER required to receive a license to practice as an RN What does successful completion of the NCLEX ... demonstrate? - CORRECT ANSWER competence to provide effective nursing care What graduates take the same NCLEX? - CORRECT ANSWER 2 year associate degree, Hospital based diploma, and Baccalaureate degree or higher What needs to be done before you can sit for the NCLEX? - CORRECT ANSWER Need to graduate from a school of nursing approved by the state board of nursing What is the purpose of the NCLEX? - CORRECT ANSWER It safeguards the public from unsafe practitioners and assists state boards in seeing who is capable for performing in entry level positions What is the NCLEX exam? - CORRECT ANSWER It is a computerized pass-fail exam What is CAT? - CORRECT ANSWER Computerized-adaptive testing What does CAT do? - CORRECT ANSWER It determines competency on the basis of difficulty of questions answered, not how many questions are answered correctly As you go on it adapts to the level of knowledge, skills, and ability What is not allowed on the NCLEX? - CORRECT ANSWER The ability to skip questions and change answers What is traditional for the NCLEX? - CORRECT ANSWER Multiple choice-choosing one option What are the alternate test questions that can be seen on the NCLEX? - CORRECT ANSWER Hot spots, fill-in-the-blank, graphic option identification, prioritize, chart exhibit, Audio What are Bloom's four cognitive levels? - CORRECT ANSWER Knowledge, Comprehension, Application, Analysis Bloom's cognitive level: Knowledge - CORRECT ANSWER remembering or recalling knowledge Bloom's cognitive level: Comprehension - CORRECT ANSWER ability to grasp or understand information or material Bloom's cognitive level: Application - CORRECT ANSWER ability to use learned information in new situations Bloom's cognitive level: Analysis - CORRECT ANSWER ability to reduce information to its elemental parts, so its design and structure may be understood What is the minimum number of questions candidates can answer? - CORRECT ANSWER 75 What is the maximum number of questions candidates can answer? - CORRECT ANSWER 265 What is the length of the NCLEX based on? - CORRECT ANSWER The test takers performance What happens if after 75 questions are answered the computer sees that the test taker is above passing standard? - CORRECT ANSWER The test taker passes What happens if after 75 questions are answered the computer sees that the test taker is below passing standard? - CORRECT ANSWER The test taker fails What happens if after 75 questions are answered the computer sees that the test taker is close to the passing standard? - CORRECT ANSWER The questions continue until a clear pass-fail can be determined, the test taker has answered the maximum number of questions or the timer runs out What are the categories of the NCLEX? - CORRECT ANSWER Safe and effective health care environment, health promotion and maintenance, psychosocial integrity and physiologic integrity Safe and effective health care environment: subcategories - CORRECT ANSWER Management of patient care, Patient safety and infection control Physiologic integrity: subcategories - CORRECT ANSWER Basic patient care and comfort, pharmacologic and parenteral therapies, reduction of risk potential, physiologic adaptation Nursing Process - CORRECT ANSWER Assessment, Diagnosis, Planning, Implementation Evaluation Caring - CORRECT ANSWER Interactions b/w nurse and client to achieve desired outcomes Communication and documentation - CORRECT ANSWER verbal and nonverbal interactions between the nurse and the client, the client's significant others and the other members of the health care team. Events and activities associated with client care are validated in written and/or electronic records that reflect standards of practice and accountability in the provision of care. Teaching-learning - CORRECT ANSWER facilitation of the acquisition of knowledge, skills and attitudes promoting a change in behavior Preparing for the NCLEX: Step 1 - CORRECT ANSWER Perform a needs assessment Preparing for the NCLEX: Step 2 - CORRECT ANSWER Analyze standardized exams you've taken previously Preparing for the NCLEX: Step 3 - CORRECT ANSWER Determine number of days/wks necessary for review Preparing for the NCLEX: Step 4 - CORRECT ANSWER Decide what method of review will be used(group vs independent study) Preparing for the NCLEX: Step 5 - CORRECT ANSWER Decide what materials or resources will be used Preparing for the NCLEX: Step 6 - CORRECT ANSWER Develop a review schedule and stick to it Preparing for the NCLEX: Step 7 - CORRECT ANSWER Seek qualified help when reviewing information that is difficult When taking practice NCLEX exams what should you do? - CORRECT ANSWER Take one minute per exam question, pay attention to the reason behind correct and incorrect answers When selecting an NCLEX RN review course what should you keep in mind? - CORRECT ANSWER The qualifications of the instructor, the financial cost to you, what the nursing school can help you with and compare and contrast written information from several courses When may the graduates from approved schools of nursing sign their charting as registered nurses (RNs)? a. After passing the National Council Licensure Examination for Registered Nurses (NCLEX-RN) b. When the State Board has been provided with evidence of mental competency c. After supplying written proof of physical fitness to their employer d. When they have signed an employment contract with a health care facility - CORRECT ANSWER A A compulsory license requirement must be met to legally practice or work as a registered nurse in any state or U.S. territory. Licenses are granted only after an applicant has successfully passed the NCLEX-RN examination. None of the other options provide that legal proof. Which statement concerning the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination is correct? a. Graduates from all three types of nursing programs (diploma, associate degree, and baccalaureate degree) take the same NCLEX-RN examination. b. The NCLEX-RN is scored on an interval scale rather than on a pass-fail basis. c. The NCLEX-RN examination is offered twice a year in major urban areas. d. The candidate gets their NCLEX-RN results by mail. - CORRECT ANSWER A The purpose of the NCLEX-RN examination is to determine safe practice and the ability of candidates to perform at the entry level. Candidates from all three types of nursing programs must demonstrate the same competencies. None of the other options present accurate information about this licensure exam. What does the phrase computerize nursing focused adaptive testing imply? a. The candidate must be computer literate. b. Competency is determined based on the difficulty of questions, knowledge of the nursing process, and the number of questions answered correctly. c. That the testing facilities have been adapted so the physically challenged candidate has easy access. d. That the questions cannot be adapted to the individual needs of the student. - CORRECT ANSWER B Computerized adaptive testing is based on the measurement theory, by which the candidate must prove with a score of 95% that he or she is safe and knowledgeable at entry into the practice level. None of the other options present accurate information about this form of testing. On the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination, when the candidate is asked to set goals in collaboration with other members of the health care team, the nurse is being tested on what area of nursing practice? a. Assessment b. Planning c. Analysis d. Implementation - CORRECT ANSWER B Setting goals is one of the first steps in the planning process. Planning is the third phase of the nursing process and includes setting realistic and measurable mutual goals, developing interventions to meet or resolve identified patient needs or problems, and modifying goals as necessary. The fourth phase of the nursing process is implementation. This stage includes initiating and carrying out nursing interventions or nursing actions to achieve the goals set in the planning phase of the nursing process. Analysis is the second step or phase of the nursing process. Client-related data gathered during assessment provide the basis for analysis. During this phase, the nurse classifies or groups assessment data and identifies actual or potential client problems. What is the length of the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination based upon? a. The method of random selection b. The location of testing c. The candidate's educational preparation d. The performance of the candidate - CORRECT ANSWER D The length of the examination is based on the ability of candidates to provide 95% confidence that they are safe practitioners and have acquired a minimal level of knowledge about the nursing process. The length of the examination ranges from 75 to 265 questions, and it takes up to 6 hours to complete. What is the primary purpose of the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination? a. Ensuring that practitioners have the minimum skills and knowledge needed to provide care that will produce the best patient care outcomes b. Effective regulation of nursing education c. To determine the mandatory educational level required for nurses to practice d. The basis of accreditation process for schools of nursing - CORRECT ANSWER A The purpose of the NCLEX-RN examination is twofold: (1) to safeguard the public from unsafe practitioners and (2) to determine whether candidates can perform entry level skills. A student nurse who is preparing to graduate and take the licensure examination asks, "What is compulsory licensure?" What is the appropriate response of the nursing advisor? a. All candidates wishing to take the licensure examination must pass a drug screen. b. Candidates must not have a felony conviction. c. To practice as an RN, the nurse must be licensed as a registered nurse (RN). d. An impaired nurse must sign a legal document to acknowledge limitations on his or her practice. - CORRECT ANSWER C Licensure is a prerequisite for practice to ensure public safety. The National Council of State Boards of Nursing determines acceptable National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination questions based on what criteria? a. The geographic location of the candidate b. Research that indicates needed skills for positions in which most entry level nurses are employed c. Surveys conducted by employers to determine the weaknesses of entry level nurses d. Surveys of physicians performed to determine what nurses must know to provide safe care - CORRECT ANSWER B Periodically, the National Council of State Boards of Nursing surveys health care providers to identify nursing care activities of entry level nurses. Although the NCLEX-RN examination has new formats for questions, what is the mostcommon format? a. Fill-in-the-blank item because candidates are not provided with clues from distracters b. Multiple-choice question item, which allows candidates to select the one correct answer c. Multiple-response item because these questions require a higher level of critical thinking d. Hot-spot item because these questions are written at the application level of Bloom's analysis - CORRECT ANSWER B Most NCLEX-RN examination questions have three distracters and one correct answer, but the examination allows all four levels of Bloom's taxonomy to be tested. When delegating care, the RN assigns one nurse to care for a patient with shingles and a different nurse to care for a patient with human immunodeficiency virus/acquired immunodeficiency disease syndrome (HIV/AIDS). This represents which category of nursing care? a. Safe and effective care environment b. Health promotion and maintenance c. Psychosocial integrity d. Teaching/learning - CORRECT ANSWER A The nurse is safeguarding the patient with immunosuppression from the possible transmission of an infection. A patient is brought to the unit with mediastinal chest tubes with no fluctuation in the water seal chamber; arterial blood gas results reveal pH, 7.55; CO2, 55; HCO, 28 mEq/L, and O2, 98%. Carotid artery pulsation is visible with the head of the bed elevated and the use of tangential lighting. What should be the nurse's first action? The above question represents which level of Bloom's taxonomy? a. Knowledge b. Comprehension c. Application d. Analysis - CORRECT ANSWER D In analysis, the candidate must make a judgment call after determining relationships among data. Knowledge is the lowest and simplest level of learning within the cognitive domain, and it is demonstrated by remembering or recalling information. Comprehension, the second level of Bloom's cognitive domain, is the fundamental level of understanding or the ability to grasp or summarize information or material or restate in one's own words. The third cognitive level, application, refers to the ability to use learned information in new situations. A candidate who is taking the NCLEX-RN examination received only 75 questions before the test was stopped. She called her professor and stated, "I passed. I had to answer only 75 questions." The professor correctly provides what response? a. "You are now officially licensed; you answered the more difficult questions correctly." b. "It is possible to receive only 75 questions and not be successful; however, we will keep a positive attitude." c. "If you were given only 75 questions, you will have to retest because this is not enough to determine competency." d. "You must have been extremely close to the passing standard because the computer shut off." - CORRECT ANSWER B Seventy-five questions is the minimum number of questions that can determine 95%competency of the candidate; however, receiving 75 questions can indicate that the candidate passed and was able to answer a broad range of questions covering the nursing process at higher cognitive levels, or it can mean that the candidate failed, answered even the lowest cognitive level questions incorrectly, and was unprepared in area/s of the nursing process. Which statement accurately describes an expectation of the NCLEX-RN examination tester? a. They will have to answer more than 75 questions to be 95% certain that they are above the passing standard. b. They will be required to submit a 100-word essay on an important nursing topic to evaluate safe nursing practice. c. They should study and take practice examinations written at the application and analysis level to ensure that they can meet the higher standards of nursing care and health care delivery. d. They will have additional time to complete the examination because most questions will be prepared in the alternate format, thereby requiring critical thinking. - CORRECT ANSWER C In April 2007, the difficulty of the examination was increased, which would require higher cognitive level questions at the application and analysis level. In the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination test plan, client needs form the organizing framework of the examination with questions in four categories: safe and effective care environment, health promotion and maintenance, psychosocial integrity, and physiologic integrity. Certain processes are then integrated throughout the categories of client needs. Which process is integrated into all client need categories? a. Teaching/learning b. Health promotion c. Infection control d. Pharmacology - CORRECT ANSWER A Teaching and learning are the processes that are integrated, along with the nursing process, caring, communication, and documentation. Which action would help a student successfully prepare for the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination? a. Making note cards that can easily be retrieved to list only facts b. Avoiding timing oneself while studying and when in the actual testing mode to decrease anxiety c. Asking peers for help because they had the same resources; especially seek their help for difficult concepts requiring critical thinking d. Practicing taking NCLEX-RN examination-type questions and reviewing - CORRECT ANSWER D Practicing helps the student learn how questions are presented and what level of difficulty should be anticipated. Reviewing rationales for the answers is a teaching/learning opportunity that enables the student to judge whether the rationale used to answer the question is valid. The nurse prepares to apply sterile gloves needed for a procedure. After introducing self and verifying patient information, the nurse performs hand hygiene. The nurse should open the outer package and then perform the following steps in order: (items on left will be moved in correct order on the right) -Open inner package, taking care not to touch inner surface. -Put the glove on the nondominant hand using the sterile gloved hand. -Put glove on dominant hand by grasping folded cuff edge, touching only inside of cuff. -Adjust each glove carefully by sliding finders under the cuffs. The above question represents which type of alternate-format question written at which level of Bloom's taxonomy? a. Drag-and-drop item, comprehension b. Chart/exhibit item, analysis c. Multiple-response, application d. Hot-spot item, knowledge - CORRECT ANSWER A The drag-and-drop format questions require the candidate to place options in a specific order, moving them from left to right using the mouse. The level is comprehension because it requires the student to have a fundamental level of understanding and summarize the material. A graduate is preparing for the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination. Based on the latest practice survey, the candidate would focus the most amount of time on which content? a. Stages of grief b. Pharmacologic pain management c. Practices to promote rest and sleep d. Prioritization of workload to manage time effectively - CORRECT ANSWER B The current NLN test blueprint indicates that pharmacologic and parental therapies account for between 12% and 18% of the examination. Which strategy would promote a high rate of success on the National Council Licensure Examination for Registered Nurses (NCLEX-RN) examination? a. Since the examination is time limited, skip questions when unsure of the answer and return later if time permits. b. Work quickly through the examination to answer as many questions as possible. c. Mark questions that may need to have the answer reviewed to make it possible to quickly go back and make change after answering all questions. d. Read the entire question and all possible answer options before selecting an answer. - CORRECT ANSWER D Candidates should carefully read the entire question and all answers before selecting an answer. None of the other options are as likely to result in correctly answering the question since none address the need to focus effectively on each question completely before answering. A candidate is taking the NCLEX-RN examination when the computer turns off. The candidate was aware they had reached the 6-hour time limit. A count of completed questions had been recorded on the note pad, and 100 questions were answered. How will the examination be scored? a. The computer will analyze the last 60 questions and if above the passing standard, the candidate passes. b. The candidate will be administered an additional 50 questions to determine ability to reach the 95% confidence interval. c. If the time runs out, the candidate automatically fails the examination because it is impossible to determine if candidate is safe. d. The candidate has the option to complete a simulated examination to show competence. - CORRECT ANSWER A Run-out-of-time rule: if the candidate has answered the minimum number of questions, the computer analyzes the last 60 questions to determine if these questions were above or below the passing standard. The order reads: Administer 500 mg of cefazolin sodium intramuscular. Using information located on the medication vial above, the nurse will administer how many mL? The above question represents which type of alternate-format question written at which level of Bloom's taxonomy? a. Multiple-response item, comprehension level b. Hot-spot item, application level c. Chart/exhibit item, analysis level d. Drag-and-drop item, knowledge level - CORRECT ANSWER C The chart/exhibit presents the candidate with a chart or exhibit with information needed to answer the question. The question is at the analysis level since the candidate must calculate the correct amount to be given using a label requiring dilution. A patient with end-stage renal disease has a potassium level of 7.5 mEq/L. Based on this laboratory result, the nurse interprets which symptom as significant prompting which action? a. Drowsiness, stimulate the patient every 30 minutes b. Confusion, ask the patient to state their name and date of birth c. Irregular heartbeat, evaluate the patient's capillary refill d. Muscle cramps, elevate the affected limb - CORRECT ANSWER A It is important to remember that candidates have specified laboratory values for which they must know the normal range and clinical manifestations when values are high, low, or critical. This question addresses an alteration in body system homeostasis. The student must know the normal lab value for potassium and common symptoms, as well as the correct nursing action. A patient presents with chest pain that increases when lying flat and a low-grade fever. Assessment reveals muffled heart sounds, tachycardia, and 3+ edema in the lower extremities. The nurse asks the patient to learn forward, which eases respiratory efforts. The nurse then places the stethoscope at which area on the chest to facilitate auscultation? The above question represents which type of alternate-format question written at which level of Bloom's taxonomy? a. Multiple-response item, comprehension level b. Hot-spot item, analysis level c. Chart/exhibit item, application level d. Drag-and-drop item, knowledge level - CORRECT ANSWER B This is a hot-spot item; students are presented with a figure on which they must indicate the answer by clicking the mouse over the area. The student would place the mouse over the left sternal border. It is analysis level because the student must take data from many sources to provide a complete assessment of the patient's condition. The nurse prepares to apply sterile gloves needed for a procedure. After introducing self and verifying patient information, the nurse performs hand hygiene. The nurse should open the outer package and then perform steps in which order. Put a comma and space between each answer choice (e.g., a, b, c, d). a. Open inner package, taking care not to touch inner surface. b. Put the glove on the nondominant hand using the sterile gloved hand. c. Put glove on dominant hand by grasping folded cuff edge, touching only inside of cuff. d. Adjust each glove carefully by sliding finders under the cuff. - CORRECT ANSWER A, C, B, D The nurse should open the inner package first, then put the glove on the dominant hand before the nondominant hand before adjusting the gloves. [Show More]

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