NCLEX-RN Exam Quiz 05

Question 1 of 10

1. Question

The nurse is assigned to look after four patients. In planning for patient rounds, which patient should the nurse assess first?

A patient requiring daily changes of dressing for a recent surgical incision
Patient scheduled for chest x-ray after nasogastric tube insertion
A patient with asthma who requested a breathing treatment during the previous shift
A postoperative patient who is preparing for discharge with a new drug

Question 2 of 10

2. Question

The emergency department nurse is assigned to triage patients who come to the emergency department for evening shift treatment. Which patient should the nurse assign priority to?

A chest pain patient who says he only ate pizza that was made with a very spicy sauce
A patient with a minor index finger laceration that was sustained while cutting an eggplant
A patient who complains of muscle aches, headache, and seizure history
A patient who twisted her ankle while rollerblading and is asking for pain medication

Question 3 of 10

3. Question

A nursing graduate is participating in an agency orientation on the practice nursing model implemented in the health care facility. The nurse is told that a team nursing approach is the nursing model. Does the nurse determine which scenario is specific to the team-based nursing practice model?

Each staff member is assigned a specific task for a group of clients.
To determine the patient's needs at home and begin discharge planning, a staff member is assigned.
In providing care to a group of 12 patients, an RN leads 2 licensed practical nurses (LPNs) and 3 UAPs.
A single registered nurse (RN) is responsible for providing care to a group of 6 patients with the aid of unlicensed assistive personnel (UAP).

Question 4 of 10

4. Question

The nurse received the day shift assignment. Which patient should the nurse plan to care for first, after making initial rounds and checking all of the assigned patients?

A patient with a white blood cell count of 14,000 mm3 (14 Â10^9 /L) and a temperature of 38.4 °C
A patient who shows steady gait on an outpatient basis
A postoperative patient who has just received medication for opioid pain
A patient in the first crutch-walking session scheduled for physical therapy

Question 5 of 10

5. Question

When an unlicensed assistive staff (UAP) enters the patient’s room, the nurse gives a bed bath to an assigned patient and tells the nurse that another assigned patient is in pain and needs pain medication. Which is the most appropriate action for nursing?

Ask the UAP to find out when the last pain medication was given to the patient.
Finish the bed bath and then administer the pain medication to the other patient.
Cover the patient, raise the side rails, tell the patient you will come back soon, and give the pain medication to the other patient.
Ask the UAP to tell the patient in pain that as soon as the bed bath is complete, medication will be given.

Question 6 of 10

6. Question

A change in the method of the nursing delivery system from functional to team nursing has been implemented by the nurse manager. Unlicensed assistive personnel (UAP) is resistant to the change and is not taking an active part in facilitating the process of change. Which approach is best for dealing with the UAP?

Ignore the resistance.
Exert coercion on the UAP
Provide the UAP with a positive reward system
Confront the UAP to encourage verbalization of feelings regarding the change.

Question 7 of 10

7. Question

The registered nurse plans the day’s customer assignments. Which unlicensed assistive personnel (UAP) is the most suitable assignment?

A patient requiring a colostomy irrigation
A patient receiving continuous tube feedings
A patient with difficulty swallowing food and fluids
A patient who requires urine specimen collections

Question 8 of 10

8. Question

In the event of a tornado with the staff, the nurse manager discusses the facility protocol. Which instructions in the discussion should be included by the nurse manager? Select all that is applicable.

Close window shades and curtains.
Open doors to patient rooms.
Move beds away from windows.
Place blankets over clients who are confined to bed.
Relocate ambulatory patients from the hallways back into their rooms.

Question 9 of 10

9. Question

The nurse in charge is planning the day’s assignment. Which factors should the nurse remain mindful of when planning the assignment? Select all that is applicable.

The clustering of the rooms on the unit
The number of anticipated patient discharges
Patient needs and workers’ needs and abilities
The acuity level of the patients
Specific requests from the staff

Question 10 of 10

10. Question

The nurse employed in a long-term care facility plans assignments for a nursing unit for the clients. The nurse needs four clients to be assigned and has a licensed practical (vocational) nurse and a nursing team of 3 unlicensed assistant staff (UAPs). Which client would the nurse assign to the licensed practical (vocational) nurse most appropriately?

A patient who requires hourly vital sign measurements
An older patient requiring frequent ambulation
A patient who requires a bath in bed
A patient who needs irrigation and dressing for abdominal wounds changes every 3 hours

NCLEX-RN Exam Quiz 05

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