Free NCLEX RN Exam Practice Questions
Question 1 of 5.
A 30-week-gestation client admitted in preterm labor is prescribed betamethasone. What should the nurse tell the client is the purpose for this medication?
A. Promote fetal lung maturity.
B. Delay delivery for at least 48 hours.
C. Stop the premature uterine contractions.
D. Prevent premature closure of the ductus arteriosus.
Explanation: Betamethasone, a corticosteroid, is administered to increase the surfactant level and increase fetal lung maturity, reducing the incidence of respiratory distress syndrome in the newborn infant. Surfactant production does not become stable until after 32 weeks' gestation. If adequate amounts of surfactant are not present in the lungs, respiratory distress and death are possible consequences. Delivery needs to be delayed for at least 48 hours after the administration of betamethasone in order to allow time for the lungs to mature. The remaining options are incorrect.
Question 2 of 5.
Which of the following personnel do not have the 'right to know' medical information?
A. The facility's Performance Improvement Director who is not a healthcare person and who has no direct contact with clients
B. A nursing student who is caring for a client under the supervision of the nursing instructor
C. The facility's Safety Officer who is not a healthcare person and who has no direct contact with clients
D. A department supervisor with no direct or indirect care duties
Explanation: Personnel without direct or indirect client care responsibilities, such as the Performance Improvement Director , Safety Officer , and department supervisor , do not have a 'need to know' medical information under HIPAA, unless their role requires it.
Question 3 of 5.
You have been asked to teach an inservice class for nurses in your facility about ethics. Which of the following should you consider during the planning of this educational activity?
A. Planning a way to evaluate the effectiveness of the class by seeing a decrease in the amount of referrals to the facility's Ethics Committee
B. Establishing educational objectives for the class that reflect the methods and methodology that you will use to present the class content
C. The need to exclude case studies from the class because this would violate client privacy and confidentiality
D. Some of the most commonly occurring bioethical concerns including genetic engineering into the course content
Explanation: When planning an educational activity, establishing clear educational objectives is essential to define the content, methods, and expected outcomes of the class, ensuring effective learning.
Question 4 of 5.
What is the term that is used to describe a healthcare related incident or accident that may have possibly led to client harm?
A. An adverse event
B. A root cause
C. A healthcare acquired event
D. A sentinel event
Explanation: An adverse event is a healthcare-related incident that may have led to client harm, such as medication errors or falls.
Question 5 of 5.
You are serving as the supervisory nurse for a home healthcare agency in the community. You are doing an admission assessment for a 76 year old male client who resides with his elderly wife. Which of the following assessments would indicate that the couple needs some education relating to home safety?
A. The client has refrigerated foods labelled with an expiration date.
B. You assess that the home is free of scatter rugs that many use to protect the feet against hard floors.
C. The client uses the FIFO method for insuring food safety.
D. The client assures you that the smoke alarm batteries are replaced annually to insure that they work.
Explanation: The absence of scatter rugs is a safety feature, not a concern requiring education. Labeled foods , FIFO method , and annual smoke alarm battery replacement are all safe practices. However, the question implies a need for education, and B is the least directly related to a safety deficit, but no clear safety issue is present in the options provided.
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