NCLEX RN Exam Practice
Question 1 of 5.
A client being discharged from the hospital with a prescription for quinidine to control ventricular ectopy is provided medication instructions by the nurse. Which statement by the client would indicate the need for further teaching?
A. The best time to schedule this medication is with my meals.
B. I need to take this medication regularly, even if my heart feels strong.
C. I should avoid alcohol, caffeine, and cigarettes while on this medication.
D. If I get diarrhea, nausea, or vomiting, I need to stop the medication immediately.
Explanation: Diarrhea, nausea, vomiting, loss of appetite, and dizziness are all common side effects of quinidine. If these should occur, the primary health care provider or nurse should be notified, but the medication should never be stopped by the client. A rapid decrease in the medication level of an antidysrhythmic could precipitate dysrhythmia. The remaining options are accurate client statements.
Question 2 of 5.
The stages of conflict and conflict resolution in the correct sequential order are:
A. Conceptualization
B. Frustration
C. Resolution
D. Taking action
Explanation: The correct sequence of conflict stages is Frustration (B, emotional response), Conceptualization (A, understanding the conflict), Taking action (D, implementing solutions), and Resolution (C, resolving the conflict).
Question 3 of 5.
Select the ethical term that is accurately paired with its brief description.
A. Deontology: The school of ethical thought that requires that only the means to the goal must be ethical.
B. Utilitarianism: The school of ethical thought that requires that only the end goal must be ethical.
C. Deontology: The school of ethical thought that requires that only the end goal must be ethical.
D. Utilitarianism: The school of ethical thought that requires that only the means to the goal must be ethical.
Explanation: Utilitarianism focuses on the outcomes, requiring that the end goal be ethical (maximizing overall good). Deontology emphasizes the ethics of the means, not the end (contrary to A and C).
Question 4 of 5.
Which of these choices contains the six elements necessary for malpractice?
A. Causation, foreseeability, damages to the patient, a duty that was owed to the client and this duty was breached, and direct rather than indirect harm to the client.
B. Causation, foreseeability, damages to the patient, a duty that was owed to the client and this duty was breached, and direct and/or indirect harm to the client.
C. Causation, correlation, damages to the patient, a duty that was owed to the client and this duty was breached, and direct and/or indirect harm to the client.
D. Causation, foreseeability, damages to the patient, a duty that was owed to the client and this duty was breached, and a medical license.
Explanation: The six elements of malpractice are duty owed, breach of duty, foreseeability, causation, direct harm, and damages . Indirect harm or correlation are not standard elements, and a medical license is irrelevant.
Question 5 of 5.
After your assessment of your client and the need to transfer your client from the bed to the chair, what is the best and safest way to transfer this paralyzed client when you suspect that you will need the help of another for the client's first transfer out of bed?
A. Use a slide board.
B. Use a mechanical lift.
C. Use a gait belt.
D. Notify the client's doctor that the client cannot be safely transferred by you.
Explanation: For a paralyzed client requiring assistance, a mechanical lift is the safest transfer method, minimizing risk of injury to both the client and staff.
Related Questions