NCLEX RN Question Bank Free

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Question 1 of 5.

A client develops an irregular heart rate. Which statement made by the client who has developed an irregular heart rate indicates to the nurse that the client is ready for learning?

A. I feel weak with an irregular pulse.

B. What is it like to have a pacemaker?

C. All my medications will be changed now.

D. How can this heart rate problem affect me?

Explanation: Learning depends on two things: physical and emotional readiness to learn. A good time to teach is when the client indicates an interest in learning, is motivated, and is physically capable of concentrating on learning. Option 4 addresses the client's readiness because the client is directly asking about the disorder. Option 1 indicates that the client is potentially physically incapable of learning at this time. The client indicates wanting to learn about pacemakers in option 2; however, the client has formed a hasty conclusion because the need for a pacemaker has not been determined. In option 3, by assuming that the medications will change, the client is emotionally unprepared for learning because the statement is based on incomplete data.

Question 2 of 5.

Select the member of the multidisciplinary team that you would most likely collaborate with when the client can benefit from the use of adaptive devices for cutting food?

A. The physical therapist

B. The occupational therapist

C. The dietician

D. The podiatrist

Explanation: An occupational therapist specializes in helping clients use adaptive devices to perform activities of daily living, such as cutting food, making them the most appropriate team member for this need.

Question 3 of 5.

The Joint Commission on the Accreditation of Healthcare Organizations mandates standardized 'hand off' change of shift reporting. Which of the following is a standardized 'hand off' change of shift reporting system that you may want to consider for implementation on your nursing care unit?

A. The Four P's

B. UBAR

C. ISBAR

D. MAUMAR

Explanation: ISBAR is a standardized hand-off reporting system (Introduction, Situation, Background, Assessment, Recommendation) recommended by The Joint Commission for effective communication during shift changes.

Question 4 of 5.

Which of the following is NOT an essential minimal component of the teaching that occurs prior to getting an informed consent?

A. The purpose of the proposed treatment or procedure

B. The expected outcomes of the proposed treatment or procedure

C. Who will perform the treatment or procedure

D. When the procedure or treatment will be done

Explanation: Essential components of informed consent include the purpose , expected outcomes , and who will perform the procedure . The specific timing is not a required minimal component.

Question 5 of 5.

The primary distinguishing characteristic of risk management when compared and contrasted to performance improvement is that risk management activities focus on:

A. Historical data and performance improvement activities focus on current data.

B. Current data and performance improvement activities focus on historical data.

C. Decreasing financial liability and performance improvement activities focus on process improvements.

D. Decreasing falls and performance improvement activities focus on process improvements.

Explanation: Risk management focuses on decreasing financial liability by mitigating risks, while performance improvement focuses on enhancing processes and outcomes.