NCLEX RN Question Bank Free
Question 1 of 5.
A client has been defibrillated at 360 joules (monophasic) and the attempts to convert the ventricular fibrillation (VF) were unsuccessful. Based on an evaluation of the situation, the nurse determines that which action is best?
A. Terminating the resuscitation effort
B. Preparing for the administration of sodium bicarbonate intravenously
C. Performing cardiopulmonary resuscitation (CPR) for 5 cycles or about 2 minutes
D. Performing CPR for 5 minutes, then defibrillating 3 more times at 400 joules
Explanation: Defibrillation is an asynchronous countershock used to terminate pulseless ventricular tachycardia (VT) or ventricular fibrillation (VF). The defibrillator is charged to 120 to 200 joules (biphasic) or 300 joules (monophasic) for 1 countershock from the defibrillator, and then CPR is immediately resumed and continued for 5 cycles or about 2 minutes. The rhythm is reassessed after 2 minutes and if VF or pulseless VT continues, the defibrillator is charged to give a second shock at the same energy level previously used. CPR is resumed after the shock if needed and the life support protocol is continued. There is no information in the question to indicate that life support should be terminated. Sodium bicarbonate may be prescribed but is not the best action. Giving CPR for 5 minutes may not help oxygenation to the brain and myocardium and is not the best action.
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.
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