NCLEX RN High-Yield Questions
Question 1 of 5.
A client is being discharged after undergoing a transurethral resection of the prostate (TURP). The nurse teaches the client to expect which variation in normal urine color for several days after the procedure?
A. Dark red
B. Pink-tinged
C. Clear yellow
D. Cloudy amber
Explanation: The client should expect that the urine will be pink-tinged for several days after this procedure. Dark red urine may be present initially, especially with inadequate bladder irrigation, and if it occurs, it must be corrected. Clear urine is not expected after surgery; cloudy urine could indicate an infection.
Question 2 of 5.
Select the law that is accurately paired with its description in terms of client rights.
A. The Patient Self Determination Act: The client's right to choose the level of care
B. The Patient Self Determination Act: The clients' right to healthcare insurance coverage for mental health disorders
C. The Mental Health Parity Act: The privacy and security of technological psychiatric information
D. The Health Insurance Portability and Accountability Act (HIPAA): The privacy and security of technological medical information
Explanation: HIPAA ensures the privacy and security of technological medical information. The PSDA relates to advance directives, not choosing the level of care or mental health coverage . The Mental Health Parity Act addresses insurance coverage, not privacy .
Question 3 of 5.
You are the Nurse Manager for the trauma unit. Which of these staff comments or statements indicate the need for you to provide an educational activity relating to confidentiality and information security?
A. A computer in the hallway was left unattended and a client's medical record was visible to me.'
B. I just saw a nursing student looking at the medical record for a client that they are NOT caring for during this clinical experience.'
C. As I was walking past the nursing station, I saw a dietician reading the progress notes written by members of the laboratory department in addition to other dieticians' progress notes.'
D. I refused the nursing supervisor's request to share my electronic password for the new nurse on the unit.'
Explanation: Statements A, B, and C indicate breaches of confidentiality: an unattended computer with visible records , a student accessing unauthorized records , and a dietician accessing irrelevant notes . These require education on information security. Refusing to share a password is correct and does not indicate a need for education.
Question 4 of 5.
One of the roles of the registered nurse in terms of informed consent is to:
A. Serve as the witness to the client's signature on an informed consent.
B. Get and witness the client's signature on an informed consent.
C. Get and witness the durable power of attorney for health care decisions' signature on an informed consent.
D. None of the above
Explanation: The nurse's role in informed consent includes serving as a witness to the client's signature , confirming that the client signed voluntarily after being informed. The nurse does not obtain the consent or involve the durable power of attorney in signing .
Question 5 of 5.
The primary purpose of root cause analysis is to:
A. Discover a process flaw
B. Determine who erred
C. Discover environmental hazards
D. Determine basic client needs
Explanation: Root cause analysis aims to identify underlying process flaws that contributed to an adverse event to prevent recurrence, rather than focusing on individual blame .
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