Best NCLEX RN Question Bank
Question 1 of 5.
A client who had a total knee replacement with a metal prosthesis is being prepared for discharge to home. Which statement by the client indicates to the nurse a need for further teaching?
A. I can expect that changes in the shape of the knee will occur.
B. I need to tell any future caregivers about the metal prosthesis.
C. I need to report bleeding gums or tarry stools to the primary health care provider.
D. I need to report fever, redness, or increased pain to the primary health care provider.
Explanation: After a total knee replacement, the client should be taught to report any changes in the shape of the knee. This is not an expected event during recuperation from surgery. The client must notify caregivers of the metal implant because the client will need antibiotic prophylaxis for invasive procedures, and will be ineligible for magnetic resonance imaging as a diagnostic procedure. With a metal prosthesis, the client must be on anticoagulant therapy and should report adverse effects of this therapy, such as evidence of bleeding from a variety of sources. Fever, redness, or increased pain may indicate infection.
Question 2 of 5.
Select the member of the multidisciplinary team that you would most likely collaborate with when the client is at risk for falls due to an impaired gait.
A. The physical therapist
B. The occupational therapist
C. The podiatrist
D. The nurse practitioner
Explanation: A physical therapist specializes in assessing and improving gait and mobility, making them the most appropriate team member to collaborate with for a client at risk for falls due to impaired gait.
Question 3 of 5.
Which of the following terms is used to describe the sound, timely, smooth, unfragmented and seamless transition of the client from one level of acuity to another?
A. Case management
B. Continuity of care
C. Medical necessity
D. Critical pathway
Explanation: Continuity of care refers to the seamless, coordinated transition of a client across different levels of care, ensuring consistent and effective treatment.
Question 4 of 5.
Which of the following is most closely aligned with the principles and concepts of informed consent?
A. Justice
B. Fidelity
C. Self determination
D. Nonmalficence
Explanation: Informed consent is most closely aligned with self-determination , as it empowers clients to make autonomous decisions about their care based on full disclosure of information.
Question 5 of 5.
Which question is asked more than any other root cause analysis activity?
A. What?
B. Why?
C. Who?
D. When?
Explanation: The 'Why?' question is central to root cause analysis, as it drives the investigation into the underlying causes of an event through techniques like the '5 Whys.'
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