NCLEX RN Question Bank Free
Question 1 of 5.
A client with pneumonia is receiving oxygen at 2 L/min via nasal cannula. The nurse notes a respiratory rate of 30 breaths/min and oxygen saturation of 88%. What should the nurse do first?
A. Increase the oxygen to 4 L/min
B. Notify the physician
C. Encourage deep breathing exercises
D. Reposition the client to semi-Fowler's
Explanation: An oxygen saturation of 88% and tachypnea indicate worsening hypoxia, requiring immediate physician notification for further orders. Increasing oxygen or repositioning may help but requires a prescription.
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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