RN NCLEX Next Gen Questions
Question 1 of 5.
A multigravid client at 34 weeks’ gestation who is leaking amniotic fl uid has just been hospitalized with a diagnosis of preterm premature rupture of membranes and preterm labor. The client’s contractions are 20 minutes apart, lasting 20 to 30 seconds. Her cervix is dilated to 2 cm. The nurse reviews the physician orders (see chart). Which of the following orders should the nurse initiate first?
A. Initiate fetal and contraction monitoring
B. Start the intravenous infusion
C. Obtain the urine specimen
D. Administer betamethasone
Explanation: The nurse should initiate fetal and contraction monitoring for this client upon arrival to the unit. This gives the nurse data regarding changes in fetal and maternal contraction status before completing the other orders. Next, the betamethasone would be given to begin the maturation process for the fetal lungs. Next, the nurse should start an intravenous infusion to provide a line for immediate intravenous access, if needed, and provide hydration for the client. The nurse should obtain the urine specimen prior to administering any antibiotic therapy, if ordered.
Question 2 of 5.
Which federal law is most closely associated with the highly restrictive 'need to know'?
A. The Patient Self Determination Act
B. The Mental Health Parity Act
C. The Health Insurance Portability and Accountability Act
D. The Americans with Disabilities Act of 1990
Explanation: The Health Insurance Portability and Accountability Act (HIPAA) enforces the 'need to know' principle, restricting access to protected health information to only those who require it for their job functions.
Question 3 of 5.
What ethical principle below is accurately paired with a way that ethical principle is applied into nursing practice?
A. Justice: Equally dividing time and other resources among a group of clients
B. Beneficence: Doing no harm during the course of nursing care
C. Veracity: Fully answering the client's questions without any withholding of information
D. Fidelity: Upholding the American Nurses Association's Code of Ethics
Explanation: Veracity is accurately paired with fully answering the client's questions without withholding information, as it emphasizes truthfulness in nursing practice. Justice involves fair treatment, not just equal time ; Beneficence involves promoting good, not just avoiding harm ; Fidelity is about keeping promises, not specifically the ANA Code .
Question 4 of 5.
The current focus of performance improvement activities is to facilitate and address:
A. Sound structures like policies and procedures
B. Processes and how they are being done
C. Optimal client outcomes
D. Optimal staff performance
Explanation: Performance improvement activities focus on achieving optimal client outcomes by improving the quality and safety of care delivery.
Question 5 of 5.
You are serving as the preceptor for a newly graduated nurse. As you observe the new nurse for their application of body mechanics principles into client care, you observe that the nurse spreads her legs apart during a transfer with a client. What should you do?
A. Advise the nurse that the legs must be close together for stability during lifting and transfers.
B. Advise the nurse that the legs should be one in front of the other and not spread apart during a transfer.
C. Validate the nurse's competency in terms of the application of body mechanics principles during a transfer.
D. Validate the nurse's competency in terms of the application of ergonomics principles during a transfer.
Explanation: Spreading the legs apart during a transfer provides a wide base of support, which is a correct body mechanics principle , ensuring stability and reducing injury risk.
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