Best NCLEX RN Question Bank
Question 1 of 5.
The nurse developing a plan of care for a postterm small-for-gestational-age (SGA) newborn should identify which assessment as the priority to monitor?
A. Urinary output
B. Blood glucose levels
C. Total bilirubin levels
D. Hemoglobin and hematocrit
Explanation: The most common metabolic complication in the SGA newborn is hypoglycemia, which can produce central nervous system abnormalities and mental retardation if not corrected immediately. Urinary output, although important, is not the highest priority action; however, the postterm SGA newborn is typically dehydrated from placental dysfunction. Hemoglobin and hematocrit levels are monitored because the postterm SGA newborn exhibits polycythemia, although this also does not require immediate attention. The polycythemia contributes to increased bilirubin levels, usually beginning on the second day after delivery.
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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