Free NCLEX RN Exam Practice Questions
Question 1 of 5.
The nurse has just received the change of shift report on the following clients on the labor, delivery, recovery, and postpartum unit. Which of these clients should the nurse assess first?
A. An 18-year-old single primigravid client, in labor for 9 hours, with cervical dilation at 6 cm, 0$ station, contractions occurring every 5 minutes, and receiving epidural anesthesia.
B. A 24-year-old multiparous client who delivered a 4,200g infant 2 hours ago, whose fundus is firm and who is having light lochia flow.
C. A 30-year-old multigravid client who delivered a 3,500g infant 6 hours ago by cesarean section and who is complaining of abdominal pain at the incision site.
D. A 35-year-old primigravid client, 36 weeks' gestation, who was admitted with preterm labor and is receiving magnesium sulfate therapy.
Explanation: The client with preterm labor on magnesium sulfate requires immediate assessment due to the risk of toxicity and preterm delivery complications.
Question 2 of 5.
Which of the following personnel do not have the 'right to know' medical information?
A. The facility's Performance Improvement Director who is not a healthcare person and who has no direct contact with clients
B. A nursing student who is caring for a client under the supervision of the nursing instructor
C. The facility's Safety Officer who is not a healthcare person and who has no direct contact with clients
D. A department supervisor with no direct or indirect care duties
Explanation: Personnel without direct or indirect client care responsibilities, such as the Performance Improvement Director , Safety Officer , and department supervisor , do not have a 'need to know' medical information under HIPAA, unless their role requires it.
Question 3 of 5.
You have been asked to teach an inservice class for nurses in your facility about ethics. Which of the following should you consider during the planning of this educational activity?
A. Planning a way to evaluate the effectiveness of the class by seeing a decrease in the amount of referrals to the facility's Ethics Committee
B. Establishing educational objectives for the class that reflect the methods and methodology that you will use to present the class content
C. The need to exclude case studies from the class because this would violate client privacy and confidentiality
D. Some of the most commonly occurring bioethical concerns including genetic engineering into the course content
Explanation: When planning an educational activity, establishing clear educational objectives is essential to define the content, methods, and expected outcomes of the class, ensuring effective learning.
Question 4 of 5.
What is the term that is used to describe a healthcare related incident or accident that may have possibly led to client harm?
A. An adverse event
B. A root cause
C. A healthcare acquired event
D. A sentinel event
Explanation: An adverse event is a healthcare-related incident that may have led to client harm, such as medication errors or falls.
Question 5 of 5.
You are serving as the supervisory nurse for a home healthcare agency in the community. You are doing an admission assessment for a 76 year old male client who resides with his elderly wife. Which of the following assessments would indicate that the couple needs some education relating to home safety?
A. The client has refrigerated foods labelled with an expiration date.
B. You assess that the home is free of scatter rugs that many use to protect the feet against hard floors.
C. The client uses the FIFO method for insuring food safety.
D. The client assures you that the smoke alarm batteries are replaced annually to insure that they work.
Explanation: The absence of scatter rugs is a safety feature, not a concern requiring education. Labeled foods , FIFO method , and annual smoke alarm battery replacement are all safe practices. However, the question implies a need for education, and B is the least directly related to a safety deficit, but no clear safety issue is present in the options provided.
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