Best NCLEX RN Question Bank
Question 1 of 5.
The nurse is monitoring the function of a client's chest tube that is attached to a chest drainage system. The nurse notes that the fluid in the water-seal chamber is below the 2-cm mark. What should the nurse determine based on this finding?
A. There is a leak in the system.
B. Suction should be added to the system.
C. This is caused by client pneumothorax.
D. Water should be added to the chamber.
Explanation: The water-seal chamber should be filled to the 2-cm mark to provide an adequate water seal between the external environment and the client's pleural cavity. The water seal prevents air from reentering the pleural cavity. Because evaporation of water can occur, the nurse should remedy this problem by adding sterile water until the level is again at the 2-cm mark. The other interpretations are incorrect.
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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