NCLEX RN Exam Practice
Question 1 of 5.
The nurse is observing an unlicensed assistive personnel (UAP) care for an older client who had surgery (insertion of a prosthesis) following a hip fracture 4 days ago. To prevent client injury, the nurse should intervene in the care when which action is performed by the UAP?
A. Elevates the head of bed 30 degrees
B. Assists the client in inserting dentures
C. Obtains a bedside commode to keep in the room
D. Places pillows between the legs when turning the client
Explanation: After hip surgery when a prosthesis has been inserted, a client should not flex the body more than 90 degrees relative to the chair; sitting on a commode would mean a low seat. The toilet seat should be raised, so a special adapted commode should be placed in the room. The head of the bed can be raised slightly for comfort. Assisting the client in inserting dentures is within the duties of a UAP. The legs should be kept abducted, so using pillows between the legs when turning is required.
Question 2 of 5.
The stages of conflict and conflict resolution in the correct sequential order are:
A. Conceptualization
B. Frustration
C. Resolution
D. Taking action
Explanation: The correct sequence of conflict stages is Frustration (B, emotional response), Conceptualization (A, understanding the conflict), Taking action (D, implementing solutions), and Resolution (C, resolving the conflict).
Question 3 of 5.
Select the ethical term that is accurately paired with its brief description.
A. Deontology: The school of ethical thought that requires that only the means to the goal must be ethical.
B. Utilitarianism: The school of ethical thought that requires that only the end goal must be ethical.
C. Deontology: The school of ethical thought that requires that only the end goal must be ethical.
D. Utilitarianism: The school of ethical thought that requires that only the means to the goal must be ethical.
Explanation: Utilitarianism focuses on the outcomes, requiring that the end goal be ethical (maximizing overall good). Deontology emphasizes the ethics of the means, not the end (contrary to A and C).
Question 4 of 5.
Which of these choices contains the six elements necessary for malpractice?
A. Causation, foreseeability, damages to the patient, a duty that was owed to the client and this duty was breached, and direct rather than indirect harm to the client.
B. Causation, foreseeability, damages to the patient, a duty that was owed to the client and this duty was breached, and direct and/or indirect harm to the client.
C. Causation, correlation, damages to the patient, a duty that was owed to the client and this duty was breached, and direct and/or indirect harm to the client.
D. Causation, foreseeability, damages to the patient, a duty that was owed to the client and this duty was breached, and a medical license.
Explanation: The six elements of malpractice are duty owed, breach of duty, foreseeability, causation, direct harm, and damages . Indirect harm or correlation are not standard elements, and a medical license is irrelevant.
Question 5 of 5.
After your assessment of your client and the need to transfer your client from the bed to the chair, what is the best and safest way to transfer this paralyzed client when you suspect that you will need the help of another for the client's first transfer out of bed?
A. Use a slide board.
B. Use a mechanical lift.
C. Use a gait belt.
D. Notify the client's doctor that the client cannot be safely transferred by you.
Explanation: For a paralyzed client requiring assistance, a mechanical lift is the safest transfer method, minimizing risk of injury to both the client and staff.
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