NCLEX RN Question Bank Free
Question 1 of 5.
The nurse is teaching a client who is taking cyclosporine after renal transplant about medication information. The nurse should tell the client to be especially alert for which problem?
A. Hair loss
B. Weight loss
C. Hypotension
D. Signs of infection
Explanation: Cyclosporine is an immunosuppressant medication used to prevent transplant rejection. The client should be especially alert for signs and symptoms of infection while taking this medication and report them to the primary health care provider if experienced. The client is also taught about other side/adverse effects of the medication, including hypertension, increased facial hair, tremors, gingival hyperplasia, and gastrointestinal complaints. Some weight loss may occur, but this is not as significant as the onset of an infection.
Question 2 of 5.
Select the member of the multidisciplinary team that you would most likely collaborate with when the client can benefit from the use of adaptive devices for cutting food?
A. The physical therapist
B. The occupational therapist
C. The dietician
D. The podiatrist
Explanation: An occupational therapist specializes in helping clients use adaptive devices to perform activities of daily living, such as cutting food, making them the most appropriate team member for this need.
Question 3 of 5.
The Joint Commission on the Accreditation of Healthcare Organizations mandates standardized 'hand off' change of shift reporting. Which of the following is a standardized 'hand off' change of shift reporting system that you may want to consider for implementation on your nursing care unit?
A. The Four P's
B. UBAR
C. ISBAR
D. MAUMAR
Explanation: ISBAR is a standardized hand-off reporting system (Introduction, Situation, Background, Assessment, Recommendation) recommended by The Joint Commission for effective communication during shift changes.
Question 4 of 5.
Which of the following is NOT an essential minimal component of the teaching that occurs prior to getting an informed consent?
A. The purpose of the proposed treatment or procedure
B. The expected outcomes of the proposed treatment or procedure
C. Who will perform the treatment or procedure
D. When the procedure or treatment will be done
Explanation: Essential components of informed consent include the purpose , expected outcomes , and who will perform the procedure . The specific timing is not a required minimal component.
Question 5 of 5.
The primary distinguishing characteristic of risk management when compared and contrasted to performance improvement is that risk management activities focus on:
A. Historical data and performance improvement activities focus on current data.
B. Current data and performance improvement activities focus on historical data.
C. Decreasing financial liability and performance improvement activities focus on process improvements.
D. Decreasing falls and performance improvement activities focus on process improvements.
Explanation: Risk management focuses on decreasing financial liability by mitigating risks, while performance improvement focuses on enhancing processes and outcomes.
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