NCLEX RN High-Yield Questions
Question 1 of 5.
Under the policy for valuables, the nurse documents the description on an envelope with the client, the client and nurse sign the envelope, and the valuables envelope is locked in the safe. The other options increase the risk of loss or damage to the client's valuables.
A. Document the description of valuables on an envelope, sign it with the client, and lock it in the safe.
B. Keep valuables in the client's room.
C. Place valuables in a plastic bag.
D. Store valuables in the nurse's station.
Explanation: This procedure ensures the security of the client's valuables, reducing the risk of loss or theft.
Question 2 of 5.
Select the law that is accurately paired with its description in terms of client rights.
A. The Patient Self Determination Act: The client's right to choose the level of care
B. The Patient Self Determination Act: The clients' right to healthcare insurance coverage for mental health disorders
C. The Mental Health Parity Act: The privacy and security of technological psychiatric information
D. The Health Insurance Portability and Accountability Act (HIPAA): The privacy and security of technological medical information
Explanation: HIPAA ensures the privacy and security of technological medical information. The PSDA relates to advance directives, not choosing the level of care or mental health coverage . The Mental Health Parity Act addresses insurance coverage, not privacy .
Question 3 of 5.
You are the Nurse Manager for the trauma unit. Which of these staff comments or statements indicate the need for you to provide an educational activity relating to confidentiality and information security?
A. A computer in the hallway was left unattended and a client's medical record was visible to me.'
B. I just saw a nursing student looking at the medical record for a client that they are NOT caring for during this clinical experience.'
C. As I was walking past the nursing station, I saw a dietician reading the progress notes written by members of the laboratory department in addition to other dieticians' progress notes.'
D. I refused the nursing supervisor's request to share my electronic password for the new nurse on the unit.'
Explanation: Statements A, B, and C indicate breaches of confidentiality: an unattended computer with visible records , a student accessing unauthorized records , and a dietician accessing irrelevant notes . These require education on information security. Refusing to share a password is correct and does not indicate a need for education.
Question 4 of 5.
One of the roles of the registered nurse in terms of informed consent is to:
A. Serve as the witness to the client's signature on an informed consent.
B. Get and witness the client's signature on an informed consent.
C. Get and witness the durable power of attorney for health care decisions' signature on an informed consent.
D. None of the above
Explanation: The nurse's role in informed consent includes serving as a witness to the client's signature , confirming that the client signed voluntarily after being informed. The nurse does not obtain the consent or involve the durable power of attorney in signing .
Question 5 of 5.
The primary purpose of root cause analysis is to:
A. Discover a process flaw
B. Determine who erred
C. Discover environmental hazards
D. Determine basic client needs
Explanation: Root cause analysis aims to identify underlying process flaws that contributed to an adverse event to prevent recurrence, rather than focusing on individual blame .
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