NCLEX RN Exam Practice
Question 1 of 5.
Which action by the nursing student, caring for a child who sustained a head injury from a fall, indicates a need for further teaching?
A. Forcing fluids
B. Performing neurological assessments
C. Keeping the child in a sitting-up position
D. Keeping the child awake as much as possible
Explanation: A child with a head injury is at risk for increased intracranial pressure (ICP). Forcing fluids may cause fluid overload and increased ICP. Additionally, the nurse should not 'force' the client to do something. Neurological assessments must be performed to monitor for increased ICP. Sitting up will decrease fluid retention in cerebral tissue and promote drainage. Keeping the child awake will assist in accurate evaluation of any cerebral edema that is present and will detect early coma.
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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