RN NCLEX Next Gen Questions
Question 1 of 5.
While obtaining the vital signs on a mother who delivered a healthy newborn 2 hours ago the nurse notes that the mother's temperature is 102°F. Which is the appropriate nursing action at this time?
A. Notify the primary health care provider.
B. Remove the blanket from the client's bed.
C. Document the finding and recheck the temperature in 4 hours.
D. Administer acetaminophen and recheck the temperature in 4 hours.
Explanation: Vital signs usually return to normal within the first hour postpartum if no complications arise. A slight elevation in the temperature may be noted if the client is experiencing dehydrating effects that can occur from labor. A temperature of 102°F indicates infection, and the primary health care provider should be notified. The remaining options are inaccurate nursing interventions for a temperature of 102°F 2 hours after delivery.
Question 2 of 5.
Which federal law is most closely associated with the highly restrictive 'need to know'?
A. The Patient Self Determination Act
B. The Mental Health Parity Act
C. The Health Insurance Portability and Accountability Act
D. The Americans with Disabilities Act of 1990
Explanation: The Health Insurance Portability and Accountability Act (HIPAA) enforces the 'need to know' principle, restricting access to protected health information to only those who require it for their job functions.
Question 3 of 5.
What ethical principle below is accurately paired with a way that ethical principle is applied into nursing practice?
A. Justice: Equally dividing time and other resources among a group of clients
B. Beneficence: Doing no harm during the course of nursing care
C. Veracity: Fully answering the client's questions without any withholding of information
D. Fidelity: Upholding the American Nurses Association's Code of Ethics
Explanation: Veracity is accurately paired with fully answering the client's questions without withholding information, as it emphasizes truthfulness in nursing practice. Justice involves fair treatment, not just equal time ; Beneficence involves promoting good, not just avoiding harm ; Fidelity is about keeping promises, not specifically the ANA Code .
Question 4 of 5.
The current focus of performance improvement activities is to facilitate and address:
A. Sound structures like policies and procedures
B. Processes and how they are being done
C. Optimal client outcomes
D. Optimal staff performance
Explanation: Performance improvement activities focus on achieving optimal client outcomes by improving the quality and safety of care delivery.
Question 5 of 5.
You are serving as the preceptor for a newly graduated nurse. As you observe the new nurse for their application of body mechanics principles into client care, you observe that the nurse spreads her legs apart during a transfer with a client. What should you do?
A. Advise the nurse that the legs must be close together for stability during lifting and transfers.
B. Advise the nurse that the legs should be one in front of the other and not spread apart during a transfer.
C. Validate the nurse's competency in terms of the application of body mechanics principles during a transfer.
D. Validate the nurse's competency in terms of the application of ergonomics principles during a transfer.
Explanation: Spreading the legs apart during a transfer provides a wide base of support, which is a correct body mechanics principle , ensuring stability and reducing injury risk.
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