NCLEX RN ACTUAL EXAM 2024 TEST BANK 300

QUESTIONS AND CORRECT DETAILED ANSWERS

WITH RATIONALES (VERIFIED ANSWERS)

|ALREADY GRADED A+

You are observing one of the RNs on the unit administer medication.

What action by the nurse would lead you to conclude there is a risk for a

medication error?

a. Answering a physician's page while giving medication

b. Documenting in military time

c. Asking for help with calculations

d. Holding a medication that the patient questions - ANSWER- a.

Answering a physician's page while giving medication

You are delegating to a licensed practical nurse (LPN) to wound care on

a patient. The LPN has never performed this type of wound care before.

What component of delegation have you neglected?

a. Authority

b. Competency

c. Communication

d. Responsibility - ANSWER- b. Competency

You are caring for a patient with gastroesophageal reflux disease

(GERD). You have an unlicensed staff member working with you.

Which activity can you delegate to the unlicensed staff?

a. Teach the patient about weight loss

b. Explore any concerns about managing the disease

c. Explain why the patient needs to eat several small meals a day

d. Instruct the patient to remain upright for 2 hours following a meal -

ANSWER- d. Instruct the patient to remain upright for 2 hours

following a meal

You will be working with an unlicensed staff member this shift. Which

of the following should be priority before delegating care to the staff

member?

a. Assessing whether the staff member is competent to perform the skill

b. Preparing written instructions on how to perform skill

c. Gathering supplies

d.Informing the patient that an unlicensed staff member will perform the

car - ANSWER- a. Assessing whether the staff member is competent to

perform the skill

A nurse from the surgical care unit has been floated to your unit for the

day. Which of the following patients would you want to assign to this

nurse?

a. Exacerbation of heart failure

b. Diabetes type II, new onset

c. Emergency appendectomy

d. Thyrotoxicosis - ANSWER- c. Emergency appendectomy

The nurse from the surgical care unit should be comfortable taking

care of an emergency appendectomy patient. This nurse should be

most comfortable with pre- and post-operative patients; therefore,

the nurse should choose to give him or her those patients if

available.

You are working on the postpartum unit today. Which task would you

assign to a beginning nursing student?

a. Ambulate a patient

b. Complete an admission assessment

c. Notify the physician of adverse labs

d. Verify a unit of blood - ANSWER- a. Ambulate a patient

Which of the following patients should be assigned a pediatric nurse

assigned to float to your unit?

a. A 32-year-old with diabetes in need of teaching and medications

b. A 56-year-old with Guillain-barre with leg weakness

c. A 86-year-old with dementia from a skilled nursing home

d. A 59-year-old postoperative patient following TURP procedure -

ANSWER- a. A 32-year-old with diabetes in need of teaching and

medications

You are caring for a heart failure patient who suddenly developed

symptoms that include shortness of breath, increased respiratory rate,

bilateral crackles and frothy sputum. You have notified the physician

and received orders for the patient. Which activity would be appropriate

to delegate to a licensed practical nurse?

a.Start an IV.

b. Check vital signs every 15 minutes.