Although the NCLEX-RN examination has new formats for questions, the most common format is the:

Correct Answer: B

Rationale: The correct answer is B: multiple-choice question item, which allows candidates to select the one correct answer. This is because the multiple-choice format is widely used in the NCLEX-RN examination as it is effective in assessing a candidate's knowledge, critical thinking skills, and ability to make decisions. The distractors in the answer choices provide clues and test the candidate's ability to differentiate between correct and incorrect information. Choices A, C, and D are incorrect: A: fill-in-the-blank item is not the most common format for NCLEX-RN questions as candidates are indeed provided with clues from distractors in multiple-choice questions. C: multiple-response item, although requiring critical thinking, is not the most common format on the NCLEX-RN exam. D: hot-spot item is not the most common format on the NCLEX-RN exam, and it is not necessarily written at the application level of Bloom's analysis.

Correct Answer: B

Rationale: The correct answer is B: Pharmacologic pain management. This is the most important content area to focus on for the NCLEX-RN exam because pain management is a critical aspect of nursing care. Nurses must understand different types of pain, medications used for pain management, side effects, and assessment techniques. Pharmacologic pain management directly impacts patient comfort and quality of care. Rationale: 1. Pain management is a fundamental aspect of nursing care. 2. Pharmacologic pain management knowledge is crucial for safe and effective patient care. 3. NCLEX commonly tests on pharmacological interventions and their implications. 4. Understanding pain management aligns with nursing scope of practice and ethical responsibilities. Other Choices: A: Stages of grief - While important in nursing, this topic is not as high-priority for the NCLEX-RN exam. C: Practices to promote rest and sleep - Important, but not as directly related to pharmacological interventions. D: Prioritization of workload to manage time effectively - Relevant

Correct Answer: B

Rationale: Grounded theory is the correct answer because it involves developing a theory based on analyzing data collected from participants. In this case, the researcher is reviewing data from a grief support group to identify patterns and themes, ultimately leading to the development of a theory on how widows and widowers mourn. Phenomenology focuses on understanding individuals' lived experiences, not developing theories. Case study involves an in-depth analysis of a single case, not suitable for developing a theory. Hypothesis generation is part of quantitative research, not qualitative research design.

Correct Answer: C

Rationale: The correct answer is C: patient-centered care. Patient-centered care involves respecting and responding to individual patient preferences, needs, and values. In this scenario, the nurse and dietitian are adjusting the patient's meals to accommodate cultural practices, showing a commitment to providing care that is respectful and responsive to the patient's cultural beliefs. This approach promotes better patient outcomes and satisfaction. Summary of incorrect choices: A: a sentinel event - This refers to a serious, preventable adverse event, which does not apply in this situation. B: an adverse event - This typically refers to harm caused by medical care, which is not the case here. D: the communication technique of "call-out" - This refers to a technique used in healthcare to alert team members to unsafe situations, which is not relevant to the scenario provided.

Correct Answer: C

Rationale: The correct answer is C: Participatory. In participatory budget development, input is gathered from various levels within the organization, such as staff and managers. In this scenario, the nurse manager met with her staff to establish strategic goals before budget negotiations, indicating a participatory approach. This allows for staff buy-in and ownership of the goals. A: Iterative budget development involves refining a budget through multiple rounds of review, which is not explicitly mentioned in the scenario. B: Top-down budget development is characterized by decisions made by upper management without input from lower levels, contradicting the scenario where staff provided input. D: Zero-based budgeting starts from scratch without considering previous budgets, which is not evident in the scenario where goals were established based on staff input. In summary, the participatory budget development is the appropriate choice in this scenario as it aligns with the collaborative approach taken by the nurse manager and her staff in setting strategic goals before budget negotiations.

Correct Answer: A

Rationale: The correct answer is A: Environment. Nursing theory often includes the concept of environment, which encompasses physical, social, and psychological factors influencing a patient's health. This concept helps nurses understand the context in which care is provided and how it impacts health outcomes. Incorrect choices: B: Health - While health is a fundamental aspect of nursing, it is not specific to nursing theory concepts. C: Nursing - This is a broad term encompassing the profession itself, not a specific concept within nursing theory. D: Relevance - This term is not directly associated with nursing theory concepts and does not provide a framework for understanding nursing practice.

Correct Answer: D

Rationale: The correct answer is D: scheduling daily activities. This is because positive time management skills involve planning and organizing tasks to effectively utilize time. By scheduling daily activities, individuals can prioritize tasks, set goals, and allocate time efficiently. This helps in achieving productivity and reducing stress. Choice A (maintaining an open-door policy) is incorrect as it pertains to communication style, not time management. Choice B (retaining all paperwork) is not directly related to time management but rather to organization. Choice C (returning all telephone calls immediately) is also not a direct indicator of effective time management as it focuses on communication responsiveness rather than overall time utilization.

Correct Answer: D

Rationale: The correct answer is D because prioritizing care based on the greatest chance of survival maximizes the number of lives saved in a mass casualty incident. This approach follows the principle of triage, which aims to allocate resources efficiently. Choice A is incorrect as it pertains to coordination rather than immediate patient care. Choice B is incorrect as it is not the primary role of nurses during a mass casualty incident. Choice C is incorrect as determining a credible threat is the responsibility of security and law enforcement, not nurses.

Correct Answer: A

Rationale: The correct answer is A because it demonstrates a proactive and thoughtful approach to decision-making. By stopping to consider the request and assessing its safety implications before accepting it based on patient acuity levels, the novice nurse is prioritizing patient safety and her own capabilities. This strategy helps her cope with the transition into practice by promoting critical thinking and confidence in her decision-making skills. Summary of why the other choices are incorrect: B: Refusing to eat anywhere but the hospital cafeteria may lead to social isolation and restrict the novice nurse's ability to engage with others outside of work. C: Ignoring coworkers' problems or staffing ideas can create a negative work environment and hinder teamwork, potentially increasing stress levels for the novice nurse. D: Focusing on winning over hostile coworkers may detract from the novice nurse's professional growth and cause unnecessary stress from seeking validation from others.