NCLEX-RN
NCLEX RN Exam Prep Questions
Extract:
Question 1 of 5
A patient has a goal of eating at least 50% of each meal. The patient refuses to eat, so a nurse force-feeds the patient in order for them to reach their goal of eating at least 50% of the meal. The nurse has committed __________ against this patient.
Correct Answer: B
Rationale: The correct answer is 'battery.' Battery occurs when there is unwanted physical contact or force applied to a person without their consent. In this scenario, force-feeding the patient against their will constitutes battery as the nurse is physically interfering with the patient's body without permission. Assault involves the threat of physical harm, which is not present in the situation described. Physical neglect refers to the failure to provide basic care needs, which is not the case here. Emotional neglect involves the failure to address emotional needs, which is also not applicable in this context.
Question 2 of 5
Which of the following is a negative outcome associated with impaired mobility?
Correct Answer: B
Rationale: A client with impaired mobility may develop changes in body systems that put them at risk of further illness or injury. One negative outcome associated with impaired mobility is orthostatic hypotension, where blood pressure drops significantly when moving from a sitting or lying position to a standing position. This drop in blood pressure can lead to symptoms such as dizziness or fainting. This occurs because blood circulates more slowly or pools in the distal extremities due to impaired mobility.
Choice A is incorrect because increased calcium absorption is not a typical negative outcome associated with impaired mobility.
Choice C is incorrect because a decrease in mucus in the bronchi and lungs is not a common negative outcome of impaired mobility.
Choice D is incorrect because thickening of vessel walls in the circulatory system is not directly associated with impaired mobility.
Question 3 of 5
Nursing care plans are _______________?
Correct Answer: B
Rationale: Nursing care plans are comprehensive documents created by registered nurses to outline individualized care for patients. These plans serve as guidelines for all members of the nursing team, including nursing assistants, to ensure consistent and quality care.
Choice A is incorrect as CNAs typically assist in implementing the care plan rather than creating it.
Choice C is incorrect as nursing care plans are utilized by all members of the nursing team, not exclusive to only nurses.
Choice D is incorrect as nursing assistants also utilize nursing care plans to provide patient care effectively.
Question 4 of 5
Which statement by the client with chronic obstructive lung disease indicates an understanding of the major reason for the use of occasional pursed-lip breathing?
Correct Answer: D
Rationale: The correct answer is D. Clients with chronic obstructive pulmonary disease have difficulty exhaling fully due to the weak alveolar walls from the disease process. Pursed-lip breathing helps prevent alveolar collapse by maintaining positive pressure in the airways during exhalation. This is the major reason for using pursed-lip breathing in individuals with chronic obstructive lung disease.
Choices A, B, and C are incorrect because they do not directly address the main purpose of pursed-lip breathing, which is to prevent alveolar collapse and improve exhalation in these patients.
Question 5 of 5
Nursing care plans contain which of the following?
Correct Answer: A
Rationale: Nursing care plans are legal documents that contain nursing diagnoses, such as an "Alteration of respiratory function". They also contain patient goals and nursing interventions.