NCLEX-RN Questions Module 3 latest 2020/2021 with complete solution

Question 1: Multiple Choice – 10 points Which action by the student nurse demonstrates critical thinking? a. Memorizing the clinical policy for care of a central line. b. Following the surgeon’s order for post-operative ...

Question 1: Multiple Choice – 10 points Which action by the student nurse demonstrates critical thinking? a. Memorizing the clinical policy for care of a central line. b. Following the surgeon’s order for post-operative vital sign frequency. c. Assessing a patient’s learning needs by asking the patient what is known about ordered medications. d. Using personal intuition to guide actions during an emergency situation. Response: A: Assessing a patient’s learning needs by asking the patient what is known about ordered medications. Rationale: Memorizing, following orders, and using personal intuition do not require the use of critical thinking. Assessing the patient’s learning needs to determine the patient’s level of understanding regarding his medications allows the nurse to utilize critical thinking. Reference: Treas, L.S., Wilkinson, J.M, Barnett, K.L., & Smith, M.H. (2018). Basic nursing: Thinking, doing, and caring (2nd Ed.). Philadelphia, PA: F.A. Davis Question 2: Multiple Choice- 10 points What is the rationale for the NCLEX-RN test plan to include questions which test critical thinking? a. To increase the difficulty and rigor of the licensing exam. b. To ensure that the test plan is current with the demands of today’s nursing practice. c. To fulfill the requirements of the state boards of nursing. d. To be sure that the student received a valid nursing education. Response: B: To ensure that the test plan is current with the demands of today’s nursing practice. Rationale: Critical-thinking is linked to evidence-based practice for choosing nursing interventions, additionally the scientific basis for patient care is constantly evolving, the nurse must demonstrate the ability to think independently, and safely as a nursing graduate. Reference: Hunt, D.D. (2015). The nurse professional: Leveraging your education for transition into practice. New York: Springer. Question 3: Multiple Answer- 10 points The new graduate RN is discussing critical thinking with the nurse mentor. Which statements indicate the graduate understands critical thinking and time management? Select all that apply. a. “I start every shift by collecting all vital signs and then administer morning medications.” b. “I do all my documentation at the end of the shift when the patient care is done.” c. “I decide which patients need to be seen first when I listen to morning report.” d. “I am most organized if I start in the first room and work my way down the hall.” e. “When a patient’s condition changes, I need to re-think my priorities for the day.” Question 4: Multiple Answer- 10 points Which activities by the RN are completed in the nursing process implementation phase? Select All That Apply. a. Carry out interventions b. Delegate actions c. Determine if outcome is achieved d. Document interventions e. Assess client response to interventions Question 5: Multiple Choice- 5 points Which patient situation requires the highest priority for RN intervention? a. A 6-year-old male with a sprained ankle b. A 77-year-old female with a fever and Type II diabetes c. A 15-year-old female with abdominal pain d. A 69-year-old male with incontinence and glaucoma Question 6: Multiple Choice – 10 points Which nursing theory is the RN using to direct nursing care when incorporating the patient’s spiritual beliefs into the plan of care to realize a state of full potential? a. Watson Model of Human Caring b. King Model of Goal Attainment c. Orem Self-Care Model d. Roy Adaptation Model Question 7: Multiple Choice- 10 points What is an expected competency of the RN with an Associate Degree in Nursing regarding nursing research? a. Obtain consent for the research study b. Interpret scientific research studies c. Participate in a research study d. Assist in a structured method of data collection Question 8: Multiple Choice – 10 points Which RN action exemplifies the use of evidence-based practice to achieve health benefits for patients? a. Providing dietary preferences for nutrition b. Researching professional boundary violations c. Practicing within the RN scope of practice d. Using a clinical pathway for standardizing care Question 9: Multiple Choice- 10 points A team of RNs have patient survey data to support there is noise pollution occurring on the hospital unit. After analyzing the data, what is the next appropriate action by the team? a. Retrieve data from other reports about the noise b. Seek strategies to decrease the noise on the unit c. Measure the level of noise using a sound level meter d. Provide ear plugs for the patients on the units Question 10: Multiple Choice- 10 points Create one unique, multiple-choice question about evidence-based practice or quality improvement in nursing. Which group mandates the use of The Hospital Care Quality Information from the Consumer Perspective (HCAHPS)? a. State Board of Nursing b. Centers for Medicare and Medicaid Services c. State Department of Health d. The Institute of Medicine