Evolve Fundamentals NCLEX Questions and
Answers (100% Correct Answers)
Which statement is true about the nursing model "team nursing"?
1
The registered nurse is responsible for all aspects of client care.
2
Client care can be delegated to other healthcare team members.
3
The registered nurse works directly with the client, family members, and healthcare
team members.
4
Hierarchical communication exists from charge nurse to charge nurse, charge nurse
to team leader, and team leader to team members.
Ans: 4
Which activity would the nurse explain can be performed by infants of aged 6 to 8
months?
1
Holding a pencil
2
Showing hand preference
3
Placing objects into containers
4
Transferring objects from hand to hand
Ans: 4
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A newly hired nurse during orientation is approached by a surveyor from the
department of health. The surveyor asks the nurse about the best way to prevent the
spread of infection. What is the most appropriate nursing response?
1
"Let me get my preceptor."
2
"Wash your hands before and after any client care."
3
"Clean all instruments and work surfaces with an approved disinfectant."
4
"Ensure proper disposal of all items contaminated with blood or body fluids."
Ans: 2
The registered nurse is teaching a nursing student about providing care to an older
adult with dementia. Which statement made by the nursing student indicates a need
for further education?
1
"I should serve food that is easy to eat."
2
"I should assist the client with eating."
3
"I should monitor weight and food intake once in a month."
4
"I should offer food supplements that are tasty and easy to swallow."
Ans: 3
Which nursing process involves delegation and verbal discussion with the healthcare
team?
1
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Planning
2
Evaluation
3
Assessment
4
Implementation
Ans: 4
A nurse is reviewing a client's plan of care. What is the determining factor in the
revision of the plan?
1
Time available for care
2
Validity of the problem
3
Method for providing care
4
Effectiveness of the interventions
Ans: 4
Which are extrinsic factors responsible for falls in older adults? Select all that apply.
1
Impaired vision
2
Cognitive impairment
3
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Environmental hazards
4
Inappropriate footwear
5
Improper use of assistive devices
Ans: 3, 4, 5
The nurse is caring for a client admitted with chronic obstructive pulmonary disease
(COPD). The nurse should monitor the results of which laboratory test to evaluate the
client for hypoxia?
1
Red blood cell count
2
Sputum culture
3
Arterial blood gas
4
Total hemoglobin
Ans: 3
On the second day of hospitalization a client is discussing with the nurse concerns
about unhealthy family relationships. During the nurse-client interaction the client
begins to talk about a job problem. The nurse's response is, "Let's go back to what we
were just talking about." What therapeutic communication technique did the nurse
use?
1
Focusing
2
Restating