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Chapter 28: NCLEX-RN® Examination ; 6th

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Chapter 28: NCLEX-RN® Examination ; 6th 1. Graduates from approved schools of nursing cannot sign their charting as registered nurses (RNs) until they: Ans- a. pass the National Council Licensure Examination for Registered Nurses (NCLEX-RN®). Which statement concerning the National Council Licensure Examination for Registered Nurses (NCLEX-RN®) exam is correct? Ans- Graduates from all three types of nursing programs (diploma, associate degree, and baccalaureate degree) take the same examination. Computerized adaptive testing implies that: Ans- competency is determined on the basis of difficulty of questions, knowledge of the nursing process, and the number of questions answered correctly. On the National Council Licensure Examination for Registered Nurses (NCLEX-RN®) exam, when the candidate is asked to set goals in collaboration with other members of the health care team, the nurse is being tested in the area of: Ans- planning. The length of the National Council Licensure Examination for Registered Nurses (NCLEXRN®) exam is based on the: Ans- d. performance of the candidate. The primary purpose of the National Council Licensure Examination for Registered Nurses (NCLEX-RN®) exam is to: Ans- a. ensure that practitioners have the minimum skills and knowledge needed to provide care that will produce the best patient care outcomes. 7. A student nurse who is preparing to graduate and take the licensure examination asks, "What is compulsory licensure?" The appropriate response of the nursing advisor is which of the following? Ans- c. To practice as an RN, the nurse must be licensed as an RN. 8. The National Council of State Boards of Nursing determines acceptable National Council Licensure Examination for Registered Nurses (NCLEX-RN®) exam questions on the basis of: Ans- b. research that indicates needed skills for positions in which most entry level nurses are employed. Although the NCLEX-RN® exam has new formats for questions, the most common format is the: Ans- b. multiple-choice question item, which allows candidates to select the one correct answer. When delegating care, the RN assigns one nurse to care for a patient with shingles and a different nurse to care for a patient with human immunodeficiency virus/acquired immunodeficiency disease syndrome (HIV/AIDS). This represents which category of nursing care? Ans- a. Safe and effective care environment A patient is brought to the unit with mediastinal chest tubes with no fluctuation in the water seal chamber; arterial blood gas results reveal pH, 7.55; CO2, 55; HCO, 28 mEq/L, and O2, 98%. Carotid artery pulsation is visible with the head of the bed elevated and the use of tangential lighting. The first action of the nurse is to: The above question represents which level of Bloom's taxonomy? Ans- d. Analysis A candidate who is taking the NCLEX-RN® exam received only 75 questions before the test was stopped. She called her professor and stated, "I passed. I had to answer only 75 questions." The professor correctly responds by saying: Ans- "It is possible to receive only 75 questions and not be successful; however, we will keep a positive attitude." On the basis of changes effective with the April 2010 test plan, candidates who take the NCLEX-RN® exam: Ans- should study and take practice examinations written at the application and analysis level to ensure that they can meet the higher standards of nursing care and health care delivery. In the National Council Licensure Examination for Registered Nurses (NCLEX-RN®) exam test plan, client needs form the organizing framework of the exam with questions in four categories: safe and effective care environment, health promotion and maintenance, psychosocial integrity, and physiologic integrity. Certain processes are then integrated throughout the categories of client needs. Which process is integrated into all client need categories? Ans- Teaching/learning Which action would help a student successfully prepare for the National Council Licensure Examination for Registered Nurses (NCLEX-RN®) examination? Ans- d. Practice taking NCLEX-RN® exam-type questions and reviewing rationales for correct and incorrect answers. The nurse prepares to apply sterile gloves needed for a procedure. After introducing self and verifying patient information, the nurse performs hand hygiene. The nurse should open the outer package and then perform the following steps in order (items on left will be moved in correct order on the right): Open inner package, taking care not to touch inner surface. Put the glove on the nondominant hand using the sterile gloved hand. Put glove on dominant hand by grasping folded cuff edge, touching only inside of cuff. Adjust each glove carefully by sliding finders under the cuffs. The above question represents which type of alternate-format question written at which level of Bloom's taxonomy? Ans- a. Drag-and-drop item, comprehension A graduate is preparing for the National Council Licensure Examination for Registered Nurses (NCLEX-RN®) examination. Based on the latest practice survey, the candidate would focus the least amount of time on which content? Ans- a. Stages of grief 8. Which strategy would promote a high rate of success on the National Council Licensure Examination for Registered Nurses (NCLEX-RN®) examination? Ans- d. Read the entire question and all possible answer options before selecting an answer. . A candidate is taking the NCLEX-RN® when the computer turns off. The candidate was aware they had reached the 6-hour time limit. A count of completed questions had been recorded on the note pad, and 100 questions were answered. How will the exam be scored? Ans- a. The computer will analyze the last 60 questions and if above the passing standard, the candidate passes. The order reads: Administer 500 mg of Kefzol (cefazolin sodium) Intramuscular. Using information located on the medication vial above, the nurse will administer how many mL? The above question represents which type of alternate-format question written at which level of Bloom's taxonomy Ans- c. Chart/exhibit item, analysis level "A patient with end-stage renal disease has a potassium level of 7.5 mEq/l. Based on this laboratory result, the nurse interprets which symptom as significant prompting which action? Ans- a. Drowsiness, stimulate the patient every 30 minu

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Chapter 28: NCLEX-RN® Examination ;
6th
1. Graduates from approved schools of nursing cannot sign their charting as registered

nurses (RNs) until they: Ans- a.

pass the National Council Licensure Examination for Registered Nurses (NCLEX-RN®).



Which statement concerning the National Council Licensure Examination for Registered

Nurses (NCLEX-RN®) exam is correct? Ans- Graduates from all three types of nursing programs (diploma,
associate degree, and

baccalaureate degree) take the same examination.



Computerized adaptive testing implies that: Ans- competency is determined on the basis of difficulty of
questions, knowledge of the nursing

process, and the number of questions answered correctly.



On the National Council Licensure Examination for Registered Nurses (NCLEX-RN®)

exam, when the candidate is asked to set goals in collaboration with other members of the

health care team, the nurse is being tested in the area of: Ans- planning.



The length of the National Council Licensure Examination for Registered Nurses (NCLEXRN®)

exam is based on the: Ans- d.

performance of the candidate.



The primary purpose of the National Council Licensure Examination for Registered

Nurses (NCLEX-RN®) exam is to: Ans- a.

ensure that practitioners have the minimum skills and knowledge needed to provide care

that will produce the best patient care outcomes.

, 7. A student nurse who is preparing to graduate and take the licensure examination asks,

"What is compulsory licensure?" The appropriate response of the nursing advisor is which of

the following? Ans- c.

To practice as an RN, the nurse must be licensed as an RN.



8. The National Council of State Boards of Nursing determines acceptable National Council

Licensure Examination for Registered Nurses (NCLEX-RN®) exam questions on the basis

of: Ans- b.

research that indicates needed skills for positions in which most entry level nurses are

employed.



Although the NCLEX-RN® exam has new formats for questions, the most common format

is the: Ans- b.

multiple-choice question item, which allows candidates to select the one correct answer.



When delegating care, the RN assigns one nurse to care for a patient with shingles and

a different nurse to care for a patient with human immunodeficiency virus/acquired

immunodeficiency disease syndrome (HIV/AIDS). This represents which category of nursing

care? Ans- a.

Safe and effective care environment



A patient is brought to the unit with mediastinal chest tubes with no fluctuation in the

water seal chamber; arterial blood gas results reveal pH, 7.55; CO2, 55; HCO, 28 mEq/L,

and O2, 98%. Carotid artery pulsation is visible with the head of the bed elevated and the

use of tangential lighting. The first action of the nurse is to:

The above question represents which level of Bloom's taxonomy? Ans- d.

Analysis



A candidate who is taking the NCLEX-RN® exam received only 75 questions before the

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