NCLEX-RN (FUNDAMENTALS/LEADERSHIP) EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED

NCLEX-RN (FUNDAMENTALS/LEADERSHIP) EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED Terms in this set (15) The nurse is discharging a client with emphysema who is on continuous oxygen. The case manager alerts the nurse that the home oxygen will not be delivered until 2 hours later. What action should the nurse take? 1. Ask if the client can go without the oxygen for 2 hours 2. Delay discharge until the oxygen is delivered 3. Notify the HCP to see what action should be taken 4. Send a hospital oxygen tank home with the client 2. Delay discharge until the oxygen is delivered **The client could arrive home and then require oxygen due to additional exertion. The client should not be allowed to leave until home supplies have been made available. A Native American client is hospitalized for depression and attempted suicide. Family members have requested that they be allowed to bring in a medicine healer to perform a ritual on the client. Which of the following is the best action by the nurse? 1. Explain that the client's depression is being treated with medications 2. Explain that the client's depression will not be relieved by a ritual 3. Plan a meeting with HCP, family, nurse and medicine healer to make arrangements for the ceremony 4. Tell the family that such practices are not allowed in the hospital. 3. Plan a meeting with HCP, family, nurse and medicine healer to make arrangements for the ceremony What client should the charge nurse assign to the room closest to the nurse's station? 1. Client with a salem pump tube to continuous suction who is deaf 2. Client with gastroenteritis and dementia who wanders 3. Client with herpes zoster under airborne isolation precautions 4. Client with sickle cell crisis who requires frequent intravenous opioids 2. Client with gastroenteritis and dementia who wanders The nurse caring for a client who had a femoral angioplasty finds the client's leg pale, cool and pulseless. The nurse calls the HCP at 2AM, and the HCP begins to yell at the nurse, stating "I'm sick and tired of you calling me in the middle of the night!" What is the best response by the nurse? 1. I am concerned that this client may lose a leg unless something is done immediately 2. I am required to report all postoperative complications to the provider on call 3. It is my job to report critical findings, just like it is your job to come see my client right now 4. Yelling is unprofessional. I will need to file a report with my supervisor once the client is stable 1. I am concerned that this client may lose a leg unless something is done immediately **The nurse should shift the focus of conversation back to the client's needs especially if it results in client injury An admitted ED client is waiting for an ICU bed to be available for transfer to the inpatient unit. The ED is very crowded today. The ICU resident is currently too busy to request that an ICU client be transferred to telemetry so the bed can be available; the resident will be able to do so in about 6 hours. What action should the ED charge nurse take first? 1. Call the telemetry unit manager 2. Notify the nursing supervisor 3. Send the client to the ICU to hold the client in the hallway 4. Wait until the resident has time to request the transfer 2. Notify the nursing supervisor The HCP gives the preoperative nurse a signed consent form and walks away rapidly. The client turns to the nurse and states, "I don't know what is going on. Why do I need surgery?" What is the most appropriate action? 1. Call the nursing supervisor 2. Call the operating room scheduler and cancel the surgery 3. Page the HCP and request clarification on behalf of the client 4. Report the incident to hospital administration 3. Page the HCP and request clarification on behalf of the client