NCLEX NCLEX-RN
NCLEX RN Practice Questions Quizlet
1. A nurse is assigned to care for a deaf client. During her lunch hour, she visits the hospital library and reads more about deaf culture in order to better provide appropriate care for her client. This action is an example of:
- A. Cultural knowledge
- B. Cultural noise
- C. Cultural diversity
- D. Cultural divide
Correct answer: Cultural knowledge
Rationale: Cultural knowledge involves seeking information and educating oneself about different cultural groups. In this scenario, the nurse is demonstrating cultural knowledge by learning more about deaf culture to improve the care provided to the deaf client. This proactive approach helps in understanding the client's background, beliefs, and communication preferences, leading to better outcomes. 'Cultural noise' and 'Cultural divide' are incorrect as they do not reflect the nurse's positive action of seeking knowledge to enhance care. 'Cultural diversity' is also incorrect as it does not accurately describe the nurse's specific action of acquiring knowledge about a particular culture.
2. The nurse is caring for a patient who has recently had a successful catheter ablation. Which assessment finding demonstrates a successful outcome of this procedure?
- A. The patient is free of electrolyte imbalances
- B. The patient's WBC count is within normal limits
- C. The patient's EKG reading is regular
- D. The patient's urine output is 45 mL/hour
Correct answer: The patient's EKG reading is regular
Rationale: A successful outcome of a catheter ablation procedure for arrhythmias, particularly SVT, is indicated by a regular EKG reading. Catheter ablation involves the use of radiofrequency energy to destroy the conduction fiber in the heart responsible for the arrhythmia. This destruction helps in preventing further episodes of arrhythmia. While choices A, B, and D are important assessments in patient care, they are not specific indicators of the success of a catheter ablation procedure. Electrolyte imbalances, WBC count, and urine output can be affected by various factors and are not directly related to the effectiveness of a catheter ablation in treating arrhythmias.
3. Which of these actions illustrates the correct technique for a nurse when assessing oral temperature with a glass thermometer?
- A. Wait 30 minutes if the patient has ingested hot or iced liquids.
- B. Leave the thermometer in place for 3 to 4 minutes if the patient is afebrile.
- C. Shake the glass thermometer down to 35.5°C before taking the patient’s temperature.
- D. Place the thermometer at the base of the tongue and ask the patient to close his or her lips.
Correct answer: Leave the thermometer in place for 3 to 4 minutes if the patient is afebrile.
Rationale: The correct technique for assessing oral temperature with a glass thermometer involves leaving the thermometer in place for 3 to 4 minutes if the patient is afebrile and up to 8 minutes if the patient is febrile. Waiting 30 minutes if the patient has ingested hot or iced liquids is incorrect; instead, the nurse should wait 15 minutes in such cases. Shaking the glass thermometer down to 35.5°C, not 37.5°C, is the correct procedure before taking the patient’s temperature. Placing the thermometer at the base of the tongue, not the front, and asking the patient to close their lips is the proper way to position the thermometer. Therefore, the correct answer is to leave the thermometer in place for 3 to 4 minutes if the patient is afebrile and up to 8 minutes if the patient is febrile.
4. A healthcare professional is considering which patient to admit to the same room as a patient who had a liver transplant 3 weeks ago and is now hospitalized with acute rejection. Which patient would be the best choice?
- A. Patient who is receiving chemotherapy for liver cancer
- B. Patient who is receiving chemotherapy for lung cancer
- C. Patient who has a wound infection after cholecystectomy
- D. Patient who requires pain management for chronic pancreatitis
Correct answer: Patient who requires pain management for chronic pancreatitis
Rationale: The patient with chronic pancreatitis is the best choice to admit to the same room as a patient who had a liver transplant and is experiencing acute rejection. This is because the patient with chronic pancreatitis does not pose an infection risk to the immunosuppressed patient who had a liver transplant. On the other hand, patients receiving chemotherapy for cancer or those with wound infections are at risk for infections, which could endanger the immunosuppressed patient with acute rejection.
5. Which statement regarding an interpreter is correct?
- A. Relatives or friends of the client cannot serve as interpreters.
- B. The interpreter should aim to convey meaning rather than provide literal translations.
- C. Interpreting not only the language but also the culture is important.
- D. The interpreter should be available only during client-provider communication.
Correct answer: C: Interpreting not only the language but also the culture is important.
Rationale: The correct answer is that interpreting not only the language but also the culture is important. Health care facilities should provide professional interpreters to ensure accurate communication with clients who do not speak English proficiently. It is crucial for interpreters to understand and convey cultural nuances to prevent misunderstandings. Relatives or friends of the client should not serve as interpreters as they may not be impartial or adequately skilled. Providing literal word-for-word translations is not always effective as it may not capture the intended meaning. Interpreters should be available throughout the client's care process, not just during direct communication, to ensure effective and culturally sensitive care.
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