NCLEX-RN
Exam Cram NCLEX RN Practice Questions
1. When escorting a patient to the operating room on a stretcher, what should you do to prevent the patient from falling?
- A. Ensure the safety belt or strap is secured on the patient while escorting them to the operating room
- B. Use a safety belt or strap on the patient throughout their escort to the operating room
- C. Lower the bed position when moving the patient from the bed to the stretcher
- D. All of the above options are correct
Correct answer: B
Rationale: When escorting a patient to the operating room on a stretcher, it is crucial to secure a safety belt or strap on the patient to prevent falls during the transfer. This safety measure is not considered a restraint but a necessary precaution. Lowering the bed position is not necessary; in fact, the bed should be in a high position to align with the stretcher. Locking the wheels of the stretcher is essential to prevent accidents during patient transfer. Therefore, the correct action to prevent falls while moving a patient to the operating room is to use a safety belt or strap on the patient throughout the escort.
2. An occupational health nurse works at a manufacturing plant where there is potential exposure to inhaled dust. Which action, if recommended by the nurse, will be most helpful in reducing the incidence of lung disease?
- A. Treat workers with pulmonary fibrosis.
- B. Teach about symptoms of lung disease.
- C. Require the use of protective equipment.
- D. Monitor workers for coughing and wheezing.
Correct answer: C
Rationale: Prevention of lung disease requires the use of appropriate protective equipment such as masks to reduce exposure to inhaled dust, which is a significant risk factor for lung disease. Teaching about symptoms of lung disease, treating workers with pulmonary fibrosis, and monitoring for coughing and wheezing are important actions for early recognition and treatment of lung disease. However, the most effective strategy to prevent lung damage in this scenario is to require the use of protective equipment to minimize exposure to harmful substances.
3. Which of the following abides by the Americans with Disabilities Act of 1990?
- A. A nurse manager cannot cancel an interview with a potential employee because he has left-sided paralysis
- B. A nurse is allowed to have a leave of absence to recover after a back injury
- C. A nurse is mandated to receive 12 weeks off of work after having a baby
- D. A nurse manager must hire a nurse who uses a walker for mobility
Correct answer: A
Rationale: The Americans with Disabilities Act of 1990 prohibits discrimination against individuals with disabilities in employment practices, ensuring equal opportunities for qualified individuals. Therefore, a nurse manager cannot cancel an interview with a potential employee simply because the individual has left-sided paralysis. Doing so would be considered discriminatory under the ADA. Choices B, C, and D do not directly align with ADA requirements. Choice B involves medical leave, which can be covered under a different law; choice C refers to maternity leave, which is protected under other regulations; and choice D involves a hiring decision based on a mobility aid, not the individual's qualifications, which does not fall under ADA guidelines.
4. Research participants are involved in a trial that incidentally separates them into two groups. One group receives an intervention, while the other group does not. Both groups are compared for outcomes. What type of research method is this?
- A. Experimental design
- B. Double-blind experiment
- C. Randomized controlled trial
- D. Repeated measures design
Correct answer: C
Rationale: A randomized controlled trial is a research method in which participants are randomly assigned to either a treatment or control group. This design helps eliminate bias and allows for the comparison of outcomes between the two groups. In this scenario, where participants are separated into intervention and non-intervention groups for comparison, it aligns with the characteristics of a randomized controlled trial. The key feature distinguishing it from the other options is the random assignment of participants to groups, ensuring that both groups are comparable at the start of the study. Double-blind experiments involve blinding both participants and researchers to treatment allocation, which is not explicitly mentioned in the scenario. Experimental design refers to a broader category that includes various types of research designs beyond just randomized controlled trials. Repeated measures design involves collecting multiple observations from the same participants over time, which is not the case described in the scenario.
5. An assisted living facility is an example of which type of healthcare provider?
- A. Primary care
- B. Secondary care
- C. Tertiary care
- D. None of the above
Correct answer: C
Rationale: An assisted living facility is an example of a tertiary care provider. Tertiary care providers offer specialized services such as rehabilitation, long-term care, and management of complex medical conditions. These services are typically provided after primary and secondary care interventions. Choice A, primary care, focuses on preventive care and routine medical treatment for common illnesses, which is not the level of care provided by assisted living facilities. Choice B, secondary care, involves specialized medical services provided by medical specialists and hospitals for conditions that require a higher level of expertise than primary care, but it is not the level of care provided by assisted living facilities. Choice D, None of the above, is incorrect as assisted living facilities fall under the category of tertiary care providers.
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