A nursing instructor is preparing her class for the NCLEX-PN examination. Which statements by the students indicate understanding of the testing process?
- A. It will be a computerized adaptive test.'
- B. I will have a maximum of 265 questions.'
- C. The maximum time allowed for testing is 5 hours.'
- D. The minimum number of questions on the test is 60.'
- E. My state board of nursing must approve my application to test.'
Correct Answer: A,C,E
Rationale: The NCLEX-PN examination is a computerized adaptive test. The minimum number of questions for the PN examination is 85, and the maximum number of questions is 205. The maximum time allowed for the test is 5 hours. The state board of nursing must approve the applicant for testing before the authorization to test is issued.
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Which actions would best aid the new nurse in coping with working the night shift?
- A. Eat large meals during the night to stay awake.
- B. Use dark shades to block out light when sleeping.
- C. Obtain a prescription for sedatives to aid sleep.
- D. Wear sunglasses on the drive home from work.
- E. Go directly to bed when arriving home from work.
Correct Answer: B,D
Rationale: Dark shades or room darkening blinds will block the sunshine and allow for darkness when sleeping during the daytime hours. Wear sunglasses on the drive home from work to reduce the melatonin-reducing effect of sunshine. It is best to eat light, balanced meals during the night. Sedatives and alcohol should not be used as an aid to sleep. Allow time to unwind after work before going to bed, and try to follow the same routine daily.
A manager is concerned that one of the nurses on the unit is experiencing burnout. Which symptoms would support the concerns?
- A. Fatigue
- B. Forgetfulness
- C. Increased energy
- D. Negative outlook
- E. Changes in eating habits
Correct Answer: A,B,D,E
Rationale: Symptoms of burnout include fatigue, forgetfulness, decreased energy, negative outlook, and changes in eating habits.
What type of leadership involves a leader who displays little trust or confidence in employees and therefore makes all the decisions?
- A. Democratic
- B. Laissez-faire
- C. Autocratic
- D. Authoritative
Correct Answer: C
Rationale: The autocratic leader displays little trust in employees, and therefore makes all decisions.
What is the name of the licensing law that defines the title and regulations governing the practice of nursing and states the requirements for licensure?
- A. State practice act
- B. Nurse regulation act
- C. Nurse practice act
- D. Legislative act
Correct Answer: C
Rationale: The nurse practice act defines the title and regulations governing the practice of nursing.
Which health care employment setting would provide the nurse a very good salary, the opportunity to refuse to take an assignment, and more flexibility in the personal schedule but with an uncertainty of work availability?
- A. Temporary agency
- B. Long-term care center
- C. Outpatient clinic
- D. Adult day care center
Correct Answer: A
Rationale: In a temporary agency, the salary is good, and an LPN/LVN has the right to refuse assignments. However, one disadvantage is the uncertainty of work availability.
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