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Although the NCLEX-RN examination has new formats for questions, the most common format is the:
- A. fill-in-the-blank item because candidates are not provided with clues from distracters.
- B. multiple-choice question item, which allows candidates to select the one correct answer.
- C. multiple-response item because these questions require a higher level of critical thinking.
- D. hot-spot item because these questions are written at the application level of Bloom's analysis.
Correct Answer: B
Rationale: The correct answer is B: multiple-choice question item, which allows candidates to select the one correct answer. This is because the multiple-choice format is widely used in the NCLEX-RN examination as it is effective in assessing a candidate's knowledge, critical thinking skills, and ability to make decisions. The distractors in the answer choices provide clues and test the candidate's ability to differentiate between correct and incorrect information.
Choices A, C, and D are incorrect:
A: fill-in-the-blank item is not the most common format for NCLEX-RN questions as candidates are indeed provided with clues from distractors in multiple-choice questions.
C: multiple-response item, although requiring critical thinking, is not the most common format on the NCLEX-RN exam.
D: hot-spot item is not the most common format on the NCLEX-RN exam, and it is not necessarily written at the application level of Bloom's analysis.
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A student nurse is preparing a presentation that requires identification of outcomes for the care of heart failure patients. Which is a correctly written outcome?
- A. Develop a teaching program to address physical activities that result in improved cardiac function.
- B. Discuss the clinical manifestations associated with Level 4 heart failure.
- C. List the most common pharmaceutical approaches to reduce preload in heart failure patients.
- D. Recognize the economic impact that recidivism has on the patient and health care facility.
Correct Answer: A
Rationale: The correct answer is A because it specifies a measurable and achievable goal related to improving cardiac function through physical activities. It follows the SMART criteria (Specific, Measurable, Achievable, Relevant, Time-bound). Option B does not provide a specific outcome, while Option C focuses on pharmaceutical approaches rather than outcomes. Option D is unrelated to the goal of improving outcomes for heart failure patients. Thus, option A is the most appropriate choice for a well-defined and relevant outcome for the care of heart failure patients.
It is important to realize that nurses may seek unionization if: (select all that apply)
- A. physicians rotate on-call coverage among group members for complicated long-term clients.
- B. scheduling is presented that provides adequate staffing on holidays by rotation of time off for holidays among nurses.
- C. incident report trends indicate medication errors are caused by shift reports being taped and heard after nurses from the prior shift have left the unit.
- D. physicians, nurses, nutritionists, and physical therapists visit concurrently with clients to plan care.
Correct Answer: C
Rationale: Rationale:
Choice C is correct because it highlights a significant issue related to patient safety - medication errors caused by delayed shift reports. This creates a legitimate concern for nurses regarding the effectiveness of communication and ultimately patient care. Seeking unionization could be a way for nurses to address this issue collectively.
Summary:
- Choice A is incorrect as it focuses on physician coverage rather than nurse concerns.
- Choice B is incorrect as it addresses staffing and scheduling but does not directly relate to nurses seeking unionization.
- Choice D is incorrect as it describes a collaborative care approach, which does not necessarily indicate a need for unionization among nurses.
A patient experiences migraine headaches that are not relieved by traditional Western medical practices. The family physician suggests acupuncture, which: (select all that apply)
- A. is based on the belief that meridians are vital for life, and when they are out of balance, pain occurs.
- B. uses strategically placed, slender needles for pain relief.
- C. uses breathing exercises and meditation to relieve pain.
- D. corrects metabolic imbalance through purification regimens.
Correct Answer: A
Rationale: The correct answer is A because acupuncture is indeed based on the belief that meridians, energy pathways in the body, are vital for life and when they are out of balance, pain occurs. Acupuncture aims to restore the balance of these meridians to alleviate pain.
Explanation:
1. Acupuncture theory is rooted in Traditional Chinese Medicine, which emphasizes the flow of energy (Qi) along meridians.
2. By inserting needles at specific points along the meridians, acupuncturists aim to restore the balance of Qi and alleviate pain.
3. Meridian theory is fundamental to the practice of acupuncture and differentiates it from other pain relief modalities.
4. Choices B, C, and D are incorrect as they do not accurately represent the core principles of acupuncture and how it works.
Summary:
Option A is correct because it aligns with the foundational principles of acupuncture, focusing on meridians and energy balance. Options B, C, and D are
An older adult is unable to reach the telephone and is found dead at home several hours later. The son of the deceased person arrives at the hospital and asks, "Can I just please stay and hold my dad's hand? He was so afraid of dying alone." Which response by the nurse shows empathy?
- A. "You are just too late for that. Where were you when he needed you?"
- B. "Did you ever consider purchasing a cell phone for your dad to prevent this from happening?"
- C. "I'll close the door so you can spend time with your dad. I will check back in a few minutes."
- D. "I lost my dad last year. He died alone. He was a policeman. I am just like you. Let me stay here and console you."
Correct Answer: C
Rationale: The correct answer is C because it demonstrates empathy by acknowledging the son's request and providing support. By closing the door to allow privacy and promising to check back, the nurse shows understanding and compassion for the son's emotional needs.
Choice A is incorrect as it is insensitive and blames the son. Choice B is inappropriate as it shifts the focus to purchasing a cell phone rather than addressing the son's emotional state. Choice D is also incorrect as it redirects the attention to the nurse's personal experience, failing to address the son's specific request.
A nonprofit organization that distributes to governmental agencies, the public, business, and health care professionals knowledge related to health care for the purpose of improving health is the:
- A. Institute for Safe Medication Practices.
- B. Institute of Medicine.
- C. National Committee for Quality Assurance.
- D. The Joint Commission.
Correct Answer: B
Rationale: The correct answer is B: Institute of Medicine. The Institute of Medicine is known for disseminating knowledge related to health care through government agencies, the public, business, and health care professionals to improve health outcomes. The organization conducts research and provides evidence-based recommendations to address health care challenges.
A: Institute for Safe Medication Practices focuses specifically on promoting safe medication practices, not a broad range of health care knowledge dissemination.
C: National Committee for Quality Assurance primarily focuses on accrediting and certifying health care organizations based on quality standards, rather than broadly distributing health care knowledge.
D: The Joint Commission is responsible for accrediting health care organizations and institutions, ensuring they meet quality and safety standards, but not specifically for distributing health care knowledge to various stakeholders.