Saunders NCLEX RN Practice Questions

Saunders NCLEX RN Practice Questions Related

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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.

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At the beginning of the shift, a nurse receives report for her daily assignment. Which of the following situations should the nurse give first priority?

  • A. A diabetic client with a blood glucose level of 195 mg/dL
  • B. A family member of an elderly client who has questions
  • C. A client with COPD with an oxygen saturation of 84%
  • D. A client who requires assistance to use the bathroom
Correct Answer: C

Rationale: When prioritizing the needs of clients, the nurse must begin with the unstable client or manage conditions that affect airway, breathing, or circulation first. The client with COPD has a condition that affects breathing and is exhibiting decreased oxygen saturation levels; therefore, this client should be the first priority. Option A, the diabetic client with a blood glucose level of 195 mg/dL, does not present an immediate threat to airway, breathing, or circulation. Option B, addressing questions from a family member, is important but can be addressed after addressing critical patient needs. Option D, assisting a client to use the bathroom, is a routine task that can be prioritized after addressing urgent medical needs.

The charge nurse is notified that the unit will be receiving an admission of a client from another bed in the hospital in order to make room for others being admitted through the emergency room. The unit is the Women's Health Center of the hospital. Which of the following patients would be most appropriate to be transferred to this unit?

  • A. A 26-year-old woman who had a bowel resection
  • B. A 40-year-old man who underwent a hernia repair
  • C. A 31-year-old woman with septicemia and who is on a ventilator
  • D. A 91-year-old man with Alzheimer's disease recovering from a fall
Correct Answer: A

Rationale: When deciding on transferring patients between units in a hospital, it is essential to consider the appropriateness of the patient for the receiving unit. The Women's Health Center typically caters to female patients with gynecological or obstetric conditions that do not require intensive monitoring or specialized care. In this scenario, the most suitable patient for transfer to the Women's Health Center would be the 26-year-old woman who had a bowel resection, as her condition aligns more closely with the services provided in that unit. The other options, including a male patient, a critically ill patient on a ventilator, and an elderly patient with Alzheimer's disease, would not be appropriate for transfer to a Women's Health Center due to the specialized care they require, which may not align with the unit's focus and staffing capabilities.

In which situation might an occupational health nurse consultation be necessary?

  • A. A nurse is injured from using incorrect body mechanics to lift a client
  • B. A nurse receives a subpoena to testify in court about a client's case
  • C. A client who has been injured in a diving accident needs assistance with planning rehabilitation and surgery
  • D. A nursing unit is implementing a new electronic health record system
Correct Answer: A

Rationale: An occupational health nurse is involved in assessing the work environment, educating employees about safety practices, and infection control. When a nurse sustains an injury due to incorrect body mechanics, it falls under the purview of an occupational health nurse because they are responsible for documenting such incidents, providing necessary care or treatment, and ensuring that preventive measures are in place to avoid similar accidents in the future. The other options do not directly relate to the role of an occupational health nurse. Testifying in court, assisting a client with rehabilitation, or implementing a new electronic health record system are not typical scenarios where an occupational health nurse would be involved.

Which of the following clients is most likely ready to be dismissed from
an inpatient care setting to home?

  • A. A 65-year old male with urine output of 60cc in the past four hours
  • B. A 2-month old female with a temperature of 100.6 rectally
  • C. A 38-year old female who transitioned from IV TPN to full liquids six
    hours ago
  • D. A 4-year old male with an oxygen saturation of 96% on room air
Correct Answer: D

Rationale: Clients must meet a certain amount of set criteria before
they will be discharged from a healthcare facility. Although guidelines
may vary between locations, most healthcare facilities expect clients to have adequate oxygenation, nutrition, and elimination; and be free from fever, vomiting, and significant pain

A nurse walks into a client's room to find the nursing assistant yelling, 'Sit back down or I won't help you eat, and then you will starve!' This type of behavior is known as:

  • A. Psychological abuse
  • B. Abandonment
  • C. Material exploitation
  • D. Physical abuse
Correct Answer: A

Rationale: The correct answer is A: Psychological abuse. This behavior is classified as psychological abuse, which harms another person through words or threats. The nursing assistant's actions of yelling, making threats, and using food as a form of control fall under psychological abuse. Abandonment (choice B) refers to deserting or leaving a client without care, which is not the case in the scenario. Material exploitation (choice C) involves taking advantage of a person's assets or resources for personal gain, which is not evident here. Physical abuse (choice D) involves causing physical harm, which is not the primary issue in this situation. Therefore, the most appropriate classification for the behavior described in the scenario is psychological abuse.

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