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The NCLEX examination is created and administered by the:
- A. American Association of Colleges of Nursing (AACN).
- B. American Nurses Association (ANA).
- C. National Council of State Boards of Nursing (NCSBN).
- D. National League for Nursing (NLN).
Correct Answer: C
Rationale: The correct answer is C: National Council of State Boards of Nursing (NCSBN). The NCLEX examination is developed and administered by the NCSBN, which is responsible for regulating nursing practice in the United States. They create the exam to ensure that nurses entering the profession meet minimum competency standards. The AACN (choice A) focuses on advancing nursing education, the ANA (choice B) is a professional organization representing nurses, and the NLN (choice D) is an organization that promotes excellence in nursing education. Therefore, the NCSBN is the only organization directly involved in the creation and administration of the NCLEX exam.
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A nurse is concerned about safe staffing levels at a facility and observes that several units have no RN coverage but instead have RNs who float among several units. In determining whether this staffing concern should be reported to an outside agency, the nurse understands that, with whistle-blowing:
- A. reporting unsafe staffing levels to The Joint Commission provides protection from the employer.
- B. keeping copies of documented inappropriate staffing patterns in the nurse's personal file is illegal.
- C. when observing inappropriate staffing, the nurse should record her personal thoughts concerning the outcomes.
- D. one should seek guidance from a trusted individual who can provide an objective point of view.
Correct Answer: A
Rationale: The correct answer is A because reporting unsafe staffing levels to The Joint Commission is an appropriate course of action for addressing concerns about patient safety. The Joint Commission is an independent organization that accredits healthcare facilities and promotes high-quality care standards. Whistleblower protection laws safeguard employees who report violations of laws, regulations, or standards that threaten public health or safety. Reporting to The Joint Commission can lead to an investigation and potential improvement in staffing levels to ensure patient safety.
Incorrect answers:
B: Keeping copies of documented inappropriate staffing patterns in the nurse's personal file is not illegal, but it may not be the most effective way to address the issue.
C: Recording personal thoughts on outcomes is not as effective as taking action to report concerns to the appropriate regulatory body.
D: Seeking guidance is important, but in cases of unsafe staffing levels, it is crucial to report the issue to the appropriate regulatory agency for resolution.
The nurse prepares to apply sterile gloves needed for a procedure. After introducing self and verifying patient information, the nurse performs hand hygiene. The nurse should open the outer package and then perform the following steps in order: (items on left will be moved in correct order on the right) Open inner package, taking care not to touch inner surface. Put the glove on the nondominant hand using the sterile gloved hand. Put glove on dominant hand by grasping folded cuff edge, touching only inside of cuff. Adjust each glove carefully by sliding finders under the cuffs. The above question represents which type of alternate-format question written at which level of Bloom's taxonomy?
- A. Drag-and-drop item, comprehension
- B. Chart/exhibit item, analysis
- C. Multiple-response, application
- D. Hot-spot item, knowledge
Correct Answer: A
Rationale: The correct answer is A: Drag-and-drop item, comprehension. This question requires the nurse to demonstrate understanding of the correct sequence for applying sterile gloves. The drag-and-drop format assesses the ability to organize steps in a specific order, which falls under the comprehension level of Bloom's taxonomy, where the individual is required to understand the information provided. The other choices are incorrect because:
B: Chart/exhibit item, analysis - This choice involves interpreting data or information presented in a chart or exhibit, which is not the case in this question.
C: Multiple-response, application - This choice requires selecting multiple correct responses to a scenario, which is not the format of this question.
D: Hot-spot item, knowledge - This choice involves identifying a specific area or point on an image, which is not relevant to the question about the correct sequence for applying sterile gloves.
The RN instructs the LPN to "Give an enema to the patient in room 327 who is being discharged but is complaining of being constipated. Then be sure to document on the medication administration record when given." Which of the five rights was missing in this situation? The right of:
- A. direction and communication.
- B. task.
- C. person.
- D. circumstances.
Correct Answer: A
Rationale: The correct answer is A: direction and communication. The RN failed to provide clear direction to the LPN regarding the specific type of enema to be administered and the amount. Furthermore, there was a lack of communication regarding the patient's current condition and the rationale for the enema. The other choices are incorrect because:
B: task - The task of administering the enema was clearly communicated.
C: person - The patient was identified by room number, so the person was specified.
D: circumstances - While the circumstances of the patient's complaint were mentioned, the specific details related to the enema administration were lacking.
A nurse tallies the patient satisfaction surveys and approves the use of an agency nurse because of the high census. This nurse is involved in which nursing role?
- A. Change agent
- B. Educator
- C. Manager
- D. Coordinator
Correct Answer: C
Rationale: The correct answer is C: Manager. In this scenario, the nurse is making decisions related to staffing and resource management based on patient census, which falls under the responsibilities of a nurse manager. A manager oversees the organization and coordination of nursing care to ensure efficient and effective delivery. The other choices - Change agent, Educator, and Coordinator - do not directly align with the decision-making process related to staffing and resource management as seen in the scenario.
A nurse is preparing to administer a medication by using the vastus lateralis site and is unfamiliar with the process. A step-by-step reference that shows how to complete the process is called a:
- A. deployment flowchart.
- B. top-down flowchart.
- C. Pareto chart.
- D. control plot.
Correct Answer: A
Rationale: The correct answer is A: deployment flowchart. A deployment flowchart is a visual representation that outlines the steps involved in a specific process, making it ideal for the nurse to follow when administering medication at the vastus lateralis site. It provides a detailed, step-by-step guide, ensuring the process is carried out accurately and safely.
Explanation of other choices:
B: Top-down flowchart - This type of flowchart shows the hierarchy or sequence of steps in a process but may not provide the specific details needed for the nurse's task.
C: Pareto chart - A Pareto chart is used to prioritize and identify the most significant factors in a process, not suitable for providing step-by-step instructions.
D: Control plot - This term is not related to providing detailed instructions for a process, making it an incorrect choice.