The National Council of State Boards of Nursing determines acceptable National Council Licensure Examination for Registered Nurses (NCLEX-RN®) exam questions on the basis of:
a. the geographic location of the candidate.
b. research that indicates needed skills for positions in which most entry level nurses are employed.
c. surveys conducted by employers to determine the weaknesses of entry level nurses.
d. surveys of physicians performed to determine what nurses must know to provide safe care.
b. Correct: Periodically, the National Council of State Boards of Nursing surveys health care providers to identify nursing care activities of entry level nurses.
Incorrect:
a. All candidates in the United States and its territories take comparable examinations. Many states allow nurses once licensed to be licensed in another state without retaking the NCLEX-RN® exam; therefore, examinations cannot be geographically specific.
c. The NCLEX-RN® exam focuses on the skills and knowledge most commonly required for entry level work, not on weaknesses.
d. Nursing has its own body of knowledge; however, physicians may serve on advisory boards to suggest changes/additions to nursing preparation.
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The nurse working in the Emergency Department receives a client who fell out of an apartment window onto a post and was transported by Emergency Services with the post still imbedded in the abdomen
The nurse, waiting for the physician to arrive, would: 1. Remove the post from the abdomen. 2. Gently tap on the post to determine how far it is inserted. 3. Secure the post to make sure it is not disturbed. 4. Obtain a signed permission for treatment.
When a client with heart failure is receiving loop diuretics, the nurse would be sure to monitor serum
a. calcium levels. b. enzyme levels. c. potassium levels. d. sodium levels.
The nurse is caring for a patient with obstructive pulmonary disease who had tachycardia, tachypnea, and restlessness. The patient now becomes very lethargic and has a normal respiratory rate. The nurse should interpret this as
1. improvement in the condition. 2. a more relaxed and resting patient. 3. stabilization of the condition. 4. worsening of the condition.
While attempting to obtain oxygen saturation readings on a toddler, what should the nurse do?
a. Place the sensor on the earlobe. b. Place the sensor on the bridge of the nose. c. Determine whether the toddler has a tape allergy. d. Ignore any variation between the oximeter pulse rate and the patient's apical pulse rate.