When describing the NCLEX examination to a family member, which statement would the nurse include?
A) Is developed using a process that is prospective rather than retrospective in its analysis of the nursing skills necessary for high-quality practice
B) Is more sophisticated and future-oriented in assessing competence for practice than examinations in most of the other health disciplines in the United States
C) Must be retaken to assure continued competency if the nurse has not practiced for more than 5 consecutive years
D) Shows little relevance to the different competencies achieved in the various types of education programs for nurses
D
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An adolescent with cystic fibrosis is intubated with an endotracheal tube. Which is the most appropriate nursing diagnosis for the adolescent?
1. Impaired social interaction related to hospitalization and separation from peers 2. Delayed growth and development related to prolonged hospitalization and life-threatening condition 3. Powerlessness (moderate) related to inability to speak to or communicate 4. Potential for imbalanced nutrition, more than body requirements related to inactivity
On initial admission of a trauma victim to the emergency department, the nurse completes a primary survey. The patient is awake and tachypneic, is using accessory muscles of respiration, has unequal chest expansion, and is very anxious
There are absent breath sounds on the right and cyanosis on 100% oxygen, and the trachea is deviated to the left. What action takes the highest priority during the primary survey? A) Jaw thrust maneuver B) Suctioning the oral pharynx C) Chest tube insertion D) Assisting ventilation with bag-mask device
A client with a diagnosis of biopolar affective disorder comes to the clinic with tremors, nausea and vomiting, diarrhea, frequent urination, and excessive thirst. The nurse should suspect
A) seasonal influenza. B) lithium toxicity. C) a viral infection. D) diabetes.
The nurse decides it would be beneficial to the client to allow the client's infant granddaughter to visit before the client's scheduled heart transplant. Before implementing this intervention the nurse should collaborate with which of the following?
A. Client and Family B. Other nursing staff on the unit C. Security department D. Hospital administration E. This is not a collaborative intervention so no collaboration will be needed prior to implementation