NCLEX-RN

NCLEX-RN Review Study Guide

71. What can the nurse caring for pregnant mothers in low income situations do to help ensure adequate nutrition? a. Refer them to WIC b. Make sure they know where local food shelters and soup kitchens are locally c. Make sure they have prenatal vitamins prescribed d. Give them gift certificates for the local grocery store 72. You receive a patient on her third day post admission. She had fallen and had a wound on her arm. The LPN reports to you that the patient has a fever of 101.9 and that her wound had purulent, foul smelling drainage when she changed the dressing. The patient tells you that it has been like that for two days, and when you read the chart, you see that the LPN caring for the patient documented that finding. Who is responsible? a. The LPN who checked the temperature and changed the dressing b. You as the RN c. You as the RN, and the LPN who assessed the patient’s temperature and wound drainage d. The physician, for not reading the chart and acting 73. Which of these is not a focus of hospice? a. Quality of life b. Curative measures c. Family support d. Pain management

74. Which of the following regarding a DNR patient is true? a. The patient may no longer make decisions regarding his or her own care b. The patient and family recognize that the patient will likely die within the next 48 hours c. Nurses will continue to implement all treatments focused on comfort and symptom management d. A DNR in place from a previous admission is acceptable for this admission and subsequent admissions 75. In communicating a delegated task to a nursing assistant, an example of optimal communication is: a. “Let me know if you see any signs of a heart attack.” b. “Please offer the patient the bedpan every two hours on the even hours. Let me know the total urine output at 2pm.” c. “Let me know whether or not anything happens with this confused patient.” d. “Keep an eye on this hallway while I’m at lunch.” 76. Which of the following would not be appropriate to delegate to the LPN? a. Administering medication b. Writing a care plan for a patient c. Changing a dressing on a wound d. Monitoring blood glucose with an Accu check monitor

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