ExamName___________________________________MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.1)A graduate practical/vocational nurse has downloaded a copy of the NCLEX-PN® test plan fromthe National Council of State Boards of Nursing website. The nurse notes that information isincluded under a section entitled Integrated Processes. What is the most helpful understanding bythe nurse of the relevance of these integrated processes into the licensing examination questions?1)A)They are used as a guideline in every question that is included in the licensing examination.B)The include all of the steps in the nursing process.C)They are mainly important when the question is of a cultural nature.D)They test the licensure candidate's awareness of legal and ethical aspects of nursing.Answer:AExplanation:A)The Integrated Processes used in developing the current NCLEX-PN® test planare those concepts identified as fundamental to the practice of practical/vocationalnursing and are incorporated throughout the client needs categories andsubcategories. These processes include the Clinical Problem-Solving Process(Nursing Process), Caring, Communication and Documentation, and Teaching andLearning. Including all of the steps of the nursing process addresses only oneaspect of this. Legal and ethical aspects of nursing are tested in the client needcategory of Safe, Effective Care Environment. Cultural influence in nursing care istested in the client need category of Psychosocial Integrity.ImplementationSafe, Effective Care Environment-Coordinated CareApplicationB)The Integrated Processes used in developing the current NCLEX-PN® test planare those concepts identified as fundamental to the practice of practical/vocationalnursing and are incorporated throughout the client needs categories andsubcategories. These processes include the Clinical Problem-Solving Process(Nursing Process), Caring, Communication and Documentation, and Teaching andLearning. Including all of the steps of the nursing process addresses only oneaspect of this. Legal and ethical aspects of nursing are tested in the client needcategory of Safe, Effective Care Environment. Cultural influence in nursing care istested in the client need category of Psychosocial Integrity.ImplementationSafe, Effective Care Environment-Coordinated CareApplicationC)The Integrated Processes used in developing the current NCLEX-PN® test planare those concepts identified as fundamental to the practice of practical/vocationalnursing and are incorporated throughout the client needs categories andsubcategories. These processes include the Clinical Problem-Solving Process(Nursing Process), Caring, Communication and Documentation, and Teaching andLearning. Including all of the steps of the nursing process addresses only oneaspect of this. Legal and ethical aspects of nursing are tested in the client needcategory of Safe, Effective Care Environment. Cultural influence in nursing care istested in the client need category of Psychosocial Integrity.ImplementationSafe, Effective Care Environment-Coordinated CareApplication1

D)The Integrated Processes used in developing the current NCLEX-PN® test planare those concepts identified as fundamental to the practice of practical/vocationalnursing and are incorporated throughout the client needs categories andsubcategories. These processes include the Clinical Problem-Solving Process(Nursing Process), Caring, Communication and Documentation, and Teaching andLearning. Including all of the steps of the nursing process addresses only oneaspect of this. Legal and ethical aspects of nursing are tested in the client needcategory of Safe, Effective Care Environment. Cultural influence in nursing care istested in the client need category of Psychosocial Integrity.ImplementationSafe, Effective Care Environment-Coordinated CareApplication2)A graduate nurse has been preparing for the NCLEX-PN® is and scheduled to take theexamination in 3 weeks. As the licensure candidate reviews, she is aware of an increase in herself-confidence as well as in her accuracy in answering questions. She is beginning to think aboutrescheduling the examination for an earlier date if one is available. She decides to use the nursingprocess to help in reaching a decision. What is an appropriate initial action by this graduate nurse?2)A)Keep the scheduled appointment time and continue to review as planned.B)Ask several nursing instructors what they would recommend.C)Answer a set of 205 questions within a 5-hour time period with 90 percent accuracy.D)Call the testing center to see if an earlier appointment time is available.Answer:DExplanation:A)If an earlier appointment time is not available, then the reviewer does not need tokeep thinking about it and can proceed to decide what and how she will continueto review. Another call can always be made to the testing site to see if the situationhas changed. A test date can be changed once (earlier or later). Additional changeswill incur a charge. Plan to gather objective information initially, then evaluateongoing feelings about taking the exam earlier. Keeping the scheduledappointment time and continuing to review as planned is a do-nothing choice.Asking several nursing instructors what they would recommend seeks evaluationfrom people other than the test-taker herself. Answering 205 questions in 5 hourswith 90 percent accuracy may be something the test-taker decides to do as part ofgathering information about readiness to test.PlanningSafe, Effective Care Environment-Coordinated CareApplicationB)If an earlier appointment time is not available, then the reviewer does not need tokeep thinking about it and can proceed to decide what and how she will continueto review. Another call can always be made to the testing site to see if the situationhas changed. A test date can be changed once (earlier or later). Additional changeswill incur a charge. Plan to gather objective information initially, then evaluateongoing feelings about taking the exam earlier. Keeping the scheduledappointment time and continuing to review as planned is a do-nothing choice.Asking several nursing instructors what they would recommend seeks evaluationfrom people other than the test-taker herself. Answering 205 questions in 5 hourswith 90 percent accuracy may be something the test-taker decides to do as part ofgathering information about readiness to test.PlanningSafe, Effective Care Environment-Coordinated CareApplication2

C)If an earlier appointment time is not available, then the reviewer does not need tokeep thinking about it and can proceed to decide what and how she will continueto review. Another call can always be made to the testing site to see if the situationhas changed. A test date can be changed once (earlier or later). Additional changeswill incur a charge. Plan to gather objective information initially, then evaluateongoing feelings about taking the exam earlier. Keeping the scheduledappointment time and continuing to review as planned is a do-nothing choice.Asking several nursing instructors what they would recommend seeks evaluationfrom people other than the test-taker herself. Answering 205 questions in 5 hourswith 90 percent accuracy may be something the test-taker decides to do as part ofgathering information about readiness to test.PlanningSafe, Effective Care Environment-Coordinated CareApplicationD)If an earlier appointment time is not available, then the reviewer does not need tokeep thinking about it and can proceed to decide what and how she will continueto review. Another call can always be made to the testing site to see if the situationhas changed. A test date can be changed once (earlier or later). Additional changeswill incur a charge. Plan to gather objective information initially, then evaluateongoing feelings about taking the exam earlier. Keeping the scheduledappointment time and continuing to review as planned is a do-nothing choice.Asking several nursing instructors what they would recommend seeks evaluationfrom people other than the test-taker herself. Answering 205 questions in 5 hourswith 90 percent accuracy may be something the test-taker decides to do as part ofgathering information about readiness to test.PlanningSafe, Effective Care Environment-Coordinated CareApplication3)A student nurse who is doing a clinical practicum on a nursing unit approaches a staff licensedpractical/vocational nurse and asks the nurse to read the PPD that the student received yesterday.What is the most appropriate response by the staff nurse at this time?3)A)"The earliest the test can be read is after 48 hours."B)"What observations have you made about the results?"C)"Okay. Let me finish what I'm doing and I will meet you at the nurse's station."D)"It's not within my scope of practice to read PPD tests. A registered nurse has to do that."Answer:AExplanation:A)A tuberculin test is most correctly read between 48 and 72 hours afteradministration, by measuring the degree of induration (not redness). Saying thatnurse will finish what she is doing and then meet the LPN at the nurse's station isnot within the correct time limits. Although asking the LPN/LVN whatobservations have been made about the results may be interesting information toobtain, it is not the most appropriate response. LPN/LVNs can read tuberculintests.AssessmentHealth Promotion and MaintenanceApplication3

B)A tuberculin test is most correctly read between 48 and 72 hours afteradministration, by measuring the degree of induration (not redness). Saying thatnurse will finish what she is doing and then meet the LPN at the nurse's station isnot within the correct time limits. Although asking the LPN/LVN whatobservations have been made about the results may be interesting information toobtain, it is not the most appropriate response. LPN/LVNs can read tuberculintests.AssessmentHealth Promotion and MaintenanceApplicationC)A tuberculin test is most correctly read between 48 and 72 hours afteradministration, by measuring the degree of induration (not redness). Saying thatnurse will finish what she is doing and then meet the LPN at the nurse's station isnot within the correct time limits. Although asking the LPN/LVN whatobservations have been made about the results may be interesting information toobtain, it is not the most appropriate response. LPN/LVNs can read tuberculintests.AssessmentHealth Promotion and MaintenanceApplicationD)A tuberculin test is most correctly read between 48 and 72 hours afteradministration, by measuring the degree of induration (not redness). Saying thatnurse will finish what she is doing and then meet the LPN at the nurse's station isnot within the correct time limits. Although asking the LPN/LVN whatobservations have been made about the results may be interesting information toobtain, it is not the most appropriate response. LPN/LVNs can read tuberculintests.AssessmentHealth Promotion and MaintenanceApplication4)Several graduate practical/vocational nurses are preparing for the licensing examination, whichthey plan to take in approximately 6 weeks. Each graduate shares one of his or her plans forreviewing. Which plan is the most realistic in relation to the task and time?4)A)"I plan to answer sets of 85 questions, correct, and review the rationales at least three times aweek. I will spend 2 hours doing this."B)"I'm starting at the beginning of the review book I bought and I'll go through it all and answerthe questions. When I finish, I'll do the comprehensive examinations in the book."C)"I'm going to start with mental health because that's my weakest area. I plan to review somecontent and answer NCLEX-PN® style questions for at least 1 hour every day. It will take meabout 2 weeks to review mental health."D)"The only time I have available is on the weekends, so I will review for at least 8 hours everyweekend day. I'm starting with pharmacology."Answer:C4

Explanation:A)It is imperative to plan appropriate and realistic task and timeframes for reviewingfor the NCLEX-PN®. Based on the comments, the graduate who is going to startwith mental health has identified a weaker area and decided to begin with it, andhas a plan to incorporate theory review and assessment (questions). Given thetopic of mental health nursing and the potential of a minimum of 14 hours on thetopic, the goal has a high possibility to be attained. Two hours (120 minutes) is notsufficient time to answer and correct and review rationales of 85 questions withany degree of thoroughness or effectiveness. Two hours is a reasonable time toanswer the questions themselves, with no additional action. Planning to spend 8hours a day focusing on NCLEX-PN® review is a goal that is difficult for manypeople to attain. Retaining information over this length of time is often decreased.Starting at the beginning of the review book and working through the entire bookcan potentially be an effective plan, once timeframes are attached to the activities.EvaluationSafe, Effective Care Environment-Coordinated CareAnalysisB)It is imperative to plan appropriate and realistic task and timeframes for reviewingfor the NCLEX-PN®. Based on the comments, the graduate who is going to startwith mental health has identified a weaker area and decided to begin with it, andhas a plan to incorporate theory review and assessment (questions). Given thetopic of mental health nursing and the potential of a minimum of 14 hours on thetopic, the goal has a high possibility to be attained. Two hours (120 minutes) is notsufficient time to answer and correct and review rationales of 85 questions withany degree of thoroughness or effectiveness. Two hours is a reasonable time toanswer the questions themselves, with no additional action. Planning to spend 8hours a day focusing on NCLEX-PN® review is a goal that is difficult for manypeople to attain. Retaining information over this length of time is often decreased.Starting at the beginning of the review book and working through the entire bookcan potentially be an effective plan, once timeframes are attached to the activities.EvaluationSafe, Effective Care Environment-Coordinated CareAnalysisC)It is imperative to plan appropriate and realistic task and timeframes for reviewingfor the NCLEX-PN®. Based on the comments, the graduate who is going to startwith mental health has identified a weaker area and decided to begin with it, and

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Test Bank For Fundamental Nursing Care, 2nd Edition

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