Clinical policy for care of a central line.

Question 1: Multiple Choice
Which action by the student nurse demonstrates critical thinking?
a. Memorizing the clinical policy for care of a central line.
b. Following the surgeon’s order for post-operative vital sign frequency.
c. Assessing a patient’s learning needs by asking the patient what is known about ordered
medications.
d. Using personal intuition to guide actions during an emergency situation.
Response
Rationale
Reference
Question 2: Multiple Choice
What is the rationale for the NCLEX-RN test plan to include questions which test critical thinking?
a. To increase the difficulty and rigor of the licensing exam.
b. To ensure that the test plan is current with the demands of today’s nursing practice.
c. To fulfill the requirements of the state boards of nursing.
d. To be sure that the student received a valid nursing education.
Response
Rationale
Reference
Question 3: Multiple Answer
The new graduate RN is discussing critical thinking with the nurse mentor. Which statements indicate
the graduate understands critical thinking and time management? Select all that apply.
a. “I start every shift by collecting all vital signs and then administer morning medications.”
b. “I do all my documentation at the end of the shift when the patient care is done.”
c. “I decide which patients need to be seen first when I listen to morning report.”
d. “I am most organized if I start in the first room and work my way down the hall.”
e. “When a patient’s condition changes, I need to re-think my priorities for the day.”
Response(s)
NCLEX RN Questions
NUR 108: Module 3 Evaluate
© Excelsior College 2019 2
Rationale
Reference
Question 4: Multiple Answer
Which activities by the RN are completed in the nursing process implementation phase? Select All That
Apply.
a. Carry out interventions
b. Delegate actions
c. Determine if outcome is achieved
d. Document interventions
e. Assess client response to interventions
Response(s)
Rationale
Reference
Question 5: Multiple Choice
Which patient situation requires the highest priority for RN intervention?
a. A 6-year-old male with a sprained ankle
b. A 77-year-old female with a fever and Type II diabetes
c. A 15-year-old female with abdominal pain
d. A 69-year-old male with incontinence and glaucoma
Response
Rationale
Reference
NCLEX RN Questions
NUR 108: Module 3 Evaluate
© Excelsior College 2019 3
Question 6: Multiple Choice
Which nursing theory is the RN using to direct nursing care when incorporating the patient’s spiritual
beliefs into the plan of care to realize a state of full potential?
a. Watson Model of Human Caring
b. King Model of Goal Attainment
c. Orem Self-Care Model
d. Roy Adaptation Model
Response
Rationale
Reference
Question 7: Multiple Choice
What is an expected competency of the RN with an Associate Degree in Nursing regarding nursing
research?
a. Obtain consent for the research study
b. Interpret scientific research studies
c. Participate in a research study
d. Assist in a structured method of data collection
Response
Rationale
Reference
Question 8: Multiple Choice
Which RN action exemplifies the use of evidence-based practice to achieve health benefits for patients?
a. Providing dietary preferences for nutrition
b. Researching professional boundary violations
c. Practicing within the RN scope of practice
d. Using a clinical pathway for standardizing care
NCLEX RN Questions
NUR 108: Module 3 Evaluate
© Excelsior College 2019 4
Response
Rationale
Reference
Question 9: Multiple Choice
A team of RNs have patient survey data to support there is noise pollution occurring on the hospital
unit. After analyzing the data, what is the next appropriate action by the team?
a. Retrieve data from other reports about the noise
b. Seek strategies to decrease the noise on the unit
c. Measure the level of noise using a sound level meter
d. Provide ear plugs for the patients on the units
Response
Rationale
Reference
Question 10: Multiple Choice
Create one unique, multiple-choice question about evidence-based practice or quality improvement in
nursing.
Provide the Correct Response:
Explain the rationale for the correct response, and why the other choices are not appropriate.
Provide the scholarly reference for the correct response: