Online Practice Test 2

Your Results for: "NCLEX® Review"

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Site Title: Kozier & Erb's Fundamentals of Nursing Book Title: Kozier & Erb's Fundamentals of Nursing Location on Site: Chapter 2 > NCLEX® Review Date/Time Submitted: July 4, 2012 at 2:29 AM (UTC/GMT)

Summary of Results 67% Correct of 15 Scored items: 10 Correct:  67% 5 Incorrect:  33% More information about scoring

1.		Which nursing research study would be most useful to a school nurse practicing in an inner city school with a high rate of teen pregnancy? Your Answer: A study exploring factors influencing the practice of safer sex behaviors in heterosexual male adolescents.
		Health education and promotion activities on the value of safe sexual practices or abstinence can be important variables in a research study on teenage pregnancy. Objective: Identify ways the nurse can participate in research activities in practice. Rationale: A step of the research process is defining the study's purpose or rationale. The study dealing with sexual behavior of heterosexual males is the only one that can influence teen pregnancy. The others will not be useful for the purpose intended. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
2.		Which study is based on quantitative research? Your Answer: Measuring the differences in blood pressure before, during, and after a procedure
		Documentation of values that are measured and compared are components of the qualitative research process. Objective: Differentiate the quantitative approach from the qualitative approach in nursing research. Rationale: Quantitative research is a systematic and logical approach to collecting numerical information under a controlled situation, followed by statistical analyses. Nursing Process: Evaluation Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
3.		Which action is most appropriate when an 85-year-old client tells a nurse, "I signed the papers for the research study because the doctor was so insistent, but I really don't understand it"? Your Answer: Ask the client what questions he has, and tell him that no one will be angry if he changes his mind.
		A nurse must listen to the thoughts and feelings of the client. A client should not feel coerced to undergo a prescribed therapy or treatment. A nurse is the client's advocate. Objective: Describe the nurse's role in protecting the rights of human subjects in research. Rationale: Asking the client about their questions regarding the study and indicating the right to withdraw protects the client's right of self-determination. The right of self-determination allows the subject to choose to take part in the study free from constraints, coercion, or undue influence. Reassuring the client that he will be fine and saying that the study will be ruined are forms of coercion. The client perceived undue pressure from the physician, so it would do no good to have this same physician explain the study again. Nursing Process: Implementation Client Need: Psychosocial Integrity Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
4.		Which study would be best if the nurse wanted to do qualitative research? Your Answer: Collecting loosely structured narrative data and inductive reasoning to assess reactions to stress
		Analysis of narrative data and inductive reasoning are components of the qualitative process. Objective: Differentiate the quantitative approach from the qualitative approach in nursing research. Rationale: Qualitative research explores subjective and complex experiences of human beings. Using narrative data to assess reactions to stress demonstrates qualitative research. Endotracheal suctioning and physical changes are physiologic, not subjective. Deductive reasoning utilizes quantitative research. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
5.		What is the nurse's primary goal in planning a clinical research? Your Answer: Improve client care
		The goal of nursing research is to recognize evidence-based nursing practice and care. Objective: Identify ways the nurse can participate in research activities in practice. Rationale: Nursing research develops and expands knowledge about human responses, and investigates the effects of nursing actions on the responses. Therefore, the major goal of nursing research is to improve client care through the evaluation of this research. Nursing Process: Planning Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge and process of elimination to determine best answer.
6.		When working with an LPN, what would be the primary responsibility of the registered nurse? Your Answer: Inserting an indwelling catheter Correct Answer: Changing an abdominal dressing
		Indwelling catheters are considered a part of nursing care. Objective: Describe the different types of educational nursing programs. Rationale: The registered nurse has the knowledge and skill to make more sophisticated judgments, and is responsible for assessment, planning, and evaluation of care. The LPN provides basic technical care to clients. Changing an abdominal dressing involves assessment of the incision, and should be the responsibility of the registered nurse. Other tasks are technical skills that the LPN can safely perform. Nursing Process: Planning Client Need: Safe, Effective Care Environment Cognitive Level: Application Strategy: Use nursing knowledge and process of elimination to determine best answer.
7.		A nurse is granted the title "registered" through which accrediting body? Your Answer: Individual states
		The individual State Board of Nursing grants the title "registered" after the individual successfully passes the NCLEX-RN. Objective: Discuss aspects of entry to professional practice. Rationale: Professional organizations do not designate the title used by practitioners. Each state designates the title based on the individual's meeting of the state's criteria for licensure. Nursing Process: Assessment Client Need: Safe, Effective Care Environment Cognitive Level: Application Strategy: Use nursing knowledge and process of elimination to determine best answer.
8.		The nurse who is involved in research has formulated a research question that has "significance." Which example best demonstrates this type of question? Your Answer: A topic subject to scientific investigation Correct Answer: Resolution of a day-to-day clinical problem
		A topic is not necessarily significant. Objective: Identify the steps of the research process. Rationale: A research problem has significance if it has the potential to contribute to the enhancement of patient care. Researchability indicates a scientific investigation. Feasibility pertains to the time, material, and resources needed to investigate the problem. Interest to the researcher is important for successful completion. Nursing Process: Planning Client Need: Safe, Effective Care Environment Cognitive Level: Application Strategy: Use nursing knowledge and process of elimination to determine best answer.
9.		A nurse is reading a research paper and is evaluating the research design. It is noted that the researcher manipulated the independent variable but did not have a control group. The nurse understands that this is what type of research design?  Your Answer: Quasi-experimental design Objective: Identify the steps of the research process. Rationale: A quasi-experimental design is one where the investigator manipulates the independent variable but does not include randomization or controls. An experimental design manipulates the independent variable using both experimental and control groups. A nonexperimental design does no manipulation of the independent variable. There is no quasi-nonexperimental design. Nursing Process: Evaluation Client Need: Safe, Effective Care Environment Cognitive Level: Analysis Strategy: Use nursing knowledge and process of elimination to determine best answer.
		The investigator manipulates the independent variable by administering an experimental treatment to some participants while withholding it from others.
10.		A nurse is writing a research paper. After repeated measurements of the same variable showed similar results, what could the nurse safely include in the paper? Your Answer: The instrument is reliable.
		Reliability is the degree of consistency with which an instrument measures a concept or variable. If an instrument is reliable, repeated measurement of the same variable should yield similar or nearly similar results. Objective: Identify the steps of the research process. Rationale: Reliability is the degree of consistency that an instrument measures. Validity is the degree to which an instrument measures what it is intended to measure. A measure of central tendency describes the center of data distribution. Being statistically significant is a result of analyses of the data, not the measuring tool. Nursing Process: Evaluation Client Need: Safe, Effective Care Environment Cognitive Level: Analysis Strategy: Use nursing knowledge and process of elimination to determine best answer.
11.		The department of nursing has obtained a grant to study the health habits of an international community of students. The community consists of representatives from several Asian countries. What type of qualitative research would the nurse conduct to explore eating patterns? Your Answer: Phenomenology Correct Answer: Ethnography
		Phenomenological research investigates people's life experiences and how they interpret the experiences. Objective: Differentiate the quantitative approach from the qualitative approach in nursing practice. Rationale: Both quantitative and qualitative research involve identifying a research problem/question, collecting and analyzing data. Quantitative studies are reported using descriptive and analytic statistics while qualitative studies are reported in narrative format. Nursing Process: Evaluation Client Need: Safe, Effective Care Environment Cognitive Level: Analysis Strategy: Use nursing knowledge and process of elimination to determine best answer.
12.		In 1985, the ANA endorsed which level of nursing education for entrance into professional practice? Your Answer: Diploma Correct Answer: BSN
		Objective: Discuss aspects if entry into professional nursing practice. Rationale: To qualify as a profession, the entry level to nursing practice should be at a baccalaureate level. Nursing Process: Evaluation Client Need: Safe, Effective Care Environment Cognitive Level: Analysis Strategy: Use nursing knowledge and process of elimination to determine best answer.
13.		A 12 year old was admitted to the pediatric unit with cellulitis. The client needs an immediate intravenous started before his antibiotic could be given. The nurse is working with a LPN. An appropriate request to the LPN would be: Your Answer: "Please go to the pharmacy and bring back the penicillin."
		Objective: Describe the different types of educational nursing programs. Rationale: LPNs practice under the direct supervision of the registered nurse. LPNs provide basic direct technical care to clients. Nursing Process: Assessment Client Need: Safe, Effective Care Environment Cognitive Level: Analysis Strategy: Read question and prioritize nursing actions.
14.		Which educational program prepares the nurse for advanced clinical practice, administration, education, and research? Your Answer: BSN Correct Answer: Ph D, DNS, ND
		Objective: Describe the different types of educational nursing programs. Rationale: Doctoral programs prepare the nurse for advanced clinical practice, education, administration, and research. The greatest emphasis on any doctoral program is research. Nursing Process: Evaluation Client Need: Safe, Effective Care Environment Cognitive Level: Analysis Strategy: Understand contemporary nursing practice.
15.		Nursing is in a constant state of change. How can the nurse keep abreast of the changes in health care? Your Answer: Attend a nursing trends seminar sponsored by the hospital or a school of nursing.
		Objective: Explain the importance of continuing nursing education. Rationale: Life long learning is an important philosophy for any professional. Reading journals, research, textbooks, returning to school and obtaining a higher degree are some avenues to continuing education. Nursing Process: Evaluation Client Need: Safe, Effective Care Environment Cognitive Level: Analysis Strategy: Understand contemporary nursing practice.