Free NCLEX Practice Questions

Advance Directives

This section explores advance directives, such as living wills, healthcare proxies, and Powers of Attorney for Health Care. Nursing responsibilities involve evaluating the client's understanding, incorporating these directives into care plans, educating clients about their options, supporting self-care decisions, and assisting in life planning.

Advocacy

A crucial role of Registered Nurses is to act as patient advocates. This section highlights the nurse's role in helping clients explore treatment options, respecting their choices, empowering staff to advocate for patients, directly advocating for patients, and effectively using advocacy resources.

Assignment, Delegation, and Supervision

Registered Nurses must efficiently manage assignments, delegate tasks suitable to staff qualifications and skills, supervise the execution of delegated tasks, communicate clearly about task expectations, and ensure tasks are completed accurately. This section details the five delegation rights to consider before delegating tasks.

Case Management

This section discusses how Registered Nurses as case managers coordinate multidisciplinary services like physical therapy and home health care to meet client needs. They connect clients with appropriate medical and community services, manage care for complex cases, screen for risk factors, and leverage community resources to ensure quality and cost-effective care.

Client Rights

Registered Nurses must uphold client rights, including the right to refuse treatment, receive comprehensive information about medical options, and be educated on their rights. They must also respect privacy, confidentiality, dignity, and autonomy, ensure clients can choose healthcare providers, access emergency services, avoid abuse, control finances, understand their conditions and treatments, receive accurate billing, and address complaints. Nurses should be familiar with the American Hospital Association's Patient Care Partnership.

Collaboration with the Interdisciplinary Team

This section focuses on the importance of collaboration within an interdisciplinary team. Nurses should identify when interdisciplinary conferences are needed, review and ensure care plan continuity, collaborate with team members, act as a resource for staff, and relay significant information to other disciplines.

Concepts of Management

Registered Nurses must understand management principles, including differentiating team member roles, planning for patient issues, coordinating care, managing conflicts, and assessing management outcomes. Effective management involves setting goals, organizing, and directing actions toward achieving them.

Confidentiality and Information Security

This section emphasizes maintaining client confidentiality and privacy. Nurses must adhere to confidentiality requirements, intervene when breaches are imminent, and report any violations to the appropriate authorities.

Consultation

This section covers when and how Registered Nurses should seek consultations. Nurses must determine appropriate situations for consulting with interdisciplinary fields, supervisors, and colleagues.

Continuity of Care

Promoting continuity of care involves ensuring standardized communication during hand-offs, using consistent medical terminology, following up on unresolved issues, and ensuring comprehensive communication during admissions, transfers, and discharges.

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Establishing Priorities

Registered Nurses must prioritize patient care effectively. This includes applying pathophysiology knowledge to nursing interventions, evaluating care plans, and revising plans to address multiple clients' needs.

Ethical Practice

Nurses must adhere to ethical practices, recognize and address ethical dilemmas, inform clients and colleagues about ethical issues, practice within the RN code of ethics, and evaluate the outcomes of ethical practices.

Information Technology

This section reviews how Registered Nurses use technology to access healthcare orders, retrieve patient data, and enhance care delivery. Accurate, complete, and timely computer documentation is essential.

Informed Consent

Nurses must facilitate informed consent by identifying the correct person to provide consent, supplying materials in the appropriate language, understanding consent components, obtaining consent when applicable, and ensuring the client comprehends the risks benefits, and agrees to care procedures.

Legal Rights and Responsibilities

Registered Nurses need to be aware of the legal aspects of nursing care, such as recognizing legal issues that affect clients, managing client valuables per guidelines, acknowledging limitations, examining policies, educating on legal matters, reporting legally mandated conditions, and practising within their legal scope. Reporting unsafe practices and intervening is also crucial.

Organ Donation

This section addresses organ donation issues, requiring nurses to understand the legal implications, assess clients' donation risks, educate clients and families, and evaluate candidates' donation suitability.

Performance Improvement and Risk Management

This section outlines nurses' roles in quality assurance and performance improvement. Nurses must engage in quality improvement processes, report client care issues, use research and evidence to recommend improvement actions, and assess these actions' impact on care.

Referrals

Nurses must assess the need for patient referrals, recognize when referrals are necessary, obtain required orders, identify relevant community resources, and include appropriate documents, such as health records and referral forms, when completing referrals.

2. Safety and Infection Control

Another giving Safe and Effective Care Environment subcategory is Safety and Infection Control, representing 12% of the NCLEX-RN exam; our Naxlex NCLEX study resources focus on how nurses safeguard patients, healthcare personnel, and themselves from environmental and health risks. Essential nursing actions in this area include:

• Accident and Injury Prevention: Implement safety measures, provide signalling devices, assign rooms based on impairments, and mitigate fall and injury risks.
• Emergency Response Plan: Develop and implement emergency response plans, identify discharge candidates, and participate in disaster preparedness.
• Ergonomic Principles: Apply ergonomic practices, assess mobility, and educate on proper body mechanics.
• Error Prevention: Assess for allergies, ensure accurate client identification, and verify the appropriateness of physician orders.
• Handling Hazardous and Infectious Materials: Following protocols, identify and safely handle hazardous substances.
• Home Safety: Evaluate and promote safety during home visits, recommend modifications, and educate on using protective equipment.
• Incident Reporting: Recognize and document incidents, errors, or variances and evaluate responses.
• Safe Use of Equipment: Inspect and facilitate the safe use of medical equipment, educate clients, and report malfunctioning items.
• Security Plan: Apply critical thinking to security measures, evacuation, and triage procedures.
• Infection Control: Understand and implement infection control practices, including asepsis, isolation, and sterile field placement.
• Use of Restraints: Assess appropriate restraints and safety devices, follow the least restrictive options, and monitor patient responses.