NUR 280 -COMP 1 Review 2020 (100% correct)
UNIT 1 Intro
Hi Rebecca,
Thanks for your response. For the question: Why did the nurses identify different areas
of focus for their tests? The correct answer for this is because each nurse did have
different questions. The NCLEX® test blueprint describes the percentage of questions
in each area to give a general guideline. Multiple test banks are used. Each test bank
contains questions that reflect the content as outlined on the NCLEX® test plan. Based
on the answer to the previous question, the computer selects another question based
on the blueprint from test plan.
Try this practice question on a cardiac medication:
The nurse is providing teaching on home monitoring for an adult patient prescribed
digoxin. What are the most important points the nurse needs to include in patient
education?
See pages 535-537 in your Kee Pharmacology book (also covered in other Pharm
books such as ATI Pharmacology ebook). I recommend you know teaching for patients
prescribed digoxin. Checking apical pulse rate for a full minute is important. Withhold
dose and notify health care professional if pulse rate is <60 bpm in an adult, <70 bpm in
a child, or <90 bpm in an infant.
Digoxin has a narrow therapeutic range and side effects are seen in 10–20% of all
cases. Teach patient the importance of monitoring for s/s of dig toxicity (anorexia, n/v,
visual disturbances, brady) and to report. Children should have levels drawn monthly.
Low serum K levels increase the risk of dig toxicity, monitor for hypokalemia. As noted
in the nursing process box of the Kee textbook advise patients to eat foods high in
potassium. These include fruits (fresh, dried, juices) and vegetables including potatoes.
Thanks for your response. For question #3: Why did some students have to answer only
75 questions, whereas others had 265?
Computer-adaptive testing (CAT) determines the competency level of the individual.
Some achieve the desired competency outcome in 75 questions. Most candidates take
longer to achieve or fail to achieve the required competency. As the candidate answers
a question correctly, the next question may become more difficult. When a question is
answered incorrectly, the next question becomes easier. The test proceeds in this
fashion until the necessary competency level is achieved or missed.
You learned about COPD in NUR242. Chronic obstructive pulmonary disease (COPD)
encompasses two diseases: emphysema and chronic bronchitis. Most clients who have
emphysema also have chronic bronchitis. COPD is irreversible.
Emphysema is characterized by the loss of lung elasticity and hyperinflation of lung
tissue. Emphysema causes destruction of the alveoli, leading to a decreased surface
area for gas exchange, carbon dioxide retention, and respiratory acidosis.
,Chronic bronchitis is an inflammation of the bronchi and bronchioles due to chronic
exposure to irritants. COPD typically affects middle-age to older adults.
Patients with COPD often become exhausted when completing ADLs. What are specific
interventions and teaching points to help patients with COPD conserve energy after
discharge?
COPD is debilitating for older adult clients. Referrals to assistance programs, such as
food delivery services, can be indicated. Set up referral services, including home care
services such as portable oxygen. Interventions and teaching points for patients with
COPD:
High-Fowler’s position maximizes ventilation.
Encourage the client to eat high-calorie foods to promote energy. Increased work of
breathing increases caloric demands. Dyspnea decreases energy available for
eating, so soft, high-calorie foods should be encouraged.
Encourage rest periods as needed. It is also helpful for conserving energy if patients
with COPD do not talk while performing physical activities.
Promote hand hygiene to prevent infection.
Reinforce the importance of taking medications (inhalers, oral medications) as
prescribed.
Promote smoking cessation if needed.
Encourage immunizations, such as influenza and pneumonia, to decrease the risk of
infection.
Clients should use oxygen as prescribed. Inform other caregivers not to smoke
around the oxygen due to flammability.
Clients who have COPD can need 2 to 4 L/min of oxygen via nasal cannula or up to
40% via Venturi mask. Clients who have chronically increased PaCO2 levels usually
require 1 to 2 L/min of oxygen via nasal cannula.
Thanks for your response. If the recruiter asked Mitch about his weaknesses here are
some possible responses:
I have not had much nursing experience but, given the right opportunity, I think this
weakness would quickly disappear.
I spend a lot of free time researching information on experiences in the clinical
setting that are new to me.
I spend a lot of time interacting with my patients.
Weaknesses are a perception of the person. Although each is stated as a weakness, it
can be perceived as a strength by the recruiter.
Try this practice question:
Which statement indicates the graduate nurse’s understanding of the process at the
NCLEX testing site?
1. “I will be photographed and have a palm vein scan.”
2. “I will be placed in a locked testing cubicle.”
, 3. “I will answer 300 test questions.”
4. “I will be given some questions as a paper-and-pencil test.”
NCSBN is using palm vein recognition because it offers a form of positive
identification that is much more accurate than older identity verification
technologies, such as digital fingerprinting.
Palm vein recognition allows NCSBN to accurately identify people trying to take
the NCLEX under assumed testers identities. By preventing proxy testers, the
technology helps NCSBN maintain the integrity of the NCLEX examination.
Thanks for your response. For the last question: Participation in the compact licensure
allows nurses to practice in a compact state with registration being required in the state
of residence. However, the nurse must maintain a residence in the state of licensure.
This video explains the compact licensing process:
https://www.ncsbn.org/compacts.htm (Links to an external site.)
You can obtain a compact (multistate) license if you…
1. Legally reside in an NLC state. See map at https://nurse.org/articles/enhanced-
compact-multi-state-license-eNLC/ (Links to an external site.)
2. Hold an active RN or LPN/VN nursing license in good standing. Note: APRN's are
not included in this compact.
3. Declare an NLC state as your primary state of residency. *
4. Meet the licensure requirements in your home state. When working in a remote
state, you will also be held accountable to the nurse practice act of the state where
the patient is located or where practice occurs.
*Licensure renewal cycles vary state to state. Nurses are required to promptly declare a
new state of residency and not wait for their license to lapse or expire in the prior home
state. State of residency changes when obtaining a new driver's license in another state
or when changing the state in which registering to vote or filing federal taxes.
Try this practice question:
A nursing professor is preparing students for the NCLEX-RN®. Which of the following
items should the professor inform the students to expect on the exam?
Select all that apply.
a) Multiple-choice questions with one correct answer
b) Drag and drop questions into an ordered response
c) True/false questions
d) Graphic questions with a hot spot to identify an area
e) Questions with an audio component where you need to wear a headset to listen
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