A nurse is assisting with discharge planning for a client who has a sacral pressure injury and has a prescription for daily dressing changes. Which of the following resource referrals should the nurse anticipate from the provider for this client?

Choice A reason: The minimum number of items on the exam is 65 is not an information that the nurse should identify about the NCLEX exam. This is a false statement that does not reflect the current format of the exam. According to the NCSBN website, the minimum number of items on the NCLEXRN exam is 75, and the minimum number of items on the NCLEXPN exam is 85.
Choice B reason: The maximum number of items on the exam is 165 is not information that the nurse should identify about the NCLEX exam. This is a false statement that does not reflect the current format of the exam. According to the NCSBN website, the maximum number of items on the NCLEXRN exam is 145, and the maximum number of items on the NCLEXPN exam is 205.
Choice C reason: All 50 states have the same criteria for passing the exam is not an information that the nurse should identify about the NCLEX exam. This is a false statement that does not account for the variations in the passing standards among different jurisdictions. According to the NCSBN website, the passing standard for the NCLEXRN exam is 0.2700 logits, and the passing standard for the NCLEXPN exam is 0.1800 logits. However, some jurisdictions may have additional requirements or criteria for licensure or registration, such as education, background checks, or jurisprudence exams.
Choice D reason: An 80% confidence rule is used for passing the exam is information that the nurse should identify about the NCLEX exam. This is a true statement that describes the statistical method that is used to determine the pass or fail status of the candidates. According to the NCSBN website, the NCLEX exam uses a computerized adaptive testing (CAT) model that adjusts the difficulty and the number of the items based on the candidate's ability. The exam ends when the candidate's ability estimate is either above or below the passing standard with at least 80% confidence, or when the maximum or minimum number of items or time is reached.

Choice A reason: This is the correct answer. Disease prevention involves activities and measures taken to reduce the occurrence and impact of specific diseases. In this scenario, the nurse is performing a blood pressure screening for a client with a family history of hypertension. This screening is a preventive measure aimed at detecting and preventing the development of hypertension, which falls under the category of disease prevention. By identifying clients at risk, healthcare providers can intervene early and implement strategies to prevent or manage the condition.
Choice B reason: This is incorrect. Health education involves providing information and knowledge to clients to help them make informed decisions about their health. It focuses on teaching individuals about health-related topics. In this scenario, the nurse is not engaged in health education but rather in blood pressure screening, which is a form of health assessment and monitoring.
Choice C reason: This is incorrect. Health promotion involves activities that encourage and empower individuals to take control of their health and well-being. It aims to enhance the overall health of the population. While blood pressure screening is a preventive measure, it does not encompass the broader concept of health promotion. It is more specific to early detection and monitoring of health conditions.
Choice D reason: This is incorrect. Holistic health refers to an approach that considers the physical, emotional, social, and spiritual aspects of an individual's well-being. It recognizes the interconnectedness of these aspects and seeks to address them in a comprehensive manner. Performing a blood pressure screening, while important, is a specific health assessment task and does not fully encompass the holistic health approach.