A nurse is speaking to a group of newly licensed nurses about how the QSEN competencies were integrated into their nursing school curriculum. Which of the following competencies should the nurse expect the newly licensed nurses to identify as the competency they were most prepared to address as students?

Patient-centred care

Teamwork and collaboration

Evidence-based practice

Quality improvement

Answer and Explanation

The Correct Answer is A

A. Patient-centered care: Nursing education heavily emphasizes patient-centered care, as it is foundational to nursing practice and critical for promoting client well-being.

B. Teamwork and collaboration. While teamwork is taught, it is often more extensively developed in clinical practice settings.

C. Evidence-based practice. Although evidence-based practice is a focus in nursing education, new graduates often require additional experience to apply it effectively.

D. Quality improvement. Quality improvement processes are introduced in nursing school but may not be as emphasized compared to patient-centered care.

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Correct Answer is A

Explanation

A. Patient-centered care: Nursing education heavily emphasizes patient-centered care, as it is foundational to nursing practice and critical for promoting client well-being.

B. Teamwork and collaboration. While teamwork is taught, it is often more extensively developed in clinical practice settings.

C. Evidence-based practice. Although evidence-based practice is a focus in nursing education, new graduates often require additional experience to apply it effectively.

D. Quality improvement. Quality improvement processes are introduced in nursing school but may not be as emphasized compared to patient-centered care.

A. The client may benefit from additional laboratory tests to monitor disease progression. B. The client may experience pain and discomfort due to the progression of their illness. C. The client may need increased physical therapy sessions to maintain mobility. D. The client may have elevated blood pressure due to an acute exacerbation of their condition.

Correct Answer is B

Explanation

A. Additional laboratory tests: While monitoring is essential, at this stage, the priority is comfort, not disease progression.

B. Pain and discomfort: Mrs. Thompson is nearing the end of life and likely experiencing pain due to her advanced metastatic cancer. Pain management should always be a priority in palliative care.

C. Physical therapy: Physical therapy is not typically a priority in the end-of-life stage where the focus is on comfort rather than mobility.

D. Elevated blood pressure: This is unlikely to be the primary concern at this stage. Blood pressure is usually low, and interventions should be focused on comfort and symptom relief.

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse is developing a care plan for Mrs. Thompson who is in the end-of-life stage. After assessing the client, the nurse has identified several potential problems. Which of the following hypotheses should the nurse prioritize when planning care for this client?

Correct Answer is B

Explanation

A nurse is applying a cold compress for a client who has pain and minor swelling in a sutured laceration on the forearm. Which of the following assessments should the nurse use to determine whether the treatment is effective?

A nurse is providing preoperative teaching to a client about pain management using a patient-controlled analgesia (PCA) system. Which of the following three statements should the nurse include in the teaching? (Select all that apply.)

A home health nurse is conducting a safety assessment for a client with decreased vision due to glaucoma. Which of the following interventions should the nurse prioritize to ensure a safe home environment for the client? Select all that apply

A nurse is conducting a pain assessment for a client who reports discomfort. Which of the following actions is the most appropriate for the nurse to take to obtain a comprehensive understanding of the client's pain?

A nurse is assessing a client 15 min after administering morphine sulfate 2 mg via IV push. The nurse should identify which of the following findings as an adverse effect of the medication?

A nurse is teaching a class about spirituality in clients who are near the end of life. Which of the following information should the nurse include?

A nurse is assessing a client who reports acute pain. The nurse should anticipate which of the following findings?

A community health nurse is researching social determinants of health in the differing populations they serve. The nurse should identify which of the following factors place populations at the highest risk for negative health outcomes?