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jadal jadal
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6 years ago
In the National Council Licensure Examination for Registered Nurses (NCLEX-RN) exam test plan,
 
  client needs form the organizing framework of the exam with questions in four categories: safe and effective care environment, health promotion and maintenance, psychosocial integrity, and physiologic integrity. Certain processes are then integrated throughout the categories of client needs. Which process is integrated into all client need categories?
  a. Teaching/learning
  b. Health promotion
  c. Infection control
  d. Pharmacology



On the basis of changes effective with the April 2010 test plan, candidates who take the NCLEX-RN exam:
 
  a. will have to answer more than 75 questions to be 95 certain that they are above the passing standard.
  b. will be required to submit a 100-word essay on an important nursing topic to evaluate safe nursing practice.
  c. should study and take practice examinations written at the application and analysis level to ensure that they can meet the higher standards of nursing care and health care delivery.
  d. will have additional time to complete the examination because most questions will be prepared in the alternate format, thereby requiring critical thinking.



A candidate who is taking the NCLEX-RN exam received only 75 questions before the test was stopped.
 
  She called her professor and stated, I passed. I had to answer only 75 questions. The professor correctly responds by saying:
  a. You are now officially licensed; you answered the more difficult questions correctly.
  b. It is possible to receive only 75 questions and not be successful; however, we will keep a positive attitude.
  c. If you were given only 75 questions, you will have to retest because this is not enough to determine competency.
  d. You must have been extremely close to the passing standard because the computer shut off.



A patient is brought to the unit with mediastinal chest tubes with no fluctuation in the water seal chamber; arterial blood gas results reveal pH, 7.55; CO2, 55; HCO, 28 mEq/L, and O2, 98.
 
  Carotid artery pulsation is visible with the head of the bed elevated and the use of tangential lighting. The first action of the nurse is to:
  The above question represents which level of Bloom's taxonomy?
  a. Knowledge
  b. Comprehension
  c. Application
  d. Analysis
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6 years ago
ANS: A
Correct: Teaching and learning are the processes that are integrated, along with the nursing process, caring, communication, and documentation.
Incorrect:
b. Health promotion is a category of client need.
c. Infection control is a category of client need.
d. Pharmacology is a category of client need.

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ANS: C
Correct: In April 2007, the difficulty of the examination was increased, which would require higher cognitive level questions at the application and analysis level.
Incorrect:
a. The difficulty of the questions, not the number of questions, has increased.
b. Essays are not part of the new testing plan.
d. The time limit is not affected by the new testing plan.

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ANS: B
Correct: Seventy-five questions is the minimum number of questions that can determine 95 competency of the candidate; however, receiving 75 questions can indicate that the candidate passed and was able to answer a broad range of questions covering the nursing process at higher cognitive levels, or it can mean that the candidate failed, answered even the lowest cognitive level questions incorrectly, and was unprepared in area/s of the nursing process.
Incorrect:
a. Although answering only 75 questions is promising and the applicant was most likely successful, it is not always an indication of passing.
c. Seventy-five questions can determine 95 competency of the candidate.
d. The computer would not shut off at 75 questions; it would continue until time runs out or the maximum number of questions is provided, should the candidate be close to the passing range.

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ANS: D
Correct: In analysis the candidate must make a judgment call after determining relationships among data.
Incorrect:
a. Knowledge requires simply recalling information and does not require understanding or judgment.
b. In comprehension the information is not restated but instead requires the candidate to make a judgment.
c. In application the candidate is not being asked to apply information in a new context.
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