Transition, Discharge and System Navigation
NCLEX- Style Questions
NCLEX- Style Questions
Question 1
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The nurse is preparing Mrs. Rossi for discharge following her hospitalization for a gastrointestinal (GI) bleed. She speaks limited English, and smiles and nods during the discharge teaching. Which nursing actions ensure safe discharge planning? (Select all that apply.)
- Involve a family member or caregiver to reinforce discharge teaching.
- Request teach-back from Mrs. Rossi to verify she understands how to take her medication.
- Give Mrs. Rossi discharge papers written in English since she can read some basic words.
- Provide written discharge instructions in Mrs. Rossi’s preferred language.
- Use a professional interpreter to confirm Mrs. Rossi’s understanding of discharge instructions.
- Assume that Mrs. Rossi’s nodding and smiling indicate comprehension.
Question 2
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Question 3
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The nurse and patient are collaborating with other healthcare providers as members of the interprofessional team during the discharge preparation process. Which action best reflects the RN’s role in the interprofessional discharge process?
- Removing Mrs. Rossi’s IV and helping her change into her personal clothes, assuming she understands the discharge instructions since she is smiling and nodding.
- Relying on the pharmacist to educate Mrs. Rossi about her medications, as they are the medication experts.
- Consulting with the physician and other members of the interprofessional team if there are concerns about the patient’s discharge readiness.
- Ensuring an interpreter is available to confirm Mrs. Rossi understands her medications and follow-up care before discharge.
- Accepting the physician’s discharge plan without further assessment, as the team has already discussed the patient’s readiness for discharge.
Question 4
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The nurse is evaluating barriers that may have led to Mrs. Rossi’s readmission for another gastrointestinal (GI) bleed. Which three factors most likely contributed to her deterioration? (Select 3.)
- Mrs. Rossi did not take her medication as prescribed at home.
- Mrs. Rossi was not properly transitioned from IV to oral pantoprazole.
- Mrs. Rossi may not have fully understood her discharge instructions due to a language barrier and the team not using a translator during the discharge instructions teaching.
- Mrs. Rossi was discharged too early before demonstrating ability to handle and eat a full solid meal.
- Mrs. Rossi did not attend her follow-up appointment with the specialist in the community.
Question 5
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Question 6
