Nclex Exam Cram Practice Questions - Nurselytic

Correct Answer: D

Rationale: In this scenario, the appropriate member of the healthcare team to plan the discharge and transition from the hospital to the rehabilitation facility is the social worker. Social workers are trained to provide counseling services, emotional support, arrange placements in care facilities, and locate financial resources for clients. While clergy provide spiritual support and guidance, physical therapists assist in physical treatments, and occupational therapists help with activities of daily living, the social worker is best suited to address the client's needs related to discharge planning and transition.
Therefore, the correct answer is the social worker.

Correct Answer: D

Rationale: After gastric resection, meals high in carbohydrates are more likely to cause rapid emptying of the stomach. Carbohydrates stimulate the release of gastrin, which accelerates gastric emptying. On the other hand, high-fat and high-protein meals tend to delay gastric emptying. A large meal, regardless of nutrient content, can also delay gastric emptying due to the increased volume of food that needs to be processed.

Correct Answer: A

Rationale: In providing end-of-life care, nurses must possess essential competencies. Demonstrating respect and compassion, along with applying knowledge and skills in caring for both the family and the client, are crucial competencies. These skills help create a supportive and empathetic environment for individuals facing end-of-life situations.
Choice B is incorrect because while assessing and intervening are important, they do not encompass the core competencies required for end-of-life care.
Choice C is also incorrect; although setting goals and expectations is valuable, the primary focus should be on providing compassionate care.
Choice D is incorrect as withholding sad news goes against the principles of honesty and transparency in end-of-life care.

Correct Answer: D

Rationale: Negligent acts in nursing include various errors that can harm the client, such as medication errors, intravenous therapy errors, burns, falls, failure to use aseptic technique, failure to provide adequate monitoring, and failure to report significant changes in a client's condition. In this scenario, using clean gloves to change a gastrostomy tube dressing is a negligent act because sterile gloves should be used when changing a dressing over broken skin.

Choices A, B, and C are not negligent acts as they involve appropriate nursing actions: giving a verbal report, checking neurological signs, and contacting a healthcare provider about a change in a client's blood pressure.

Correct Answer: B

Rationale: The correct answer is to promote healthy nutritional practices. This goal focuses on preventive measures to address the client's nutritional risk. Providing oxygen (
Choice
A) is not directly related to addressing nutritional problems. Treating complications of malnutrition (
Choice
C) involves addressing the consequences rather than preventing or managing the nutritional problems. Increasing weight (
Choice
D) would only be appropriate if the client is underweight; it does not address the broader aspect of promoting overall healthy nutritional practices.