Nclex PN Questions and Answers

Question 1 of 5

The nurse in the emergency room is admitting a client who has sustained a gunshot wound and will require immediate surgery. The client is unconscious and by themselves. Which of the following actions is most appropriate?

A. Call the charge nurse and request that the facility's legal counsel provide a waiver for informed consent. B. Attempt to stabilize the client in the emergency room until they are conscious enough to provide informed consent. C. Try to locate the client's family to obtain informed consent before transporting the client to the operating room. D. Proceed with transporting the client to the operating room without obtaining informed consent.

Correct Answer: D

Rationale: In emergency situations where a client is unconscious and requires immediate surgery to save their life, the priority is to proceed with necessary interventions without delay to ensure the best possible outcome. Obtaining informed consent is essential in healthcare, but in situations where a delay in treatment can be life-threatening, healthcare providers are ethically and legally permitted to proceed with treatment without consent. Attempting to stabilize the client until conscious enough to provide consent or trying to locate family members for consent would cause a dangerous delay in critical care.
Therefore, the most appropriate action in this scenario is to transport the unconscious client to the operating room for immediate surgery.

Question 2 of 5

Which of the following activities is not part of client advocacy?

A. involving the client in treatment and decision-making B. standing up for what is right for the client C. sharing your personal opinions to help provide additional information D. encouraging the client to advocate for themselves

Correct Answer: C

Rationale: The correct answer is 'sharing your personal opinions to help provide additional information.' Client advocacy involves supporting the client's autonomy and choices. It is essential for the nurse to involve the client in treatment and decision-making (
Choice
A) to ensure their preferences are considered. Standing up for what is right for the client (
Choice
B) is also a crucial aspect of advocacy, ensuring their rights and well-being are protected. Encouraging the client to advocate for themselves (
Choice
D) empowers the client to express their needs. However, sharing personal opinions (
Choice
C) may influence the client's decision-making process and is not a recommended practice in client advocacy, as it can compromise the client's autonomy.

Question 3 of 5

During shift change, a nurse is giving report to the oncoming LPN. Which of these is an inappropriate way to give shift report?

A. The nurse gives report to the oncoming LPN, checking a wound vac and dressing together. B. The nurse reports in SBAR format, noting that the client was noncompliant with their diet during the shift. C. The nurse reports in the hallway, in SBAR format, and alerts the oncoming LPN about how rude the client was throughout the shift. D. The nurse reports at bedside with the oncoming LPN and discusses the client's concerns after the chart has been reviewed.

Correct Answer: C

Rationale: The correct answer is 'The nurse reports in the hallway, in SBAR format, and alerts the oncoming LPN about how rude the client was throughout the shift.' This choice is inappropriate because shift report should be given at the bedside, in SBAR format, and in an objective way. It is important to maintain professionalism and focus on the client's condition and care needs, rather than personal opinions or subjective comments. Reporting in the hallway may compromise patient privacy and confidentiality.

Choices A, B, and D demonstrate appropriate ways of giving shift report by focusing on relevant information, using SBAR format, and discussing client concerns after reviewing the chart, which promotes effective communication and continuity of care.

Question 4 of 5

A health care provider informs a nurse that the husband of an unconscious client with terminal cancer will not grant permission for a do-not-resuscitate (DNR) order. The health care provider tells the nurse to perform a 'slow code' and let the client 'rest in peace' if she stops breathing. How should the nurse respond?

A. Telling the health care provider that the client would probably want to die in peace B. Telling the health care provider that if the client stops breathing, the health care provider will be called before any other actions are taken C. Telling the health care provider that all of the nurses on the unit agree with this plan D. Telling the health care provider that 'slow codes' are not acceptable

Correct Answer: D

Rationale: The nurse may not violate a family's request regarding the client's treatment plan. A 'slow code' is not acceptable, and the nurse should state this to the health care provider. The definition of a 'slow code' varies among health care facilities and personnel and could be interpreted as not performing resuscitative procedures as quickly as a competent person would. Resuscitative procedures that are performed more slowly than recommended by the American Heart Association are below the standard of care and could therefore serve as the basis for a lawsuit. The other options are inappropriate: Option A is speculative and does not address the issue directly; Option B does not challenge the unethical practice of a 'slow code'; Option C is irrelevant and does not address the ethical concerns raised by the health care provider's request.

Question 5 of 5

The LPN needs to delegate a task to the nurse aide who is new to the unit. Which of these is the best option for the nurse to choose in proceeding?

A. Delegate the task to the nurse aide, confirm understanding, and follow up to ensure the task was safely and correctly done. B. Delegate the task to the nurse aide, watch them perform the task without them seeing you, and follow up to ensure the task was done safely and accurately. C. Delegate the task to the nurse aide, supervise if needed, and check in after the task to see if help is needed. D. Delegate the task to the nurse aide, ensure understanding of the task, and supervise the task being performed.

Correct Answer: B

Rationale: Delegation is transferring responsibility for a task but sharing its accountability. It is the delegator's responsibility to ensure that the delegatee understands the task before it is performed and to follow up afterward to ensure it was completed correctly and safely. Option B is the best choice because it allows the nurse to observe the nurse aide performing the task without pressure, which can provide insights into the aide's abilities and understanding. This method also allows for immediate feedback and correction if needed.

Choice A is incorrect because confirming understanding alone may not provide a complete picture of the aide's competence in performing the task.
Choice C is incorrect as it suggests supervising only if needed, which may not provide adequate oversight for a new nurse aide.
Choice D is incorrect because supervising the task being performed does not allow for an objective assessment of the aide's abilities and understanding.

Nurselytic

NCLEX-PN

NCLEX-PN