Nclex Exam Cram Practice Questions - Nurselytic

Correct Answer: A

Rationale: Informed consent is a person's agreement to allow something, such as a treatment, to be performed. A consent form is required even if the problem is a sexually transmitted infection. If the client is a minor, the minor may sign the informed consent form in specific situations, including seeking treatment for a sexually transmitted infection. In this case, the 17-year-old client is seeking examination and treatment for a sexually transmitted infection, so she will need to sign the informed consent form. Contacting her parents for permission is not required in this situation.
Choice C is incorrect because a consent form is necessary regardless of the medical issue.
Choice D is incorrect because the individual's age is not the determining factor; rather, it is the nature of the medical service being sought that dictates the need for informed consent.

Correct Answer: D

Rationale: The five rights of medication administration are dose, client, drug, route, and time. The correct answer is 'routine' as it is not commonly recognized as one of the essential rights in medication administration.
Choice A, client, is necessary to ensure the right medication is administered to the right individual.
Choice B, drug, is crucial to confirm the correct medication is given.
Choice C, dose, is essential to ensure the right amount of medication is administered.
Choice D, routine, is not typically included in the five rights of medication administration and is therefore the correct answer.

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: A

Rationale: The correct action for a client with major head trauma receiving bolus enteral feeding is to measure intake and output (I&O). Enteral feedings are hyperosmotic agents that can cause fluid shifts. Monitoring I&O is crucial to assess fluid balance, ensuring that input matches output. Checking albumin levels (choice
B) is important for assessing nutritional status but is not the immediate priority in this situation. Monitoring glucose levels (choice
C) is also important but not as critical as measuring I&O in this context. Increasing enteral feeding (choice
D) should only be done based on a healthcare provider's order after assessing the patient's condition, not as the most important nursing order at this time.

Correct Answer: B

Rationale: The correct answer is 'serving as the expert for resource utilization.' While physicians play a crucial role in case management, their primary focus is on medical diagnosis and treatment rather than resource utilization.

Choices A, C, and D are all roles that physicians typically fulfill in case management. A physician participating in interdisciplinary planning for clients ensures comprehensive care, consulting with the case management team helps in coordinating timely orders, and contributing to the documentation of a client's needs for services aids in providing appropriate care.
Therefore, serving as the expert for resource utilization does not align with the primary responsibilities of a physician in case management.