What is the main purpose of the NCLEX examination?

Correct Answer: D

Rationale: The main purpose of the NCLEX examination is to ensure the safety of the public. The exam assesses if a candidate has the knowledge and skills necessary to provide safe and effective nursing care. It is designed to protect the public by ensuring that only competent individuals are granted nursing licensure. This is crucial in maintaining high standards of healthcare and safeguarding patients' well-being. Incorrect answers: A: Ensuring that individuals have passed nursing classes is not the main purpose of the NCLEX. Passing nursing classes is a prerequisite for taking the exam but not its primary goal. B: Providing assurance that nursing schools are part of the service agency is not the main purpose of the NCLEX. The exam focuses on individual competency rather than accrediting nursing schools. C: Enabling potential students to determine the best nursing schools is not the main purpose of the NCLEX. The exam does not rank or rate nursing schools; its primary aim is to evaluate individual readiness for nursing practice.

Correct Answer: C

Rationale: The correct answer is C because the director should follow the institution's formal process for reporting and handling practices that jeopardize patient safety. This is crucial to maintain high standards of patient care and ensure accountability. Choice A is incorrect as tolerating incompetence can lead to serious consequences for patient safety. Choice B is incorrect as incompetence can impact patient outcomes and overall quality of care. Choice D is incorrect as nurse practice acts may provide guidelines but the institution's specific process should be followed to address incompetence effectively.

Correct Answer: C

Rationale: The correct answer is C: Planning. In the ethical decision-making process, after identifying the decision makers involved, the next step is to plan the course of action to address the dilemma. This involves considering various options, weighing the pros and cons, and formulating a strategy to resolve the ethical issue. The other choices are incorrect because: A: Assessment - This step involves gathering information and data to fully understand the ethical issue at hand. B: Diagnosis - This step involves analyzing the information collected during the assessment phase to identify the root cause of the ethical dilemma. D: Implementation - This step comes after planning and involves putting the chosen course of action into practice.

Correct Answer: C

Rationale: The correct answer is C because connecting with the public to encourage healthy behaviors is a potential benefit of social media. It allows healthcare professionals to reach a wider audience and promote positive health practices. Choice A is inappropriate as it may violate patient confidentiality. Choice B is more focused on individual clients rather than a broader public health approach. Choice D may also risk violating patient privacy and lacks the educational aspect of promoting healthy behaviors.

Correct Answer: C

Rationale: The correct answer is C: Negligence. Negligence involves a breach of duty of care that results in harm or injury to another person. In this scenario, the RN failed to check on the patient for several hours despite administering insulin and knowing the patient's condition. This failure to provide proper monitoring and care directly led to the patient becoming unresponsive with critically low blood glucose levels. Choice A, quasi-intentional tort, involves intentional actions that result in harm, which is not applicable in this scenario. Choice B, misdemeanor, refers to a criminal offense of a lesser degree, not a charge that would typically apply to this situation. Choice D, juvenile offense, is not relevant as the RN's actions are not related to the age of the individual involved.