Nclex PN Questions and Answers

Extract:

Question 1 of 5

A client with leukemia is being considered for a bone marrow transplant. The healthcare team is discussing the risks and benefits of this treatment and other possible treatments with the goal of inflicting the least possible harm on the client. Which principle of healthcare ethics is the team practicing?

Correct Answer: B

Rationale: The correct answer is B: Nonmaleficence. Nonmaleficence is the principle of avoiding harm. In healthcare ethics, practitioners aim not only to do good but also to ensure they do no harm. In this scenario, the healthcare team is discussing treatment options with the intention of inflicting the least harm on the client.
Choice A, Fidelity, refers to keeping promises made to clients, families, and healthcare professionals.
Choice C, Autonomy, pertains to respecting a person's independence and right to make decisions.
Choice D, Justice, involves fairness, equity, and the fair allocation of resources, such as healthcare services.

Question 2 of 5

Which of the following is not an advanced directive?

A. informed consent B. living will C. durable power of attorney for health care D. health care proxy

Correct Answer: A

Rationale: Informed consent is the process of obtaining permission from a patient before conducting a healthcare intervention. It is not considered an advanced directive. A living will is a legal document that outlines a person's preferences for medical treatment if they are unable to communicate. A durable power of attorney for health care designates a person to make medical decisions on behalf of the patient. A health care proxy, which is another term for a durable power of attorney for health care, also involves appointing someone to make healthcare decisions for an individual if they become unable to do so.
Therefore, the correct answer is 'informed consent,' as it is not an advanced directive but rather a different aspect of patient care.

Question 3 of 5

Which is the correct order regarding the hierarchy of members of the nursing team from least authority to highest authority?

A. LPN, staff nurse, charge nurse, nurse manager B. Staff nurse, LPN, nurse manager, charge nurse C. LPN, staff nurse, charge nurse, nurse manager D. LPN, staff nurse, charge nurse, nurse manager

Correct Answer: C

Rationale: The correct hierarchy order from least to highest authority in the nursing team is LPN (Licensed Practical Nurse), staff nurse, charge nurse, and nurse manager. LPNs have the least authority, followed by staff nurses who are supervised by charge nurses. Nurse managers oversee the charge nurses, making them the highest authority in this hierarchy.
Therefore, choices A, B, and D are incorrect as they do not follow the correct order of authority within the nursing team.

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

An LPN is working on the care plan for a client with diabetes mellitus. Which of these outcomes would be the most appropriate?

A. The client will maintain a blood glucose level within the normal range of 70-110 (per facility policy) throughout my shift. B. The client will maintain a blood glucose level within normal range limits today. C. The client will maintain a blood glucose level within the normal range of 70-110 (per facility policy) throughout my shift. D. The client will maintain a blood glucose level within normal limits throughout my shift.

Correct Answer: C

Rationale: The correct answer is 'The client will maintain a blood glucose level within the normal range of 70-110 (per facility policy) throughout my shift.' This outcome is specific, measurable, and aligns with the goal of managing diabetes mellitus.
Choice A is correct because it provides a clear target range (70-110) and includes adherence to facility policy, making it precise and goal-oriented.
Choice B lacks specificity on the timeframe, and
Choice D is vague in defining the target blood glucose range. In nursing care plans, outcomes should be well-defined, achievable, and measurable to effectively monitor the client's progress in managing their condition.

Nclex PN Questions and Answers - Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN