Nclex PN Questions and Answers

Extract:

Question 1 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?

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 2 of 5

A client asks a nurse about the procedure for becoming an organ donor. The nurse provides the client with which information?

A. To speak with the chaplain about the psychosocial aspects of becoming a donor B. That this decision must be made by the next of kin at the time of the client's death C. That anatomic gifts must be made in writing and signed by the client D. To let the health care provider know about the request so that it may be documented in the client's record

Correct Answer: C

Rationale: When a person wishes to become an organ donor, they need to understand that anatomic gifts must be made in writing and signed by the individual. The gift must be made by the donor themselves, typically an individual who is at least 18 years old. If the client is unable to sign, the document should be signed by another person and two witnesses. While speaking to a chaplain or informing the healthcare provider may be part of the process, the essential step is to have a written document signed by the client.
Choice A is incorrect as it does not address the procedural aspect of becoming an organ donor.
Choice B is incorrect as the decision to make an anatomic gift is typically made by the individual themselves, not the next of kin.
Choice D is incorrect as simply informing the healthcare provider is not sufficient for the procedure of becoming an organ donor; a written and signed document by the client is necessary.

Question 3 of 5

A client scheduled for a left mastectomy and axillary lymph node dissection is wearing a wedding band on her left ring finger. The nurse should take which action?

A. Tape the wedding band in place B. Ask the client to sign a release freeing the hospital of responsibility if the wedding band is lost during surgery C. Explain to the client why the wedding band must be removed D. Ask the client whether she would like to remove the wedding band or wear it to surgery

Correct Answer: C

Rationale: In most situations, a wedding band may be taped in place and worn during a surgical procedure. However, if there is a possibility that the client will experience swelling of the hand or fingers, the wedding band should be removed. On admission to a healthcare facility, the client is usually asked to sign a form that releases the agency from responsibility if a client's valuables are lost. After a mastectomy with axillary lymph node dissection, the client is at risk for lymphedema, which can result in swelling of the arm and hand on the affected side.
Therefore, the appropriate nursing action is to ask the client to remove the wedding band and explain why. This ensures the client's safety and prevents potential complications. Option A is incorrect because taping the wedding band may not be sufficient if swelling occurs. Option B is incorrect as it does not address the immediate need to remove the wedding band. Option D is incorrect because it fails to provide the client with the necessary information about the potential risks of wearing the wedding band during surgery.

Question 4 of 5

The nurse receives an assignment of three clients. Which of the following should the nurse consider as the highest priority when determining which client to assess first?

A. the client who most recently rang their call bell B. the client who has been waiting the longest for their call bell to be answered C. the client who is in the most pain D. the client who may have a risk for an airway obstruction

Correct Answer: D

Rationale: The nurse should prioritize assessing a client with a potential airway obstruction first based on the ABCs (airway, breathing, circulation) principle. Maintaining a clear airway is crucial for oxygenation and ventilation, making it the highest priority.

Choices A and B focus on call bells and waiting times, which are important but not life-threatening in comparison to airway concerns. While pain management is essential, it takes precedence after addressing immediate life-threatening issues like airway compromise.

Question 5 of 5

A nurse calls a health care provider to question a prescription written for a higher-than-normal dosage of morphine sulfate. The health care provider changes the prescription to a dosage within the normal range, and the nurse documents the new telephone prescription in accordance with the agency's guidelines in the client's record. Which other statement does the nurse document in the nursing notes?

A. The health care provider made a mistake in the written prescription for morphine sulfate. B. An inaccurate dosage of morphine sulfate was prescribed and the health care provider was informed. C. The health care provider was contacted to correct a mistake in the dosage of morphine sulfate. D. The health care provider was contacted to clarify the prescription for morphine sulfate

Correct Answer: D

Rationale: The nurse needs to document a factual, descriptive, and objective statement that does not include words indicating that an individual made a mistake or performed an incorrect action or procedure. If a health care provider's prescription must be questioned, the nurse should record that clarification regarding the prescription was sought.
Therefore, the correct statement to document is that the health care provider was contacted to clarify the prescription for morphine sulfate.

Choices A, B, and C imply errors or mistakes on the part of the health care provider, which is not the focus of the documentation in this scenario.

Nclex PN Questions and Answers - Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN