NCLEX-PN
Nclex PN Questions and Answers Questions
Extract:
Question 1 of 5
A nurse enters a client's room to administer a medication that has been prescribed by the health care provider. The client asks the nurse about the medication. Which response by the nurse is appropriate?
Correct Answer: B
Rationale: A client has the right to be informed of the medication name, purpose, action, and potential undesirable effects of a prescribed medication. The nurse should provide adequate information to the client.
Choice B is the correct answer as it includes the medication name, its purpose (promoting urination and eliminating excess fluid), and a potential side effect (alteration in electrolyte levels) with a plan for managing it (increasing potassium in the diet). This response demonstrates thorough and complete information.
Choice A provides some information but lacks details on potential side effects and dietary adjustments.
Choice C is vague and does not provide specific details about the medication.
Choice D deflects the client's question and does not fulfill the client's right to information.
Question 2 of 5
An advance directive is written and notarized according to law in the state of Colorado. This document is legal and binding:
Correct Answer: B
Rationale: The correct answer is 'in the state of Colorado only.' Advance directive protocols and documents are specific to each state's laws and regulations.
Choice A is incorrect as advance directives are not universally recognized internationally.
Choice C is incorrect as the legal validity of an advance directive is limited to the state in which it was created.
Choice D is incorrect as the legal reach of an advance directive typically extends throughout the state of origination, not just the county.
Question 3 of 5
Which action exemplifies the use of evidence-based practice in the delivery of client care?
Correct Answer: C
Rationale: Evidence-based practice is an approach to client care where the nurse integrates the client’s preferences, clinical expertise, and the best research evidence to deliver quality care. Donning sterile gloves to change an abdominal wound dressing exemplifies evidence-based practice as it prevents the entrance of harmful bacteria into the wound, following best practice guidelines. The other options do not align with evidence-based practice. Advising a client to agree to a treatment does not involve integrating research evidence. Taking herbal substances may not be supported by strong research evidence and can pose risks. Additionally, rectal temperature-taking in a client with bleeding precautions can increase the risk of injury to the rectal mucosa, not aligning with best practices in care delivery.
Question 4 of 5
A nurse enters a client's room to administer a medication that has been prescribed by the health care provider. The client asks the nurse about the medication. Which response by the nurse is appropriate?
Correct Answer: B
Rationale: A client has the right to be informed of the medication name, purpose, action, and potential undesirable effects of a prescribed medication. The nurse should provide adequate information to the client.
Choice B is the correct answer as it includes the medication name, its purpose (promoting urination and eliminating excess fluid), and a potential side effect (alteration in electrolyte levels) with a plan for managing it (increasing potassium in the diet). This response demonstrates thorough and complete information.
Choice A provides some information but lacks details on potential side effects and dietary adjustments.
Choice C is vague and does not provide specific details about the medication.
Choice D deflects the client's question and does not fulfill the client's right to information.
Question 5 of 5
People-related supervisory tasks include all of the following except:
Correct Answer: C
Rationale: People-related supervisory tasks involve direct interaction with individuals performing the work. Coaching, encouraging, rewarding, evaluating, and facilitating are all part of these tasks as they focus on supporting and motivating employees. Target setting, on the other hand, is a task-centered responsibility that involves projecting goals or objectives to be accomplished. It focuses more on setting objectives and goals rather than directly interacting with individuals, making it the exception among the given choices.