NCLEX-PN
Nclex PN Questions and Answers Questions
Extract:
Question 1 of 5
During an emergency procedure, is the surgical timeout a requirement?
Correct Answer: A
Rationale: During an emergency procedure, the surgical timeout should be performed unless doing so would cause a delay leading to injury or death. This is because the primary goal during an emergency is to swiftly address the critical situation.
Choice B is incorrect as it implies that the timeout is not necessary, which is not accurate.
Choice C is also incorrect as it suggests that the timeout is not required in emergency procedures, disregarding safety protocols.
Choice D is incorrect as it wrongly states that the timeout must be performed in all cases without considering the potential risks associated with delays during emergencies.
Question 2 of 5
Which of the following provides the framework for confidentiality and the client's right to privacy?
Correct Answer: A
Rationale: The correct answer is the Health Insurance Portability and Accountability Act (HIPA
A). HIPAA is the federal statute that outlines client confidentiality and the client's right to privacy. It establishes national standards to protect individuals' medical records and personal health information. The American Nurses Association Code of Ethics emphasizes principles of nursing ethics but does not serve as a legal framework for confidentiality and privacy. CDC Surveillance Programs focus on disease surveillance and control at a public health level and are not directly related to individual client privacy. The durable power of attorney for health care pertains to granting legal decision-making authority to another individual in healthcare matters, rather than addressing confidentiality and privacy rights.
Question 3 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 4 of 5
Which action by the nurse represents the ethical principle of benevolence?
Correct Answer: A
Rationale: Benevolence is taking action to help others. In this scenario, administering an immunization to a child, even though it may cause discomfort, aligns with the principle of benevolence as the benefits of protection from disease outweigh the temporary discomfort. Fidelity refers to keeping promises made to clients, families, and other healthcare professionals. Autonomy is a person's independence, and respecting autonomy means agreeing to respect an individual's right to determine their course of action. Justice refers to fairness and equity, including the fair allocation of resources, such as nursing care for all clients.
Choice B is incorrect as it pertains more to the ethical principle of beneficence rather than benevolence, which focuses on doing good for others without an expectation of something in return.
Choices C and D are incorrect as they do not directly align with the principle of benevolence.
Question 5 of 5
A nurse and a nursing assistant enter a client's room to provide care and find the client lying on the floor. Which action should the nurse take first?
Correct Answer: B
Rationale: When a client sustains a fall, the nurse must first assess the client. The nurse should check the client's level of consciousness and vital signs to determine the severity of the situation and provide appropriate care promptly. This immediate assessment is crucial in ensuring the client's immediate needs are addressed. Asking the nursing assistant to complete an incident report (choice
A) is not the priority as the client's condition needs immediate attention. Contacting the unit secretary to call the client's health care provider (choice
C) can be done after the initial assessment has been completed. Asking the nursing assistant to assist in getting the client back to bed (choice
D) should only be considered after ensuring the client is stable and safe to move.