NCLEX-PN
NCLEX PN Test Bank Questions
Extract:
Question 1 of 5
In a centralized decision-making process within an organization, where is the authority to make decisions vested?
Correct Answer: B
Rationale: In a centralized decision-making process within an organization, the authority to make decisions is concentrated in a few individuals, such as the board of directors. This means that key decision-making power is held by a select group at the top of the organizational hierarchy.
Choices A, C, and D are incorrect because in a centralized structure, decision-making authority is not distributed among every employee, does not filter down to individual employees, and is not shared among all nursing employees, pharmacists, or hospital health care providers. Centralized decision-making implies a more top-down approach.
Question 2 of 5
A case manager is reviewing notations made in clients' records. Which note indicates an unexpected outcome and the need for immediate follow-up?
Correct Answer: A
Rationale: A case manager is responsible for coordinating a client's care and monitoring for unexpected outcomes. The situation that indicates an unexpected outcome and the need for immediate follow-up is when a client exhibits signs of increased intracranial pressure after a craniotomy. This indicates a deteriorating condition that requires urgent intervention.
Choices B, C, and D describe expected outcomes or normal findings related to specific conditions, which do not demand immediate follow-up.
Question 3 of 5
Why would a nurse employed at a hospital be asked by a nurse manager to review the organizational chart?
Correct Answer: B
Rationale: The correct answer is '
To be familiar with the organization's line of authority.' Organizational charts provide a visual representation of the chain of command, reporting relationships, and structure within an organization. This helps employees understand who they report to, who reports to them, and the overall hierarchy.
Choice A is incorrect because understanding the geographic area served is more about the organization's scope, not depicted in an organizational chart.
Choice C is incorrect as it relates to the organization's reason for existence, usually found in its mission statement.
Choice D is incorrect as beliefs and values are linked to the organization's culture, not typically shown in an organizational chart.
Question 4 of 5
Nail and foot care are essential in meeting the basic hygiene needs of clients. Important assessments by the nurse in this area include:
Correct Answer: C
Rationale: The correct answer is to assess the nail beds and the tissue surrounding the nails. This assessment is crucial to identify abnormal discoloration, lesions, paronychia, dryness, breaks in the skin, pressure areas, or any other unusual appearances.
Choice A is incorrect as a full-body assessment is broader and not specific to nail and foot care.
Choice B is incorrect as lab work is not directly related to nail and foot assessments.
Choice D is incorrect as it focuses only on foot corns and calluses, neglecting other important aspects of nail and foot care.
Question 5 of 5
A nurse is assisting with data collection of a client who has sustained circumferential burns of both legs. What should the nurse examine first?
Correct Answer: B
Rationale: The priority assessment for a client with circumferential burns to the legs is to examine peripheral pulses. This is essential to ensure adequate circulation to the extremities. Circumferential burns can lead to compartment syndrome, causing decreased circulation to the affected limbs. Checking peripheral pulses is crucial to monitor for any signs of compromised circulation. While heart rate and blood pressure are important assessments in general, in the context of circumferential burns, the immediate concern is the risk of impaired circulation to the extremities.
Therefore, assessing peripheral pulses takes precedence in this situation.