Saunders NCLEX RN Practice Questions - Nurselytic

Correct Answer: A

Rationale: The correct answer is A: A nurse is injured from using incorrect body mechanics to lift a client. Occupational health nurse consultation would be necessary in this situation to assess the nurse's injury, provide appropriate care, and prevent future injuries. This aligns with the role of occupational health nurses in promoting workplace safety and employee health.


Choice B is incorrect because receiving a subpoena to testify in court does not directly relate to the need for an occupational health nurse consultation.


Choice C is incorrect as it involves the client needing assistance with rehabilitation and surgery, which would typically involve medical professionals other than occupational health nurses.


Choice D is also incorrect as implementing a new electronic health record system does not necessitate an occupational health nurse consultation.

Correct Answer: C

Rationale: The correct answer is C because using eye contact and maintaining an open stance while the client is talking demonstrates active listening. Eye contact shows attentiveness and respect, while an open stance conveys empathy and receptiveness. This non-verbal communication encourages the client to feel heard and understood, fostering a therapeutic relationship.


Choice A is incorrect because using humor may not always align with the client's feelings or be perceived as appropriate.
Choice B is incorrect as restating what the client said is a form of paraphrasing, not active listening.
Choice D is incorrect because providing personal information can shift the focus away from the client's needs and may breach professional boundaries.

Correct Answer: A

Rationale: The correct answer is A because beneficence refers to the ethical principle of doing good and promoting the well-being of the patient. Providing pain medication to a client in the recovery room aligns with this principle as it aims to alleviate suffering and improve the client's comfort. This action demonstrates a commitment to the client's best interests and upholds the duty of care.


Choice B is incorrect because it relates to autonomy, where the client's wishes regarding medical treatment are respected.
Choice C is incorrect as it violates the principle of veracity by withholding important information from the family.
Choice D is incorrect as it goes against beneficence by not addressing the client's pain adequately.

Correct Answer: A

Rationale: The correct answer is A: Perform the count again. The nurse should double-check the count to ensure accuracy before taking further action. Performing the count again helps to rule out any possible errors in the initial count. This step ensures that the discrepancy is not due to a simple mistake or oversight. Contacting the pharmacy (
B), checking with the last nurse who signed out narcotics (
C), or notifying the house supervisor (
D) should be done after confirming the discrepancy through a recount. The first action should always be to verify the count internally before involving external parties or escalating the issue.

Correct Answer: A

Rationale: The correct answer is A: The approximate length of the surgery. This is the priority topic to instruct the client on admission because knowing the duration of the surgery helps manage the client's expectations and anxiety levels. Understanding the length of the procedure also allows the client to plan for post-operative care and recovery.


Choice B: The type of anticoagulants is important but not as critical on admission as knowing the surgery duration.
Choice C: The time of the next meal is important for preoperative fasting but not as crucial as understanding the surgery length.
Choice D: The length of time until the client can return to work is important, but it is a secondary concern compared to the immediate surgical procedure.