Saunders NCLEX RN Practice Questions - Nurselytic

Correct Answer: A

Rationale: The correct answer is A: The client is an emancipated minor. Emancipated minors are legally considered adults and have the right to make their own medical decisions without parental involvement. In this case, since the 16-year-old is emancipated, the mother's participation in discharge planning may be prohibited.


Choice B is incorrect because the mother's work schedule does not necessarily prohibit her from participating in discharge planning.
Choice C is irrelevant as the client having a job and a driver's license does not impact the mother's ability to participate.
Choice D, the mother not speaking English, may present a communication barrier but does not inherently prohibit her from participating.

Correct Answer: C

Rationale: The correct answer is C: Randomized controlled trial (RCT). In an RCT, participants are randomly assigned to either the intervention group or the control group, ensuring that both groups are similar at the start of the trial. This minimizes bias and allows for comparing the outcomes of the intervention group with the control group. This design helps establish a cause-effect relationship between the intervention and the outcomes.


Choice A (Experimental design) is not specific enough as there are various types of experimental designs.
Choice B (Double-blind experiment) refers to a study where neither the participants nor the researchers know who is receiving the intervention, which is not the case here.
Choice D (Repeated measures design) involves measuring the same participants at different time points, not separating them into different groups.

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.

Correct Answer: C

Rationale: The correct answer is C: 162/86. The first sound heard corresponds to the systolic pressure (top number) and the second sound heard corresponds to the diastolic pressure (bottom number).
Therefore, the blood pressure is documented as systolic/diastolic. In this case, the first sound at 162 indicates the systolic pressure, and the second sound at 86 indicates the diastolic pressure. Alternatives A (86/162) is incorrect as systolic pressure always comes first. B (irregular and high) is incorrect as the blood pressure values are within normal range. Option D (normal for people of all ages) is incorrect because the blood pressure should be documented as per standard practice, regardless of age.

Correct Answer: A

Rationale: The correct answer is A because documenting the client's own words provides direct evidence of their condition and thought process at the time of the incident. This helps in understanding the client's perspective and decision-making, which is crucial for providing appropriate care and preventing future falls.


Choice B is incorrect because while it may be important to document how the fall happened and when the physician was notified, it does not directly capture the client's own words and thoughts.


Choice C is incorrect as it focuses on the conditions of the room rather than the client's own account of the situation.


Choice D is also incorrect as it pertains to the client's medical history and medications, which are important but not directly relevant to documenting the client's immediate situation and actions.