Nclex Exam Cram Practice Questions - Nurselytic

Correct Answer: A

Rationale: The correct answer is hepatitis A. Hepatitis A does not produce a carrier state after its acute phase. It is transmitted via contaminated water or food through the oral-fecal route and is not blood-borne. Hepatitis B, choice B, can lead to a carrier state where the person remains infectious despite being asymptomatic. Hepatitis C, choice C, can also result in a chronic carrier state. Hepatitis D, choice D, is an incomplete virus that requires hepatitis B to replicate; it does not lead to a carrier state on its own.

Correct Answer: D

Rationale: In this scenario, the appropriate member of the healthcare team to plan the discharge and transition from the hospital to the rehabilitation facility is the social worker. Social workers are trained to provide counseling services, emotional support, arrange placements in care facilities, and locate financial resources for clients. While clergy provide spiritual support and guidance, physical therapists assist in physical treatments, and occupational therapists help with activities of daily living, the social worker is best suited to address the client's needs related to discharge planning and transition.
Therefore, the correct answer is the social worker.

Correct Answer: D

Rationale: The five rights of medication administration are dose, client, drug, route, and time. The correct answer is 'routine' as it is not commonly recognized as one of the essential rights in medication administration.
Choice A, client, is necessary to ensure the right medication is administered to the right individual.
Choice B, drug, is crucial to confirm the correct medication is given.
Choice C, dose, is essential to ensure the right amount of medication is administered.
Choice D, routine, is not typically included in the five rights of medication administration and is therefore the correct answer.

Correct Answer: C

Rationale: Client and family communication and education concerning restraints are essential to encourage cooperation. When the client and family understand the purpose and expected benefits of restraints, they are more likely to cooperate. This understanding can help prevent well-meaning family members from releasing restraints due to confusion or lack of information.
Therefore, choice C is correct.

Choices A, B, and D are incorrect because confusing both groups further, helping with coping and stress levels, and shifting responsibility to the client and family are not the primary goals of communication and education concerning restraints.

Correct Answer: D

Rationale: Effective delegation depends on clear, concise direction that leaves no room for question or interpretation on the part of the one being delegated to. In this scenario, the most appropriate direction is to ensure the urine specimen is collected promptly and delivered to the lab immediately.
Choice A is too vague and does not specify the urgency required.
Choice B does not emphasize the immediate need for the specimen to be delivered.
Choice C introduces unnecessary medical information that is beyond the scope of a nursing assistant and may cause confusion.
Therefore, choice D is the correct answer as it provides clear instructions for immediate action without room for misunderstanding.