Nclex PN Questions and Answers

Extract:

Question 1 of 5

What is a true statement about post-discharge follow-up?

Correct Answer: A

Rationale: The correct statement is that the nurse should ensure the client is educated on their discharge instructions. This is crucial to promote continuity of care and prevent adverse events. The responsibility of educating the client falls on the nurse, not assuming stability without a follow-up visit. While the physician may prescribe medications, it is the nurse's responsibility to ensure the client has them before discharge. Instructing the client to bring up questions at a follow-up appointment is not ideal; all questions should be addressed before discharge to ensure the client's understanding and compliance.

Question 2 of 5

A client being treated for sickle cell disease has an order for pain medication. Morphine was ordered, but the nurse is having difficulty deciphering the dose. The nurse should ____.

A. ask the attending physician to clarify the order, including the correct medication, dose, route, and frequency B. call the charge nurse to inform the attending physician and verify the order, including the correct medication, dose, route, and frequency C. call the attending physician to verbally verify the order, including the correct medication, dose, route, and frequency D. refrain from administering the medication until the charge nurse can assist in determining the correct dosage

Correct Answer: C

Rationale: In this scenario, when a nurse encounters difficulties in deciphering an order, the appropriate action is to contact the attending physician directly to clarify and verify the medication, dose, route, and frequency. It is crucial for the nurse to have a clear understanding of the order before administering any medication to ensure patient safety and proper treatment. Option A is incorrect as it suggests asking the attending physician to clarify without specifying the urgency of the situation. Option B involves an unnecessary additional step by first contacting the charge nurse before reaching out to the attending physician, potentially delaying the clarification process. Option D is incorrect as it advises refraining from administering the medication, which may not be necessary if the correct dosage can be promptly verified by contacting the attending physician.

Question 3 of 5

A nurse on the night shift is making client rounds. When the nurse checks a client who is 97 years old and has successfully been treated for heart failure, he notes that the client is not breathing. If the client does not have a do-not-resuscitate (DNR) order, the nurse should take which action?

A. Administer cardiopulmonary resuscitation (CPR) B. Call the client's health care provider C. Administer oxygen to the client and call the health care provider D. Contact the nursing supervisor for directions

Correct Answer: A

Rationale: Administering cardiopulmonary resuscitation (CPR) is the appropriate action when a client is not breathing and does not have a do-not-resuscitate (DNR) order. CPR is considered an emergency treatment that can be provided without client consent in life-threatening situations. Calling the health care provider or nursing supervisor for directions, as well as administering oxygen without addressing the lack of breathing, would delay critical life-saving interventions.
Therefore, administering CPR is the most urgent and necessary action to perform in this scenario.

Question 4 of 5

While documenting on a paper form, the nurse realizes they have made a mistake writing the progress note. What should the nurse do?

A. Use a black marker to fully cover up the mistake. B. Do not make any changes to the progress note but explain later in the note that a mistake was made and note what should have been written. C. Use whiteout to cover over the mistake and write over it. D. Inform the client about the mistake and offer to provide a corrected copy.

Correct Answer: B

Rationale: In the scenario described, it is essential for the nurse not to alter the original progress note. Option B is the correct course of action as it maintains the integrity of the documentation while acknowledging the error for transparency and accuracy. Using a black marker (Option
A) or whiteout (Option
C) can be seen as an attempt to conceal the mistake, which is not in line with professional standards. Option D is incorrect because the mistake should be addressed within the documentation itself, not by informing the client directly about it.

Question 5 of 5

An LPN is working on the care plan for a client with diabetes mellitus. Which of these outcomes would be the most appropriate?

A. The client will maintain a blood glucose level within the normal range of 70-110 (per facility policy) throughout my shift. B. The client will maintain a blood glucose level within normal range limits today. C. The client will maintain a blood glucose level within the normal range of 70-110 (per facility policy) throughout my shift. D. The client will maintain a blood glucose level within normal limits throughout my shift.

Correct Answer: C

Rationale: The correct answer is 'The client will maintain a blood glucose level within the normal range of 70-110 (per facility policy) throughout my shift.' This outcome is specific, measurable, and aligns with the goal of managing diabetes mellitus.
Choice A is correct because it provides a clear target range (70-110) and includes adherence to facility policy, making it precise and goal-oriented.
Choice B lacks specificity on the timeframe, and
Choice D is vague in defining the target blood glucose range. In nursing care plans, outcomes should be well-defined, achievable, and measurable to effectively monitor the client's progress in managing their condition.

Nclex PN Questions and Answers - Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN