NCLEX-PN
Nclex PN Questions and Answers Questions
Extract:
Question 1 of 5
When preparing a client for a neck x-ray, what is the most appropriate action for the nurse to take if the client expresses concern about removing a religious medal worn around the neck?
Correct Answer: C
Rationale: When a client undergoing a neck x-ray expresses concern about removing a religious medal worn around the neck, the nurse should assist the client in pinning the medal and chain to the hospital gown or in another area where it will not appear on the x-ray image. This action allows the client to keep the medal close without interfering with the x-ray procedure. It is important to ensure that the radiology department staff is informed about this arrangement. Asking the client to remove the medal, keeping it at the nurse's station, or placing it in the bedside stand is not appropriate. These actions may lead to the loss of the medal and chain and do not address the client's concerns about the religious significance of the item.
Question 2 of 5
In what order should the LPN see the following clients? Use appropriate letters to match the correct order
Correct Answer: B
Rationale: The correct order for the LPN to see the clients is C, B, D, A. It is crucial to prioritize client care based on the urgency of their conditions. The 53-year-old client with lower leg swelling complaining of sudden onset headache and blurry vision (Client
C) should be seen first as they are at the highest risk for serious healthcare complications. Next, the LPN should attend to the 23-year-old client with a left arm fracture after an MVA complaining of significant pain in his arm (Client
B). Following that, the LPN can address the 47-year-old client requesting more information regarding her surgery scheduled in three hours (Client
D). Lastly, the LPN should attend to the 72-year-old client with pneumonia asking to order her dinner (Client
A). This order ensures that the most critical needs are met first, followed by the less urgent ones.
Choice A is incorrect as it places the 72-year-old client before the 23-year-old client with a painful arm.
Choice B is incorrect as it prioritizes the 53-year-old client last.
Choice D is incorrect as it does not address the urgency of the clients' conditions appropriately.
Question 3 of 5
A nurse is taking a morning break with the unit secretary in the nurses' lounge. The unit secretary says to the nurse, 'I read in Mr. Gage's medical record that he has gonorrhea.' How should the nurse respond to the secretary?
Correct Answer: C
Rationale: A client's medical condition is confidential and should never be discussed with anyone other than the client and the client's healthcare provider.
Therefore, the nurse must tell the unit secretary that the client's condition is not to be discussed.
Choices A and B confirm the client's disease, which is inappropriate as it breaches patient confidentiality.
Choice D promotes further discussion of the client's condition, which is also inappropriate. The correct response is to firmly state, 'We can't discuss a client's medical condition,' to uphold patient privacy and confidentiality.
Question 4 of 5
Which is the correct order regarding the hierarchy of members of the nursing team from least authority to highest authority?
Correct Answer: C
Rationale: The correct hierarchy order from least to highest authority in the nursing team is LPN (Licensed Practical Nurse), staff nurse, charge nurse, and nurse manager. LPNs have the least authority, followed by staff nurses who are supervised by charge nurses. Nurse managers oversee the charge nurses, making them the highest authority in this hierarchy.
Therefore, choices A, B, and D are incorrect as they do not follow the correct order of authority within the nursing team.
Question 5 of 5
A nurse calls a health care provider to question a prescription written for a higher-than-normal dosage of morphine sulfate. The health care provider changes the prescription to a dosage within the normal range, and the nurse documents the new telephone prescription in accordance with the agency's guidelines in the client's record. Which other statement does the nurse document in the nursing notes?
Correct Answer: D
Rationale: The nurse needs to document a factual, descriptive, and objective statement that does not include words indicating that an individual made a mistake or performed an incorrect action or procedure. If a health care provider's prescription must be questioned, the nurse should record that clarification regarding the prescription was sought.
Therefore, the correct statement to document is that the health care provider was contacted to clarify the prescription for morphine sulfate.
Choices A, B, and C imply errors or mistakes on the part of the health care provider, which is not the focus of the documentation in this scenario.