Nclex PN Questions and Answers

Extract:

Question 1 of 5

Which of the following is true of advanced directives?

Correct Answer: A

Rationale: The correct answer is that advanced directives should be appropriately documented in the client's chart. Advanced directives are legal requests regarding a client's healthcare that come into effect under specific circumstances, regardless of the severity of their illness or level of consciousness.
Choice B is incorrect because advanced directives can cover various healthcare decisions, not just terminal illnesses.
Choice C is incorrect as advanced directives can be established and documented while the client is conscious, not only if they are unconscious.
Choice D is incorrect because advanced directives are indeed legal requests, not non-legal requests.

Question 2 of 5

The nurse is working the same shift two days in a row. On the first of these days, while caring for one assigned client, the client says, "Will you promise me you will be my nurse tomorrow?"? Which response is most appropriate?

A. "Yes, I promise you I will be your nurse during my shift tomorrow."? B. "You will need to speak to my supervisor about this request."? C. "While I cannot promise that I will be your nurse tomorrow, I can talk to the charge nurse about this request."? D. "Because of confidentiality, I cannot discuss tomorrow's assignments with you."?

Correct Answer: D

Rationale: The most appropriate response is to maintain confidentiality regarding work assignments. It is crucial to uphold patient privacy and not disclose information about staff schedules or assignments.

Choices A, B, and C involve promising or redirecting the patient, which is not suitable in this situation.
Choice D respects confidentiality and is the most professional response in this scenario.

Question 3 of 5

The client asks the nurse not to tell anyone outside of the care team about his positive HIV diagnosis. What response is most appropriate?

A. "I have to inform all clients on the unit of your diagnosis as it is transmissible."? B. "I will not communicate your diagnosis to anyone without your permission."? C. "Because this is a communicable disease, it may need to be reported to the CDC."? D. "You should not be concerned with who I share your diagnosis with."?

Correct Answer: C

Rationale: The most appropriate response is C: "Because this is a communicable disease, it may need to be reported to the CDC."? It is important to uphold patient confidentiality, but in the case of certain communicable diseases like HIV, there are legal requirements for mandatory reporting to public health authorities such as the CDC. Option A is incorrect because it violates patient confidentiality and does not consider legal obligations. Option B, while respecting the client's wishes, may not align with the legal requirement for reporting certain communicable diseases. Option D is inappropriate as it dismisses the client's concerns and rights regarding their health information.

Question 4 of 5

Which of these statements is true regarding advance directives?

A. They must be reviewed and re-signed every 10 years in order to remain valid. B. An advance directive is legally valid in every state, regardless of the state it was created in. C. A physician must determine when a client is unable to make medical decisions for themselves. D. They cannot be honored by EMTs (emergency medical technicians) unless signed by a doctor.

Correct Answer: D

Rationale: The correct statement is that advance directives cannot be honored by EMTs unless they are signed by a doctor. EMTs are required to provide emergency care to a client, irrespective of their advance directive status, unless the directive has been signed by a doctor. When a client is brought to the hospital, physicians will assess the client and implement the advance directive if necessary. Advance directives do not need to be reviewed and re-signed every 10 years to remain valid; they remain in effect until changed. While advance directives are legally valid in most states, some states may not honor those created in other states, so it's advisable to check the new state's policies if a client moves. Additionally, it typically requires two physicians, not just one, to determine if a client is unable to make medical decisions for themselves.

Question 5 of 5

Which action by the nurse represents the ethical principle of benevolence?

A. The nurse administers an immunization to a child even though it may cause discomfort B. The nurse follows a plan of care designed to relieve pain in a client with cancer C. The nurse provides equal amounts of care to all assigned clients on the basis of illness acuity D. The nurse upholds a client's decision to refuse chemotherapy for lung cancer

Correct Answer: A

Rationale: Benevolence is taking action to help others. In this scenario, administering an immunization to a child, even though it may cause discomfort, aligns with the principle of benevolence as the benefits of protection from disease outweigh the temporary discomfort. Fidelity refers to keeping promises made to clients, families, and other healthcare professionals. Autonomy is a person's independence, and respecting autonomy means agreeing to respect an individual's right to determine their course of action. Justice refers to fairness and equity, including the fair allocation of resources, such as nursing care for all clients.
Choice B is incorrect as it pertains more to the ethical principle of beneficence rather than benevolence, which focuses on doing good for others without an expectation of something in return.

Choices C and D are incorrect as they do not directly align with the principle of benevolence.

Nclex PN Questions and Answers - Nurselytic

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