Nclex PN Questions and Answers

Extract:

Question 1 of 5

Who is responsible for obtaining the signature from the client on the informed consent?

Correct Answer: D

Rationale: The correct answer is the physician. It is the physician's responsibility to ensure that the client provides informed consent by obtaining their signature. While nurses play a crucial role in the healthcare team, their responsibility lies in verifying that the consent process has been completed correctly and advocating for the client. The staff nurse, charge nurse, and LPN do not have the authority to obtain the client's signature on the informed consent form, as this is within the scope of practice of the physician.

Question 2 of 5

A client is having an abortion in a women's clinic, and the nurse caring for the client does not think the reasoning is appropriate. The nurse asks, "Are you sure you want to do this? It can't be undone. Have you read about your other options? Adoption is always a good choice."? The client states she understands all options and is comfortable with her choice. The nurse nods and leaves the room to discuss the procedure with the physician. Which client right did the nurse violate with her actions?

A. the client's right to make personal health decisions without interference, as the nurse tried to sway the client's decision-making and healthcare choice in the direction of not having an abortion B. the client's right to be left alone without unsolicited attention, as the nurse inserted herself in the client's healthcare scenario and offered uninvited advice C. the client's right to confidentiality, as the nurse is talking to the physician about the client and the abortion D. the client's right to respectful care, as the nurse clearly made it known that she did not approve of the abortion

Correct Answer: A

Rationale: A client has the right to make decisions about their healthcare without interference from healthcare team members. In this scenario, the nurse violated the client's right to make personal health decisions without interference by trying to influence the client's decision-making and healthcare choice in the direction of not having an abortion. It is essential for healthcare providers to respect patients' autonomy and decisions, regardless of personal beliefs.

Choices B, C, and D are incorrect because the primary violation in this situation is related to the client's right to make their own healthcare decisions without interference.

Question 3 of 5

A client with cancer is transported to the radiology department for a bone scan to determine whether the cancer has metastasized to bone. While the client is in the radiology department, the client's wife arrives for a visit and asks what test is being performed on the client. What should the nurse tell the wife?

A. A bone scan is being performed. B. She can read the client's medical record to determine what the health care provider prescribed. C. The radiology department is not clear as to which test has been prescribed. D. She will have to discuss the prescribed test with the client.

Correct Answer: D

Rationale: In healthcare, confidentiality is crucial. Without the client's consent, nurses cannot disclose confidential information to anyone else, even to family members.
Therefore, the appropriate response is to inform the client's wife that she will have to discuss the test with the client directly. It is not appropriate to disclose sensitive medical information without the client's permission. Offering the wife to read the medical record is a violation of privacy and confidentiality. Indicating that the radiology department is unclear about the prescribed test is inaccurate and does not uphold confidentiality. Moreover, it is not the responsibility of another department to disclose medical information; it is the duty of the healthcare provider and the client to discuss such matters.

Question 4 of 5

A client is refusing to stay in the hospital because he does not agree with his healthcare treatment plan. The nurse stops the client from leaving due to concern for his health. Which of these legal charges could the nurse face?

A. False imprisonment, as the nurse is not allowing the client to leave as he has decided to. B. Malpractice, as the nurse is intentionally keeping the patient from making his own decisions, thus violating that nursing duty. C. Invasion of privacy, as the nurse is getting involved in the patient's private decisions regarding healthcare. D. Negligence, as the nurse ignored the client's right to choose regarding his healthcare.

Correct Answer: A

Rationale: Refusing to let a client leave against medical advice (AM
A) is a form of false imprisonment. In this scenario, the nurse is restricting the client's freedom of movement by preventing him from leaving the hospital, even though he has expressed his wish to leave. False imprisonment is a legal charge the nurse could face in this situation.

The other options are incorrect:
- Malpractice refers to professional negligence or failure to provide adequate care, not allowing a patient to make their own decisions.
- Invasion of privacy involves disclosing confidential information without consent, not preventing a patient from leaving.
- Negligence is the failure to take reasonable care, but it does not specifically address the act of restricting a patient from leaving against their wishes.

Question 5 of 5

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

A. The nurse should ensure the client is educated on their discharge instructions. B. If the client seems stable, they likely do not need a follow-up visit. C. The physician is responsible for ensuring the client has their prescriptions upon discharge. D. If the client has questions, the nurse should address them before discharge.

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.

Nclex PN Questions and Answers - Nurselytic

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NCLEX-PN

NCLEX-PN