NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 651:

  A client has experienced a CVA with right hemiparesis and is ready for discharge from the hospital to a long-term care facility for rehab.

  To provide optimal continuity of care, the nurse should do all of the following except __________.

  A. document current functional status

  B. have the physician phone a report to the receiving facility

  C. copy appropriate parts of the medical record for transport to the receiving facility D. phone a report to the facility

  Correct Answer: B

  It is the nurse's responsibility to communicate the client's condition and care plan to the receiving facility to support continuity of care. Documentation of the client's baseline functional status is important for the receiving facility to work with in further goal setting. A copy of select portions of the medical record (according to facility policy) is another form of communication and supports continuity. A physician might be asked to be involved if there are specific medical needs or orders that she believe are important, but is generally not involved.

• Question 652:

  A gastroenterologist should be consulted for clients suffering from __________.

  A. digestive system diseases

  B. urinary system diseases

  C. female reproductive system diseases

  D. nervous system diseases

  Correct Answer: A

  A gastroenterologist cares for clients with digestive system diseases.

  A urologist cares for clients with urinary system diseases.

  A gynecologist cares for clients with female reproductive system diseases.

  A neurologist cares for clients with nervous system diseases.

• Question 653:

  A legal right to confidentiality of client information is waived when __________.

  A. a court system subpoenas information

  B. a family member requests health care information of a client

  C. a living will takes effect

  D. the client is declared incompetent by the legal system

  Correct Answer: A

  The legal right to confidentiality is waived when the court requires information to be given to the court for legal proceedings to occur (summonses, court orders, litigation information necessary for the court, subpoenas, and so on), when the state requires mandatory reporting of certain illnesses, when sharing information is necessary because a client has revealed an intent to harm himself or others, or when a client cannot make a safe and rational decision (competence).

• Question 654:

  The nurse belongs to a professional nursing organization that provides social, educational, and political venues for nurses. The nurse has been active in this organization for almost two years, during which time she meets and works with nurses from several different nursing agencies and health care institutions to achieve a variety of goals, including obtaining advice regarding a personal career choice.

  This is an example of __________.

  A. professional nurturing

  B. networking

  C. mentoring

  D. collegiality

  Correct Answer: B

  Networking involves the process of developing and using contacts throughout one's professional career for information, advice, and support. Nurturing and mentoring are both examples of assistance to other colleagues in formal and informal relationships for support and career building. Collegiality is the professional camaraderie or rapport established among persons through shared experiences.

• Question 655:

  The nurse notices that a family is waiting at the nursing station desk for its loved one to be brought to the unit for admission during a change-of-shift report.

  The nurse should __________.

  A. request that the family wait for its loved one in the client's room and wait to resume the report until the family has left the desk area

  B. request that a nursing assistant bring coffee for the family while it waits at the desk and continue with the report

  C. request that the family have a seat in the station rather than stand while awaiting its loved one

  D. request that the family wait for its loved one in the Emergency Department waiting room

  Correct Answer: A

  To protect the privacy of clients and the confidentiality of the information shared in a change-of-shift report, the family should be asked to wait in the client's room, and the report should be resumed only after it can no longer hear what is said.

• Question 656:

  A case management clinical pathway for congestive heart failure might include all of the following except __________.

  A. physician follow-up appointments with transportation

  B. client education regarding medication use

  C. a nutritional consult for diet review and accommodation

  D. insurance review for reimbursement

  Correct Answer: D

  Clinical pathways include maps of care outcomes to be achieved prior to discharge or movement through

  a health care system.

  Insurance review for reimbursement is a function of an outside agency from the health care provider

  related to the amount of expected monetary compensation for services rendered to a client.

• Question 657:

  A nursing advocate is one who __________.

  A. makes decisions for others

  B. encourages persons to make decisions for themselves and acts with or on behalf of the person to support those decisions

  C. manages the care of others

  D. is the legal representative for a person

  Correct Answer: B

  Nurse advocates work with clients to provide information and assistance is decision-making.

  The decisions and care that occur from these decisions are based on the right of the client to self-

  determination and the work of the nurse advocate supports this right.

• Question 658:

  An advance directive is written and notarized according to law in the state of Colorado. This document is legal and binding __________.

  A. internationally

  B. in the state of Colorado only

  C. in the continental United States

  D. in the county of origination only

  Correct Answer: B

  Choices "internationally", "in the continental United States" and "in the county of origination only" are

  incorrect.

  Advance directive protocols and documents are defined by each state.

• Question 659:

  Activities of effective supervisors can be task-related or people-related activities. An example of a task-related supervisory activity is __________.

  A. coaching

  B. evaluating

  C. delegating

  D. facilitating

  Correct Answer: C

  Delegating is the act (or task) of assigning work to those that are capable and competent to do the work. Coaching, evaluating, and facilitating are supervisory activities that are people related.

• Question 660:

  Delegation of tasks to appropriate personnel allows the nurse to __________.

  A. take a break

  B. keep other members of the team productive

  C. maintain tight control of all aspects of the workflow

  D. realize the importance of her role by making all decisions

  Correct Answer: B

  Maintaining the productivity of all team members by delegating tasks appropriate to the job descriptions of the personnel increases work effectiveness and efficiency.