NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 661:

  Referral for client education in the community can be accomplished through all of the following except __________.

  A. community agencies such as the American Heart Association

  B. parish nurses

  C. home health care agencies

  D. unlicensed massage therapists

  Correct Answer: D

  Client education should be completed by an individual or individuals with acknowledged expertise in the subject area and credentials to support activity within the health care community.

• Question 662:

  Carrying a donor card for organ donation means that __________.

  A. medical care is altered in the event of serious injuries to get organs for donation

  B. the family or legally responsible party of a client has no decision-making authority in the event that the client is considered for organ donation

  C. a client is allowed to revoke his decision for organ donation at any time

  D. a client is considered an organ donor for only one organ or tissue

  Correct Answer: C

  Revocation of the decision for organ donation may occur at any time, by either the client or his responsible party. When organ donation is considered, as many organs as the donor wished to donate are considered and accepted for donation if found appropriate. Medical care for an individual during immediate care and/or resuscitation is not altered to declare a client dead and ready for organ donation.

• Question 663:

  There are many types of torts that can be committed against clients.

  They include all of the following except __________.

  A. assault

  B. battery

  C. negligence

  D. felony

  Correct Answer: D

  Felonies are serious crimes punishable by time in prison.

  Types of torts are assault, battery, and negligence in addition to slander, invasion of privacy, false

  imprisonment, and fraud.

• Question 664:

  Which of the following factors can impact an individual's ability to give informed consent?

  A. IQ

  B. educational level

  C. pain medications

  D. financial status

  Correct Answer: C

  Pain medications might alter alertness, thought processes, and reactions. It is recommended that a client

  be approached for consent at least 4 hours after the last dose of pain medicine to allow minimal impact.

  IQ, educational level and financial status are incorrect choices.

  IQ and educational levels might have a bearing on how information is presented through the discussion

  process, but they do not have a bearing on informed-consent decision-making.

• Question 665:

  The ethical principle of keeping professional promises or obligations is __________.

  A. veracity

  B. autonomy

  C. fidelity

  D. beneficence

  Correct Answer: C

  The ethical principle of veracity is truth-telling.

  Autonomy is client self-determination (that is, clients making their own decisions).

  Beneficence is the principle of doing good, which is a foundation of nursing care.

• Question 666:

  The nurse uses prioritization to determine all the following except __________.

  A. time allotment for certain tasks

  B. appropriate interventions

  C. treatment procedures

  D. the need for client education

  Correct Answer: C

  Treatment procedures are standards of care as defined by the facility or nursing unit. If a treatment is indicated, the nurse is obligated to follow the established procedure to be compliant with practice standards. Established priorities contribute to the determination of time management, appropriate interventions, and the need for client education as a potential intervention.

• Question 667:

  All of the following tasks could be delegated to a nursing assistant or unlicensed assistive personnel (UAP) except __________.

  A. monitoring intravenous infusion.

  B. assisting a client to the bathroom.

  C. offering fluid intake every 1-2 hours.

  D. monitoring/recording the amount of fluid taken.

  Correct Answer: A

  Monitoring an intravenous infusion must be performed by an RN or LPN.

  Assisting during activity, offering fluids and recording intake are in the job scope of the nursing assistant.

• Question 668:

  As a type of quality indicator, an example of a structure standard is __________.

  A. a written philosophy.

  B. a procedure for a straight catheterization.

  C. a protocol for treatment of a client with chest pain.

  D. the diagnostic work-up for a client with abdominal pain.

  Correct Answer: A

  Structure standards define all the conditions needed to operate, direct, and control a system.

  They do not address client care but rather describe structure with regard to purpose, such as philosophy,

  objectives, goals, hours of operation, and management responsibility.

• Question 669:

  A nurse discharge planner is preparing a client for discharge from an acute care setting. The nurse assesses that skilled home care services are clinically indicated.

  This assessment is based on all of the following indicators except __________.

  A. the client has been admitted to the hospital three times in the last 2 months.

  B. the client has a Foley catheter.

  C. the client's family is available to care for him 24 hours a day.

  D. the client is ordered to continue IV antibiotics 5 days post discharge.

  Correct Answer: C

  Family availability to provide care and assistance is not an indicator for skilled home care.

  In fact, the nurse might see some opportunity for family education in meeting the client's needs so that less

  community support is needed. This needs to be negotiated with the family. Frequent hospital readmissions

  imply that the client has not been able to manage either due to condition instability or lack of care needs

  being met. This is a red flag for home care services to be able to meet those needs and appropriately

  monitor the client.

  A Foley catheter is an indication for home health care due to infection potential and care requirements.

  IV antibiotics involve home care due to maintaining line patency and assessment of the site.

• Question 670:

  In the process of an annual physical exam, a client is diagnosed with Benign Prostatic Hypertrophy (BPH).

  Which type of physician this client is likely to have a consult with?

  A. gynecologist

  B. physiatrist

  C. urologist

  D. proctologist

  Correct Answer: C

  A urologist is the physician who specializes in urinary tract and prostatic disease.

  A gynecologist specializes in disease of the female reproductive tract.

  A physiatrist specializes in rehabilitation care.

  A proctologist specializes in lower colonic digestive diseases.