NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 681:

  The greatest time savers when planning client care include all of the following except __________.

  A. reacting to the crisis of the moment

  B. setting goals

  C. planning

  D. specifying priorities

  Correct Answer: A

  The greatest time-savers when planning client care are activities that facilitate focus and completion of

  priority items.

  Time-savers include setting goals, establishing priorities, planning tasks, delegating where appropriate, reassessment, and ongoing evaluation of needs.

• Question 682:

  A 45-year-old client with type I diabetes is in need of support services upon discharge from a skilled rehabilitation unit.

  Which of the following services is an example of a skilled support service?

  A. shopping for groceries

  B. house cleaning

  C. transportation to physician's visits

  D. medication instruction

  Correct Answer: D

  The only skilled service listed is medication instruction.

  Grocery shopping, house-cleaning services, and transportation services are all examples of unskilled

  services offered by volunteer and fee-for-service agencies.

• Question 683:

  A client with massive chest and head injuries is admitted to the ICU from the Emergency Department.

  All of the following are true except __________.

  A. the physician in charge of the case is the only person allowed to decide whether organ donation can occur.

  B. the client's legally responsible party may make the decision for organ donation for the donor if the client is unable to do so.

  C. the organ procurement organization makes the decision regarding which organs to harvest.

  D. a declaration of wishes or documentation of wishes regarding organ donation by the donor is necessary for organ harvesting

  Correct Answer: B

  The client's legally responsible party may make the decision for organ donation if the client is unable to do so. The donor (or legally responsible party for the donor), the physician, and the organ-procurement organization are all involved in the process regarding whether organ donation is appropriate for a specific donor.

• Question 684:

  A wrong committed by one person against another (or against the property of another) that might result in a civil trial is __________.

  A. a tort

  B. a crime

  C. a misdemeanor

  D. a felony

  Correct Answer: A

  Torts are wrongs committed by one person against another person (or against the property of another),

  which might result in civil trials.

  A crime is also defined as a wrong against a person or their property but is considered to be against the

  public as well.

  Misdemeanors are crimes that are commonly punishable with fines or imprisonment for less than one year,

  with both or with parole.

  A felony is a serious crime punishable by imprisonment in a State or Federal penitentiary for more than

  one year.

• Question 685:

  Which of the following individuals may legally give informed consent?

  A. an 86-year-old male with advanced Alzheimer's disease

  B. a 14-year-old girl needing an appendectomy who is not an emancipated minor

  C. a 72-year-old female scheduled for a heart transplant

  D. a 6-month-old baby needing bowel surgery

  Correct Answer: C

  The 72-year-old client scheduled for heart transplant surgery may give informed consent for the surgery.

  There are no age limitations with the exception of minors. Choices "an 86-year-old male with advanced

  Alzheimer's disease", "a 14-year-old girl needing an appendectomy who is not an emancipated minor" and

  "6-month-old baby needing bowel surgery" are incorrect.

  An individual with advanced Alzheimer's disease is incompetent to make decisions.

  Only an emancipated minor may give consent (a 14-year-old child who lives alone, away from family, and

  is totally independent).

  Infants are unable to give consent.

• Question 686:

  According to the ANA Code of Ethics for Nurses, professional nurses have an ethical obligation to __________.

  A. clients (patients)

  B. the profession of nursing

  C. provide high-quality care

  D. all of the above

  Correct Answer: D

  All the choices are elements of the ANA Code of Ethics for Nurses.

• Question 687:

  Following the change of shift report, the nurse should analyze the information and set priorities accordingly.

  When the plan has been formulated, at what point during the shift can or should the nurse's plan be altered or modified?

  A. halfway through the shift

  B. at the end of the shift before the nurse reports off

  C. when needs change

  D. after the top-priority tasks have been completed

  Correct Answer: C

  The nurse changes the plan to respond to changes in needs.

• Question 688:

  All of the following are common reasons that nurses are reluctant to delegate except __________.

  A. lack of self-confidence

  B. desire to maintain authority

  C. confidence in subordinates

  D. getting trapped in the "I can do it better myself" mindset

  Correct Answer: C

  If a delegator has confidence in his subordinates and feels that a task will be performed correctly, he is more likely to delegate. Reasons that delegators are reluctant to delegate include their own lack of confidence, fear of losing authority or personal satisfaction, and feeling that the task can only be performed correctly if they do it themselves.

• Question 689:

  Quality is defined as a combination of all of the following except __________.

  A. conforming to standards

  B. performing at the minimally acceptable level

  C. meeting or exceeding customer requirements

  D. exceeding customer expectations

  Correct Answer: B

  Compliance or performance at the minimally acceptable level is not considered quality care.

• Question 690:

  People who live in poverty are most likely to obtain health care from __________.

  A. their primary care physician (family doctor)

  B. a neighborhood clinic

  C. specialists

  D. Emergency Departments or urgent care centers

  Correct Answer: D

  Statistical patterns of health care utilization indicate that Emergency

  Departments and urgent care centers provide a large portion of health care to those who live in poverty.