NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 691:

  A 65-year-old female client is experiencing postmenopausal bleeding.

  Which type of physician should this client be encouraged to see?

  A. a radiologist

  B. a gynecologist

  C. a physiatrist

  D. an oncologist

  Correct Answer: B

  A gynecologist is the physician who treats and manages disease of the female reproductive organs.

  A radiologist evaluates X-rays.

  A physiatrist is the physician manager of a rehabilitation team.

  An oncologist treats clients with cancer.

• Question 692:

  Legal protection of confidentiality __________.

  A. extends only to written documentation

  B. extends to the electronic dissemination of information not identifiable to a specific client

  C. is important only within the court system

  D. extends to both written and verbal information

  Correct Answer: D

  Legal protection of confidentiality extends to both written and verbal information identifiable as individual private health information.

• Question 693:

  On first meeting, a new nurse manager makes eye contact, smiles, initiates conversation about the previous work experience of nurses, and encourages active participation by nurses in the dialogue.

  Her behavior is an example of __________.

  A. aggressiveness

  B. passive aggressiveness

  C. passiveness

  D. assertiveness

  Correct Answer: D

  This nurse manager is demonstrating assertive behavior.

  Aggressive behavior dominates or embarrasses.

  Passive behavior is nervous or timid.

  Passive-aggressive behavior is dominating or manipulative without directness.

• Question 694:

  Mr. H. is upset regarding being in the hospital for another day because he states it costs too much.

  The rights he is likely to demand include all of the following except __________.

  A. the right to examine and question the bill

  B. the right to reasonable response to requests

  C. the right to refuse treatment

  D. the right to confidentiality

  Correct Answer: D

  Confidentiality is the maintenance of privacy of information.

  The question does not suggest that confidentiality has been breached. The client is likely to demand the

  other rights and may exercise them in choosing to leave the hospital early.

• Question 695:

  The focus of a nurse case manager is __________.

  A. nursing care needs at discharge

  B. the comprehensive care needs of the client for continuity of care

  C. client education needs upon discharge

  D. financial resources for needed care

  Correct Answer: B

  By definition, case management is a process of providing for the comprehensive care needs of a client for continuity of care throughout the health care experience.

• Question 696:

  Client self-determination is the primary focus of __________.

  A. malpractice insurance.

  B. nursing's advocacy for clients.

  C. confidentiality.

  D. health care.

  Correct Answer: B

  Advocacy for clients by nurses is the primary focus of the client's right to autonomy and self-determination. Confidentiality involves the maintenance of the privacy of the client and information regarding him or her. Malpractice insurance is a type of insurance for professionals.

• Question 697:

  The intent of the Patient Self Determination Act (PSDA) of 1990 is to __________.

  A. enhance personal control over legal care decisions

  B. encourage medical treatment decision making prior to need

  C. give one federal standard for living wills and durable powers of attorney

  D. emphasize client education

  Correct Answer: B

  The purpose of the PSDA is to promote decision-making prior to need. Choices "enhance personal control over legal care decisions", "give one federal standard for living wills and durable powers of attorney" and "emphasize client education" are incorrect. The focus of the PSDA is individual health care decision-making. A federal standard for advance directives does not exist. Each state has jurisdiction regarding these policies and protocols.

• Question 698:

  The LPN is helping a patient get out of bed to use the restroom. Which of these actions represents proper ergonomic practice?

  A. Aid the patient in sitting/standing by lifting with the legs and keeping the back straight.

  B. Bend over the patient to get a good grip when sitting the patient up.

  C. Lift the patient into a standing position by using your leg and back muscles.

  D. Let the patient use your body to pull up in a sitting, then standing, position.

  Correct Answer: A

• Question 699:

  A fifty-five-year-old man suffered a left frontal lobe CVA. The patient's family is not present in the room. Which of the following should the nurse watch most closely for?

  A. changes in emotion and behavior

  B. monitor loss of hearing

  C. observe appetite and vision deficits

  D. changes in facial muscle control

  Correct Answer: A

  The frontal lobe is responsible for behavior and emotions.

• Question 700:

  You are working in a pediatric unit of the hospital and caring for a six-year-old boy who is hospitalized with cystic fibrosis and respiratory compromise.

  Which developmental task is the challenge for this boy at his age?

  A. To cough, deep breath and improve respiratory status.

  B. To establish industry and self-confidence.

  C. To develop autonomy and self-control.

  D. To develop initiative and a sense of purpose.

  Correct Answer: D

  According to Erik Erikson, a developmental psychologist, the preschool child is challenged with initiative, the development of confidence and a sense of purpose.