NCLEX Review - Management of Care Exam Test with Answers Graded A+
A client is being prepped for a surgical procedure and the
nurse is reviewing the informed consent with the client. 3
The client asks, "Is there any other way to take care of this
Rationale:
without having surgery?" The nurse has a duty to first:
The client has a right to an explanation of the treatment
1) Reassure the client that the surgery is the best treat- and its expected results, anticipated risks and benefits,
ment option possible alternative treatment options and all questions
answered before a consent form is signed. Remember,
2) Tell the client if they don't want the surgery, they don't the client is not asking you for your opinion. The client is
have to have it asking about alternative treatments for the condition. No-
tify the appropriate health care provider if the client needs
3) Notify the surgeon that the client has additional ques- additional information that you cannot answer. Once the
tions about alternatives to surgery client has all the necessary information then they can
decide not to sign the informed content and cancel the
4) Call the surgeon and cancel the surgery until the con- surgery.
sent form is signed
A nurse is named in a lawsuit. Which of these factors will 2
otter the best protection for that nurse in a court of law?
Rationale:
1) Clinical specialty certification by an accredited organi- The medical record is a legal document. Documentation
zation should include all steps of the nursing process; it must
be complete, accurate, concise and in chronological or-
2) Complete and accurate documentation of assessments der. Inaccurate or incomplete documentation will raise
and interventions red flags and may indicate the nurse failed to meet the
standards of care. The attorney will review the medical
3) Above-average performance reviews prepared by nurse record with the nurse before giving a deposition (sworn
manager pretrial testimony). Above-average performance reviews
could be considered supporting information. Certification
4) Sworn statement that health care provider orders were is an "extra" based on the nurse's initiative; it is, however,
followed unrelated to accurate charting.
The new graduate nurse interviews for a position in a
nursing department of a large health care agency that
,NCLEX Review - Management of Care Exam Test with Answers Graded A+
uses the approach of shared governance. Which of these
statements best illustrate the shared governance model?
1) Statt groups are appointed to discuss nursing practice
3
and client education issues
Rationale:
2) Non-nurse managers supervise nursing statt in groups
Shared governance or self-governance is a method of
of units
organizational design. It promotes empowerment of nurs-
es to give them responsibility for client care issues and
3) Nursing departments share responsibility for client
outcomes with other divisions in the agency.
outcomes
4) An appointed board oversees any administrative deci-
sions
The registered nurse (RN) and the unlicensed assistive
person (UAP) are caring for clients on a surgical unit.
Which action(s) by the UAP warrant immediate interven- 3, 4, 5
tion? (Select all that apply.)
Rationale:
1) The UAP empties the indwelling catheter bag for the The UAP can perform a number of nursing tasks, such as
client who had a transurethral resection of the prostate emptying an indwelling urinary catheter bag and applying
(TURP) yesterday moisture barrier cream after peri care. However, it is un-
safe for the UAP to ambulate a client who recently received
2) The UAP applies moisture barrier cream to the client's an IV push narcotic. Although UAP can shave clients, it
excoriated perianal area is unsafe to shave someone using a straight-edge razor
because a client who had knee replacement surgery is
3) The UAP assists a client, who received an IV narcotic
probably taking an anticoagulant; only an electric razor
analgesic 30 minutes ago, to ambulate in the hall
should be used. Pulse oximeter readings must be done on
4) The UAP applies a fingertip pulse oximeter on a client a finger that is warm and free from dark fingernail polish.
whose fingernail is painted dark blue
A client is being prepped for a surgical procedure and the
nurse is reviewing the informed consent with the client. 3
The client asks, "Is there any other way to take care of this
Rationale:
without having surgery?" The nurse has a duty to first:
The client has a right to an explanation of the treatment
1) Reassure the client that the surgery is the best treat- and its expected results, anticipated risks and benefits,
ment option possible alternative treatment options and all questions
answered before a consent form is signed. Remember,
2) Tell the client if they don't want the surgery, they don't the client is not asking you for your opinion. The client is
have to have it asking about alternative treatments for the condition. No-
tify the appropriate health care provider if the client needs
3) Notify the surgeon that the client has additional ques- additional information that you cannot answer. Once the
tions about alternatives to surgery client has all the necessary information then they can
decide not to sign the informed content and cancel the
4) Call the surgeon and cancel the surgery until the con- surgery.
sent form is signed
A nurse is named in a lawsuit. Which of these factors will 2
otter the best protection for that nurse in a court of law?
Rationale:
1) Clinical specialty certification by an accredited organi- The medical record is a legal document. Documentation
zation should include all steps of the nursing process; it must
be complete, accurate, concise and in chronological or-
2) Complete and accurate documentation of assessments der. Inaccurate or incomplete documentation will raise
and interventions red flags and may indicate the nurse failed to meet the
standards of care. The attorney will review the medical
3) Above-average performance reviews prepared by nurse record with the nurse before giving a deposition (sworn
manager pretrial testimony). Above-average performance reviews
could be considered supporting information. Certification
4) Sworn statement that health care provider orders were is an "extra" based on the nurse's initiative; it is, however,
followed unrelated to accurate charting.
The new graduate nurse interviews for a position in a
nursing department of a large health care agency that
,NCLEX Review - Management of Care Exam Test with Answers Graded A+
uses the approach of shared governance. Which of these
statements best illustrate the shared governance model?
1) Statt groups are appointed to discuss nursing practice
3
and client education issues
Rationale:
2) Non-nurse managers supervise nursing statt in groups
Shared governance or self-governance is a method of
of units
organizational design. It promotes empowerment of nurs-
es to give them responsibility for client care issues and
3) Nursing departments share responsibility for client
outcomes with other divisions in the agency.
outcomes
4) An appointed board oversees any administrative deci-
sions
The registered nurse (RN) and the unlicensed assistive
person (UAP) are caring for clients on a surgical unit.
Which action(s) by the UAP warrant immediate interven- 3, 4, 5
tion? (Select all that apply.)
Rationale:
1) The UAP empties the indwelling catheter bag for the The UAP can perform a number of nursing tasks, such as
client who had a transurethral resection of the prostate emptying an indwelling urinary catheter bag and applying
(TURP) yesterday moisture barrier cream after peri care. However, it is un-
safe for the UAP to ambulate a client who recently received
2) The UAP applies moisture barrier cream to the client's an IV push narcotic. Although UAP can shave clients, it
excoriated perianal area is unsafe to shave someone using a straight-edge razor
because a client who had knee replacement surgery is
3) The UAP assists a client, who received an IV narcotic
probably taking an anticoagulant; only an electric razor
analgesic 30 minutes ago, to ambulate in the hall
should be used. Pulse oximeter readings must be done on
4) The UAP applies a fingertip pulse oximeter on a client a finger that is warm and free from dark fingernail polish.
whose fingernail is painted dark blue
