lOMoARcPSD|5734770
lOMoARcPSD|5734770
NR 226 EXAM 1 PRACTICE NCLEX QUESTIONS WITH ANSWERS AND RATIONALES
1. A nurse cares for a client scheduled for surgery later in the day. The surgeon has back to back
surgical cases and asks the nurse to explain the procedure and obtain informed consent. Which
action does the nurse take?
A. Contact the anesthesia provider to explain the procedure and then have the client sign the
consent.
B. Contact the physician’s nurse to discuss the procedure with the client and then have the
client sign the informed consent.
C. Explain the procedure to the client as best as possible and then have the client sign the
informed consent.
D. Wait for the provider to provide information to the client and then have the client sign the
informed consent.
Explanation: With informed consent, the client should be informed of the risks and benefits of the
procedure as well alternatives to the procedure and express understanding before signing the form. The
health care provider performing the procedure is legally required to provide this information. Even after
signing a consent, if the client has questions or doubts, the nurse should contact the health care
provider to return and answer any questions the client may have. The nurse may review information
provided by the provider but may not provide additional information. It is the nurse’s responsibility as
client advocate to ensure the client understands the information which has been provided. The
anesthesia provider can explain the anesthesia used for the surgery and obtain written informed
consent for anesthesia. A nurse cannot provide information related to risks and benefits of a procedure
in order to obtain consent for a surgical procedure. The provider performing the surgery must explain
the procedure to the client and obtain written informed consent.
2. A nurse provides discharge instructions to a Chinese client. The client turns away from the nurse
and does not make eye contact. Which actions are appropriate?
A. Ask the client to pay attention to instructions being given.
B. Come back at a later time when the client is more interested.
C. Continue providing the discharge instructions.
D. Make every effort to make eye contact with the client.
Explanation: Asian clients, may, due to a difference in culture, show respect by not making eye contact
or by avoiding direct face-to-face communication. It would be considered disrespectful to look the
nurse in the eye. Continuing to provide the discharge instruction indicates an understanding of the
client’s cultural differences during communication. Asking the client to pay attention does now show
understanding of the client’s difference in cultural beliefs. Coming back at a later time makes an
assumption based on one’s own cultural behaviors and does not indicate an understanding that the
lOMoARcPSD|5734770
NR 226 EXAM 1 PRACTICE NCLEX QUESTIONS WITH ANSWERS AND RATIONALES
1. A nurse cares for a client scheduled for surgery later in the day. The surgeon has back to back
surgical cases and asks the nurse to explain the procedure and obtain informed consent. Which
action does the nurse take?
A. Contact the anesthesia provider to explain the procedure and then have the client sign the
consent.
B. Contact the physician’s nurse to discuss the procedure with the client and then have the
client sign the informed consent.
C. Explain the procedure to the client as best as possible and then have the client sign the
informed consent.
D. Wait for the provider to provide information to the client and then have the client sign the
informed consent.
Explanation: With informed consent, the client should be informed of the risks and benefits of the
procedure as well alternatives to the procedure and express understanding before signing the form. The
health care provider performing the procedure is legally required to provide this information. Even after
signing a consent, if the client has questions or doubts, the nurse should contact the health care
provider to return and answer any questions the client may have. The nurse may review information
provided by the provider but may not provide additional information. It is the nurse’s responsibility as
client advocate to ensure the client understands the information which has been provided. The
anesthesia provider can explain the anesthesia used for the surgery and obtain written informed
consent for anesthesia. A nurse cannot provide information related to risks and benefits of a procedure
in order to obtain consent for a surgical procedure. The provider performing the surgery must explain
the procedure to the client and obtain written informed consent.
2. A nurse provides discharge instructions to a Chinese client. The client turns away from the nurse
and does not make eye contact. Which actions are appropriate?
A. Ask the client to pay attention to instructions being given.
B. Come back at a later time when the client is more interested.
C. Continue providing the discharge instructions.
D. Make every effort to make eye contact with the client.
Explanation: Asian clients, may, due to a difference in culture, show respect by not making eye contact
or by avoiding direct face-to-face communication. It would be considered disrespectful to look the
nurse in the eye. Continuing to provide the discharge instruction indicates an understanding of the
client’s cultural differences during communication. Asking the client to pay attention does now show
understanding of the client’s difference in cultural beliefs. Coming back at a later time makes an
assumption based on one’s own cultural behaviors and does not indicate an understanding that the
