NCLEX QUESTIONS REVIEW FOR FINAL FROM EXAM 2 2ND SEMESTER QUESTIONS AND SOLUTIONS.

NCLEX QUESTIONS- REVIEW FOR
FINAL FROM EXAM 2: 2ND SEMESTER
QUESTIONS AND ANSWERS


A nurse inserts a nasogastric tube even though the patient refused the procedure.
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The nurse told the patient, "This tube is necessary in order for you to feel better." In
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spite of the nurse's good intentions, for what offense is the nurse liable? - ANSWER:
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Battery
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What is the primary purpose of the Patient Self-Determination Act? - ANSWER: to
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allow patients to make informed decisions about lifesaving or life-prolonging actions
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After recieving treatment for a hip injury, and older adult pt is recommended for
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transfer to a long-term care facility. The pt refuses to be transferred. Which action
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taken by the nurse best illustrates the use of ethical decision-making skills? -
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ANSWER: gather additional info about the pts situation, reviews possible alternatives,
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and discusses options with the MD
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The nurse gives 2 pills instead of the ordered 1 pill. The MD is notified. The pt is
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carefully monitored and no untoward effects happen. Can the pt sue the nurse for
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malpractice? - ANSWER: No, because the pt was not harmed
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The home health nurse is doing a follow-up visit to a patient with recently diagnosed
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rheumatoid arthritis (RA). Which assessment made by the nurse indicates that more
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patient teaching is needed?
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a.
The patient sleeps with two pillows under the head.
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b.
The patient has been taking 16 aspirins daily.
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c.
The patient requires a 2 hour midday nap.
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d.
The patient sits on a stool when preparing meals. - ANSWER: a
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A nurse is caring for a client in the emergency department who was brought in by her
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adult child for vague, flu-like symptoms. While helping the client to change into a
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gown, the nurse notices numerous bruises on the client's back and arms. When
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questioned, the client is distracted and ambiguous with her answers. The nurse
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should - ANSWER: Report it to Social services
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, A client wishes to discontinue treatment for his cancer. Acting as the client advocate,
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the nurse makes which statement to the client's physician? - ANSWER: The client is
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making his own decision.
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A nurse forgets to put the call light within the client's reach and then leaves the room.
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The client reaches for it and falls out of bed. The nurse could be charged with which
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of the following? - ANSWER: B) Negligence
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The nurse carries out a medication order, incorrectly written by the physician and
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subsequently filled by the pharmacist. Who, in this situation, is liable for the action? -
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ANSWER: nurse
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A nurse was responsible for a client's injury after failing to implement proper safety
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precautions in the client's care. The client's family is now pursuing damages from the
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hospital as well as from the nurse. The doctrine that holds the hospital responsible as
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well as the nurse is which of the following? - ANSWER: Respondeat superior
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A client is to undergo an invasive procedure by a physician. The client is questioning
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some of the terminology in the consent form. Which of the following is the best
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response by the nurse? - ANSWER: I'll call your physician back in the room to
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answer your questions."
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The client presents her hand when the nurse makes this statement:"I need to start an
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IV so you can get your antibiotics." This is an example of which of the following? -
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ANSWER: Implied consent
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An adult client who cannot read needs surgery and is competent to make his own
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decisions. The best action of the nurse is to - ANSWER: read the consent form to the
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client and have the client state understanding
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An elderly adult fell at home and fractured a hip, which requires surgical repair. After
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admittance to the emergency department, the client was given sedation for pain
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before a surgical permit was signed. What is the best action necessary to obtain
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consent?
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A) The physician should have the client's wife sign the consent form
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B) This would be considered an emergency situation and consent
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C) Since the client has been medicated, the nurse should thoroughly explain the
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consent form to the patient
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D) The physician should wait until the effects of the medication wear off and have the
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client sign. - ANSWER: A
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