Comprehensive NCLEX-RN Practice Q&A Guide:
Med-Surg, Psych, Pharmacology, and Nursing
Prioritization|
A nurse is preparing a client who speaks limited English for surgery. Which of the following is the most
appropriate nursing action in obtaining informed consent from this client?
Select one:
a. Do nothing as this is the provider's primary concern.
b. The nurse should explain the procedures using pictures and hand gestures.
c. Have the nurse respond to the client's concerns so the provider can prepare for surgery.
d. Seek the assistance of a nurse on the floor who is fluent in the client's language. - ✔✔d. Seek the
assistance of a nurse on the floor who is fluent in the client's language.
The nurse is responsible for ensuring that the client understands the information provided regarding the
procedure.
A nurse is performing initial teaching with a client who will be receiving electroconvulsive therapy (ECT).
Which statement by the client indicates a need for further teaching?
Select one:
a. "My Dilantin dose will be increased several days before the procedure."
b. "Before the procedure, I will have an EKG to assess for heart irregularities."
c. "I will need to continue taking my regular blood pressure medication."
d. "I will stop taking my lithium for 2 weeks prior to my procedure." - ✔✔a. "My Dilantin dose will be
increased several days before the procedure."
Because the therapeutic action of ECT is to induce seizures, any medications that affect the client's
seizure threshold must be decreased or discontinued several days before the procedure.
, Any cardiac conditions, such as dysrhythmias, should be monitored and treated before the procedure
A daughter of a client with a terminal illness pulls a nurse to the side and says, "Although my mother's
living will states she is not to be resuscitated, the family wants everything done to save her if she has a
cardiac arrest." How should the nurse respond?
Select one:
a. "The living will documents your mother's wishes and must be followed."
b. "I will contact the provider to make him aware of your request."
c. "If your mother has a cardiac arrest, we will begin resuscitation if you wish."
d. "Since the living will is a legal document a lawyer will have to make the changes." - ✔✔a. "The living
will documents your mother's wishes and must be followed."
A living will is a document that expresses the client's wishes regarding medical treatment in the event
the client becomes incapacitated and is facing end-of-life issues. The client's wishes should be followed
by the health care provider.
A provider informs the wife of a comatose client with terminal cancer that she will need to sign the
consent for insertion of a gastrostomy feeding tube. The nurse knows this is against the client's wishes.
What is the appropriate action by the nurse?
Select one:
a. Inform the wife she cannot sign the consent
b. Prepare the consent for the wife to sign.
Med-Surg, Psych, Pharmacology, and Nursing
Prioritization|
A nurse is preparing a client who speaks limited English for surgery. Which of the following is the most
appropriate nursing action in obtaining informed consent from this client?
Select one:
a. Do nothing as this is the provider's primary concern.
b. The nurse should explain the procedures using pictures and hand gestures.
c. Have the nurse respond to the client's concerns so the provider can prepare for surgery.
d. Seek the assistance of a nurse on the floor who is fluent in the client's language. - ✔✔d. Seek the
assistance of a nurse on the floor who is fluent in the client's language.
The nurse is responsible for ensuring that the client understands the information provided regarding the
procedure.
A nurse is performing initial teaching with a client who will be receiving electroconvulsive therapy (ECT).
Which statement by the client indicates a need for further teaching?
Select one:
a. "My Dilantin dose will be increased several days before the procedure."
b. "Before the procedure, I will have an EKG to assess for heart irregularities."
c. "I will need to continue taking my regular blood pressure medication."
d. "I will stop taking my lithium for 2 weeks prior to my procedure." - ✔✔a. "My Dilantin dose will be
increased several days before the procedure."
Because the therapeutic action of ECT is to induce seizures, any medications that affect the client's
seizure threshold must be decreased or discontinued several days before the procedure.
, Any cardiac conditions, such as dysrhythmias, should be monitored and treated before the procedure
A daughter of a client with a terminal illness pulls a nurse to the side and says, "Although my mother's
living will states she is not to be resuscitated, the family wants everything done to save her if she has a
cardiac arrest." How should the nurse respond?
Select one:
a. "The living will documents your mother's wishes and must be followed."
b. "I will contact the provider to make him aware of your request."
c. "If your mother has a cardiac arrest, we will begin resuscitation if you wish."
d. "Since the living will is a legal document a lawyer will have to make the changes." - ✔✔a. "The living
will documents your mother's wishes and must be followed."
A living will is a document that expresses the client's wishes regarding medical treatment in the event
the client becomes incapacitated and is facing end-of-life issues. The client's wishes should be followed
by the health care provider.
A provider informs the wife of a comatose client with terminal cancer that she will need to sign the
consent for insertion of a gastrostomy feeding tube. The nurse knows this is against the client's wishes.
What is the appropriate action by the nurse?
Select one:
a. Inform the wife she cannot sign the consent
b. Prepare the consent for the wife to sign.
