Considerations NCLEX Preparedness Baseline Exam
Knowledge Questions with Expertly Written Clinical
Solutions 2025/2026
Which criterion is needed for someone to give consent to a procedure?
A. An appointed guardianship
B. Unemancipated minor
C. Minimum of 21 years or older
D. An advocate for a child - correct answer Answer: A. An appointed
guardianship
A guardian has been appointed by a court and has full legal rights to
choose management of care.
Which statement is correct?
A. Consent for medical treatment can be given by a minor with a sexually
transmitted disease (STD).
B. A second trimester abortion can be given without state involvement.
C. Student nurses cannot be sued for malpractice while in a nursing clinical
class.
D. Nurses who get sick and leave during a shift are not abandoning clients
if they call their supervisor and leave a message about their emergency
illness. - correct answer Answer: A. Consent for medical treatment can be
given by a minor with a sexually transmitted disease (STD).
,Anyone, at any age, can be treated without parental permission for an STD
infection. The client is "advised" to contact sexual partners but is not
"required" to give names. Permission from parents is not needed, based
upon current privacy laws.
Most litigation in the hospital comes from the:
A. Nurse abandoning the clients when going to lunch
B. Nurse following an order that is incomplete or incorrect
C. Nurse documenting blame on the physician when a mistake is made
D. Supervisor watching a new employee check his or her skills level -
correct answer Answer: B. Nurse following an order that is incomplete or
incorrect
The nurse is responsible for clarifying all orders that are illegible,
unreasonable, unsafe, or incorrect. The failure of the nurse to question the
physician about an order creates an area of liability on the nurse's part
because this is perceived as a medical action and not the role of the nurse
to write orders. Some rns do have prescriptive privileges based upon
advanced degrees and certification. Therefore the nurse who cannot
correct the order must document that the physician was called and
clarification or a new order was given to correct the unclear or illegible one
that was currently on the chart. Phone calls, follow-up, and lack of follow-up
by the physician should also be documented if there is a problem with
getting the information in a timely manner. The nurse must show the
sequence of events of a situation in a clear manner if there is any conflict or
question about any orders or procedures that were not appropriate.
Assessments and documentation of the client's status should also be
included if there is a potential risk for harm present. Contact of the staff's
chain of command should also be specifically stated for the proof of the
responsibilities being followed according to hospital policy.
, The nurse places an aquathermia pad on a client with a muscle sprain. The
nurse informs the client the pad should be removed in 30 minutes. Why will
the nurse return in 30 minutes to remove the pad?
A. Reflex vasoconstriction occurs.
B. Reflex vasodilation occurs.
C. Systemic response occurs.
D. Local response occurs. - correct answer Answer: A. Reflex
vasoconstriction occurs.
If heat is applied for 1 hour or more, blood flow is reduced by reflex
vasoconstriction. Vasoconstriction is the opposite of the desired effect of
heat application
A client has recently been told he has terminal cancer. As the nurse enters
the room, he yells, "My eggs are cold, and I'm tired of having my sleep
interrupted by noisy nurses!" The nurse may interpret the client's behavior
as:
A. An expression of the anger stage of dying
B. An expression of disenfranchised grief
C. The result of maturational loss
D. The result of previous losses - correct answer Answer: A. An
expression of the anger stage of dying
In the anger stage of Kubler-Ross's stages of dying, the individual resists
the loss and may strike out at everyone and everything, in this case, the
nurse.