NCLEX – RN MENTORING PROGRAM JSPENA With RATIONALE (A Graded) Latest Questions and Complete Solutions

MODULE 5: MANAGEMENT OF CARE EVALUATION EXAM 1. A nurse preparing a client for a bronchoscopy notes that the client is wearing a gold necklace. What should the nurse do to safeguard the client’s necklace? a. Ask the c ...

MODULE 5: MANAGEMENT OF CARE EVALUATION EXAM 1. A nurse preparing a client for a bronchoscopy notes that the client is wearing a gold necklace. What should the nurse do to safeguard the client’s necklace? a. Ask the client whether the necklace is gold b. Ask the client for permission to lock the necklace in the hospital safe c. Ask the client to remove the necklace and place it in the top drawer of the bedside table d. Ask the client to sign a release to free the hospital of responsibility if the necklace is damaged or lost during the procedure 2. A client has signed the informed consent for mastectomy of the left breast. On the morning of the surgical procedure, the client asks the nurse several questions about the procedure that make it obvious that she has does not have an adequate comprehension of the procedure. What is the most appropriate response by the nurse? a. Telling the client that it is her surgeon’s responsibility to explain the procedure b. Contacting the surgeon and requesting that she visit the client to answer her questions c. Informing the client that she has the right to cancel the surgical procedure if she wishes d. Telling the client that she needed to ask these questions before signing the informed consent for surgery 3. A client with diabetes mellitus who takes a daily dose of NPH insulin has a hard time drawing the insulin into a syringe because he has difficulty seeing the markings on the syringe. To which of the following services does the nurse suggest a referral? a. Home care b. Social services c. Physical therapy d. Occupational therapy 4. A nurse manager asks a nurse to work overtime because of a short-staffing problem. The nurse has made plans to do her Christmas shopping after work and does not want to work overtime. What is the most assertive response by the nurse to her nurse manager? a. “I’m not working overtime today.” b. “You know how I hate to work overtime.” c. “I will if you need me, but I am not happy about this.” d. “I have plans after work and will not be able to work overtime.” 5. A nurse is preparing for the admission of a client with pulmonary tuberculosis. Which of the following actions reflects the use of evidence-based practice in the care of the client? a. Keeping the door to the client’s room closed b. Using a surgical mask when entering the client’s room c. Placing the client in a semiprivate room with a cohort client d. Fitting the client for an N95 or HEPA (high-efficiency particulate air) mask to be worn at all times 6. A client admitted to the hospital has a do-not-resuscitate (DNR) order in his medical record. The nurse understands that: a. The DNR order may not be changed once it is in effect b. The DNR order requires frequent review as specified by state or agency policy c. The only people who may change the DNR order are members of the client’s immediate family d. The DNR order, as written on admission, must remain in effect for the duration of the client’s hospitalization 7. A graduate nurse hired to work in a medical unit of a hospital is attending an orientation session. The nurse educator, discussing care maps, asks the graduate nurse whether she understands how a care map is used. Which response indicates understanding? a. “The care map is developed by a nurse and identifies nursing diagnoses.” b. “The care map is a plan that is used only by the nurse to provide client care.” c. “The care map outlines the day-to-day expected outcomes of care and the outcomes anticipated at discharge.” d. “The care map is a standard plan, rather than an individualized one, that is developed strictly by a nurse and used for a client with a particular diagnosis.” 8. A nurse manager arrives at work and is immediately faced with several activities that require his attention. Which activity will the nurse manager attend to first? a. Stocking the medication closet b. Client assignments for the day c. A phone message from a client’s wife d. A phone message from employee health services 9. A nurse on the night shift is making client rounds. When the nurse checks a client who is 97 years old and has successfully been treated for heart failure, he notes that the client is not breathing. If the client does not have a do-not-resuscitate (DNR) order, the nurse should: a. Call the client’s physician b. Contact the nursing supervisor for directions c. Administer cardiopulmonary resuscitation (CPR) d. Administer oxygen to the client and call the physician 10. A 17-year-old client arrives at the clinic and asks to be examined because she believes that she has contracted a sexually transmitted infection. In regard to informed consent, the nurse tells the client that: a. She will need to sign an informed consent form b. Her mother or father will need to be contacted for permission to treat her c. Anyone over the age of 18 years may sign a consent form for her treatment d. A consent form is not needed if the problem is a sexually transmitted infection