A c. What document should be in guiding the care of
this client?
A) Client Self Determination Act
B) Physician's treatment orders
C) Advance Directives.
D) Clinical Pathway protocols
Review Information: The correct answer is: C)
Advance Directives. This document specifies the
client's wishes
Question 2
, NCSBN TEST BANK - for the NCLEX-RN & NCLEX-PN,
Updated 2021, Complete Questions & Answers With
Rationale
You are the of a health care team that consists of
one licensed practical/vocational nurse, one nursing
assistant , a nursing student and yourself. To whom
is it appropriate to assign complete care for
A) Yourself
B) The nursing student
C) The licensed vocational nurse
D) The nursing assistant
Review Information: The correct answer is:A)
Yourself.
While the nurse may delegate a bed bath for a
stable client, this care should be performed by an
RN for a new admission. Only tasks that do not
require independent judgment should be delegated.
3Question 3
A mother brings her the clinic, complaining that the
child seems to be The nurse expects to find which
of the following on the initial history and physical
assessment?
, NCSBN TEST BANK - for the NCLEX-RN & NCLEX-PN,
Updated 2021, Complete Questions & Answers With
Rationale
A) Increased temperature and lethargy
B) Rash and restlessness
C) Increased sleeping and listlessness
D) Diarrhea and poor skin turgor
Review Information: The correct answer is:B) Rash
and restlessness.
, NCSBN TEST BANK - for the NCLEX-RN & NCLEX-PN,
Updated 2021, Complete Questions & Answers With
Rationale
Question 4
As the nurse takes a history of a 3 year-old with
neuroblastoma, what comments by the parents
require follow-up and are consistent with the
diagnosis?
A) "The child has been listless and has lost weight."
B) "Her urine is dark yellow and small in amounts."
C) "Clothes are becoming
tighter across her abdomen."
D+) "We notice muscle
weakness and some
unsteadiness."
Review Information: The correct answer is:C)
"Clothes are becoming tighter across her abdomen.".
One of the most common signs of neuroblastoma
is increasing abdominal girth. The parents'' report
that clothing is tight is significant, and should be
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