NCLEX Review - Management of Care Questions and Correct Answers the Latest Update and Recommended Version
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Course
NCLEX
Institution
NCLEX
A client is being prepped for a surgical procedure and the nurse is reviewing the informed
consent with the client. The client asks, "Is there any other way to take care of this without
having surgery?" The nurse has a duty to first:
1) Reassure the client that the surgery is the best treatmen...
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NCLEX Review - Management of Care
Questions and Correct Answers the
Latest Update and Recommended
Version
A client is being prepped for a surgical procedure and the nurse is reviewing the informed
consent with the client. The client asks, "Is there any other way to take care of this without
having surgery?" The nurse has a duty to first:
1) Reassure the client that the surgery is the best treatment option
2) Tell the client if they don't want the surgery, they don't have to have it
3) Notify the surgeon that the client has additional questions about alternatives to surgery
4) Call the surgeon and cancel the surgery until the consent form is signed
• 3
•
• Rationale:
• The client has a right to an explanation of the treatment and its expected results,
anticipated risks and benefits, possible alternative treatment options and all questions
answered before a consent form is signed. Remember, the client is not asking you for
your opinion. The client is asking about alternative treatments for the condition. Notify
the appropriate health care provider if the client needs additional information that
you cannot answer. Once the client has all the necessary information then they can
decide not to sign the informed content and cancel the surgery.
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A nurse is named in a lawsuit. Which of these factors will offer the best protection for that
nurse in a court of law?
1) Clinical specialty certification by an accredited organization
2) Complete and accurate documentation of assessments and interventions
3) Above-average performance reviews prepared by nurse manager
4) Sworn statement that health care provider orders were followed
• 2
•
• Rationale:
• The medical record is a legal document. Documentation should include all steps of the
nursing process; it must be complete, accurate, concise and in chronological order.
Inaccurate or incomplete documentation will raise red flags and may indicate the nurse
failed to meet the standards of care. The attorney will review the medical record with
the nurse before giving a deposition (sworn pretrial testimony). Above-average
performance reviews could be considered supporting information. Certification is an
"extra" based on the nurse's initiative; it is, however, unrelated to accurate charting.
The new graduate nurse interviews for a position in a nursing department of a large health
care agency that uses the approach of shared governance. Which of these statements best
illustrate the shared governance model?
1) Staff groups are appointed to discuss nursing practice and client education issues
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2) Non-nurse managers supervise nursing staff in groups of units
3) Nursing departments share responsibility for client outcomes
4) An appointed board oversees any administrative decisions
• 3
•
• Rationale:
• Shared governance or self-governance is a method of organizational design. It
promotes empowerment of nurses to give them responsibility for client care issues and
outcomes with other divisions in the agency.
The registered nurse (RN) and the unlicensed assistive person (UAP) are caring for clients on a
surgical unit. Which action(s) by the UAP warrant immediate intervention? (Select all that
apply.)
1) The UAP empties the indwelling catheter bag for the client who had a transurethral
resection of the prostate (TURP) yesterday
2) The UAP applies moisture barrier cream to the client's excoriated perianal area
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