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RSNG 1125 Test 4 NCLEX questions With Complete Solutions
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RSNG 1125 Test 4 NCLEX questions With Complete Solutions
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RSNG 1125 Test 4 NCLEX questions With CompleteSolutions
A caregiver asks a nurse to explain respite care. How would the
nurse respond?
a. "Respite care is a service that allows time away for
caregivers."
b. "Respite care is a special service for the terminally ill and
their family."
c. "Respite care is direct care provided to people in a long-term
care facility."
d. "Respite care provides living units for people without regular
shelter." Correct Answer a. Respite care is provided to enable a
primary caregiver time away from the day-to-day
responsibilities of homebound patients.
A discharge nurse is evaluating patients and their families to
determine the need for a formal discharge plan or referrals to
another facility. Which patients would most likely be a
candidate for these services?
Select all that apply.
a. An older adult who is diagnosed with dementia in the hospital
b. A 45-year-old man who is diagnosed with Parkinson's disease
c. A 35-year-old woman who is receiving chemotherapy for
breast cancer
d. A 16-year-old boy who is being discharged with a cast on his
leg
e. A new mother who delivered a healthy infant via a cesarean
birth
,f. A 59-year-old man who is diagnosed with end-stage bladder
cancer Correct Answer a, b, f. The patients who are most likely
to need a formal discharge plan or referral to another facility are
those who are emotionally or mentally unstable (e.g., those with
dementia), those who have recently diagnosed chronic disease
(e.g., Parkinson's disease), and those who have a terminal illness
(e.g., end-stage cancer). Other candidates include patients who
do not understand the treatment plan, are socially isolated, have
had major surgery or illness, need a complex home care
regimen, or lack financial services or referral sources.
A home health care nurse is scheduled to visit a 38-year-old
woman who has been discharged from the hospital with a new
colostomy. Which duties would the nurse perform for this
patient in the entry phase of the home visit? Select all that apply.
a. Collect information about the patient's diagnosis, surgery, and
treatments.
b. Call the patient to make initial contact and schedule a visit.
c. Develop rapport with the patient and her family.
d. Assess the patient to identify her needs.
e. Assess the physical environment of the home.
f. Evaluate safety issues including the neighborhood in which
she lives. Correct Answer c, d, e. In the entry phase of the
home visit, the nurse develops rapport with the patient and
family, makes assessments, determines nursing diagnoses,
establishes desired outcomes, plans and implements prescribed
care, and provides teaching. In the pre-entry phase of the home
visit, the nurse collects information about the patient's
diagnoses, surgical experience, socioeconomic status, and
treatment orders. In the pre-entry phase, the nurse also gathers
,supplies needed, makes an initial phone contact with the patient
to arrange for a visit, and assesses the patient's environment for
safety issues.
A home health nurse performs a careful safety assessment of the
home of a frail older adult to prevent harm to the patient. The
nurse's action reflects which principle of bioethics?
a. Autonomy
b. Beneficence
c. Justice
d. Fidelity
e. Nonmaleficence Correct Answer 1. e. Nonmaleficence is
defined as the obligation to prevent harm. Autonomy is respect
for another's right to make decisions, beneficence obligates us to
benefit the patient, justice obligates us to act fairly, and fidelity
obligates us to keep our promises.
A hospice nurse is caring for a patient with end-stage cancer.
What action demonstrates this nurse's commitment to the
principle of autonomy?
a. The nurse helps the patient prepare a durable power of
attorney document.
b. The nurse gives the patient undivided attention when listening
to concerns.
c. The nurse keeps a promise to provide a counselor for the
patient.
d. The nurse competently administers pain medication to the
patient. Correct Answer 1. a. The principle of autonomy
obligates nurses to provide the information and support patients
, and their surrogates need to make decisions that advance their
interests. Acting with justice means giving each person his or
her due, acting with fidelity involves keeping promises to
patients, and acting with nonmaleficence means avoiding doing
harm to patients.
A hospital nurse is admitting a patient who sustained a head
injury in a motor vehicle accident. Which activity could the
nurse delegate to licensed assistive personnel?
a. Collecting information for a health history
b. Performing a physical assessment
c. Contacting the health care provider for medical orders
d. Preparing the bed and collecting needed supplies Correct
Answer d. The nurse may delegate preparation of the bed and
collection of needed supplies to unlicensed personnel but would
perform the other activities listed.
A nurse administers the wrong medication to a patient and the
patient is harmed. The health care provider who ordered the
medication did not read the documentation that the patient was
allergic to the drug. Which statement is true regarding liability
for the administration of the wrong medication?
a. The nurse is not responsible, because the nurse was following
the doctor's orders.
b. Only the nurse is responsible, because the nurse actually
administered the medication.
c. Only the health care provider is responsible, because the
health care provider actually ordered the drug.
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