Exam (elaborations)
PNC Exam final Questions and Answers with complete actual solution
PNC Exam final Questions and Answers with complete actual solution
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PNC Exam finalA 3-year-old child is being admitted to a medical division for vomiting, diarrhea, and
dehydration. During the admission interview, the nurse should implement which
communication techniques to elicit the most information from the parents?
A. The use of reflective questions
B. The use of closed questions
✅✅-D
C. The use of assertive questions
D. The use of clarifying questions -
A charge nurse meets with staff to outline a plan to provide transcultural nursing care for
patients in their health care facility. Which theorist promoted this type of caring as the central
theme of nursing care, knowledge, and practice?
A. Madeline Leininger
B. Jean Watson
✅✅-A
C. Dorothy E. Johnson
D. Betty Newman -
A female patient who is receiving chemotherapy for breast cancer tells the nurse, "The
treatment for this cancer is worse than the disease itself. I'm not going to come for my
therapy anymore." The nurse responds by using critical thinking skills to address this patient
problem. Which action is the first step the nurse would take in this process?
A. The nurse judges whether the patient database is adequate to address the problem.
B. The nurse considers whether or not to suggest a counseling session for the patient.
C. The nurse reassesses the patient and decides how best to intervene in her care.
✅✅
D. The nurse identifies several options for intervening in the patient's care and critiques the
merit of each option. - -C
A home health care nurse is using the steps of the SDLC, to design a new system for home
health care documentation. The nurse analyzes the old system and develops plans for the
new system. What is the next step of the nurse in this process?
A. Test
B. Design
✅✅-B
C. Implement
D. Evaluate -
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 - ✅✅-E
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. - -A
A new nurse who is being oriented to the subacute care unit is expected to follow existing
standards when providing patient care. Which nursing actions are examples of these
standards? Select all that apply.
A. Monitoring patient status every hour
B. Using intuition to troubleshoot patient problems
C. Turning a patient on bed rest every 2 hours
D. Becoming a nurse mentor to a student nurse
✅✅
E. Administering pain medication ordered by the physician
F. Becoming involved in community nursing events - -A
C
E
A new RN is being oriented to a nursing unit that is currently understaffed and is told that the
UAPs have been trained to obtain the initial nursing assessment. What is the best response
of the new RN?
A. Allow the UAPs to do the admission assessment and report the findings to the RN.
B. Do his or her own admission assessments but don't interfere with the practice if other
professional RNs seem comfortable with the practice.
C. Tell the charge nurse that he or she chooses not to delegate the admission assessment
until further clarification is received from administration.
✅✅
D. Contact his or her labor representative to report this practice to the state board of nursing.
- -C
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.
✅✅
D. Both the nurse and the health care provider are responsible for their respective actions. -
-D
,A nurse answers a patient's call light and finds the patient on the floor by the bathroom door.
After calling for assistance and examining the patient for injury, the nurse helps the patient
back to bed and then fills out an incident report. Which statements accurately describe steps
of this procedure and why it is performed? Select all that apply.
A. An incident report is used as disciplinary action against staff members.
B. An incident report is used as a means of identifying risks.
C. An incident report is used for quality control.
D. The facility manager completes the incident report.
✅✅-B
E. An incident report makes facts available in case litigation occurs.
F. Filing of an incident report should be documented in the patient record. -
C
E
A nurse assesses a patient and formulates the following nursing diagnosis: Risk for Impaired
Skin Integrity related to prescribed bed rest as evidenced by reddened areas of skin on the
heels and back. Which phrase represents the etiology of this diagnostic statement?
A. Risk for Impaired Skin Integrity
B. Related to prescribed bed rest
✅✅-B
C. As evidenced by
D. As evidenced by reddened areas of skin on the heels and back -
A nurse caring for a patient who is hospitalized following a double mastectomy is preparing a
discharge plan for the patient. Which action should be the focus of this termination phase of
the helping relationship?
A. Determining the progress made in achieving established goals
B. Clarifying when the patient should take medications
✅✅
C. Reporting the progress made in teaching to the staff
D. Including all family members in the teaching session - -A
A nurse caring for culturally diverse patients in a health care provider's office is aware that
patients of certain cultures are more prone to specific disease states than the general
population. Which patients would the nurse screen for diabetes mellitus based on the
patient's race? Select all that apply.
A. A Native American patient
B. An African-American patient
C. An Alaska Native
D. An Asian patient
✅✅
E. A White patient
F. A Hispanic patient - -A
C
E
F
, A nurse caring for patients in an institutional setting expresses a commitment to social
justice. What action best exemplifies this attribute?
A. Providing honest information to patients and the public
B. Promoting universal access to health care
✅✅
C. Planning care in partnership with patients
D. Documenting care accurately and honestly - -B
A nurse caring for patients in the intensive care unit develops values from experience to form
a personal code of ethics. Which statements best describe this process? Select all that
apply.
A. People are born with values.
B. Values act as standards to guide behavior.
C. Values are ranked on a continuum of importance.
D. Values influence beliefs about health and illness.
✅✅-B
E. Value systems are not related to personal codes of conduct.
F. Nurses should not let their values influence patient care. -
C
D
A nurse designing a new EHR system for a pediatric office follows usability concepts in
system design. Which concepts are recommended in system design? Select all that apply.
A. Users should not explore with forgiveness for unintended consequences.
B. Shortcuts for frequent users should not be incorporated into the system.
C. Content emphasis should be on information needed for decision making.
D. The less times users need to apply prior experience to a new system the better.
✅✅
E. All the information needed should be presented to reduce cognitive load.
F. The number of steps it takes to complete tasks should be minimized. - -C
E
F
A nurse develops a detailed care plan for a 16-year-old patient who is a new single mother
of a premature infant. The plan includes collaborative care measures and home health care
visits. When presented with the plan, the patient states, "We will be fine on our own. I don't
need any more care." What would be the nurse's best response?
A. "You know your personal situation better than I do, so I will respect your wishes."
B. "If you don't accept these services, your baby's health will suffer."
C. "Let's take a look at the plan again and see if we can adjust it to fit your needs."
✅✅
D. "I'm going to assign your case to a social worker who can explain the services better." -
-C
A nurse enters a patient's room and examines the patient's IV fluids and cardiac monitor.
The patient states, "Well, I haven't seen you before. Who are you?" What is the nurse's
BEST response?
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