NCLEX MANAGEMENT OF CARE EXAM |
ALL QUESTIONS AND CORRECT
ANSWERS | ALREADY GRADED A+ |
VERIFIED ANSWERS | STUDY THIS
ONE!
A terminally ill male patient who is mentally competent declines
palliative radiation for his inoperable brain tumor. The nurse
knows that this patient is refusing treatment based on which of
these legal standards?
a. The Health Insurance Portability and Accountability Act
b. The Uniform Anatomical Gift Act
c. The Patient Self Determination Act
d. The Patients' Bill of Rights ------CORRECT ANSWER-------------
--c. The Patient Self Determination Act
Which of these examples is most illustrative of a nurse acting as
an advocate for the patient?
a. giving a postoperative patient pain medication even though he
or she has refused it
b. telling the patient which treatment would be best based on your
clinical opinion and past experience
c. sharing a patient's status over the phone with a concerned
neighbor who calls to ask how the patient is doing
d. explaining a patient's test results in greater detail after they've
been given by the treating practitioner ------CORRECT ANSWER-
--------------d. explaining a patient's test results in greater detail
after they've been given by the treating practitioner
,A nurse is assigned five patients on a medical surgery floor.
There are two LPNs and one nursing assistant also working the
shift. Which of the following interventions are appropriate to
delegate to the supportive nursing staff? Select all that apply.
a. auscultating breath sounds on a 70-year-old client with
emphysema
b. changing bed linens on a 44-year-old client while he is in
radiology for an MRI
c. assisting a 83-year-old client with history of unstable gait to the
restroom
d. administering IV Toradol (Ketorolac tromenthamine) to a 56-
year-old recovering from a stroke
c. taking vital signs on a 65-year-old client whose blood pressure
was last 80/46 ------CORRECT ANSWER---------------a.
auscultating breath sounds on a 70-year-old client with
emphysema,
b. changing bed linens on a 44-year-old client while he is in
radiology for an MRI
Which of these scenarios correctly describes proper delegation by
a nurse?
a. delegating a bath of a quadriplegic patient to a nursing
assistant
b. delegating wound assessment on a postoperative patient
complaining of increased pain to a nursing assistant
c. delegating vitals on a patient who is experiencing chest pain to
a nursing assistant
d. delegating a nursing assistant to educate a patient on a new
medication ------CORRECT ANSWER---------------a. delegating a
bath of a quadriplegic patient to a nursing assistant
,The nurse is planning to delegate tasks for her patients at the
nursing home. The nurse knows that she does not need which of
these to ensure successful supervision of the delegated tasks?
a. the ability to problem-solve
b. the ability to provide timely follow-up
c. the ability to provide clear direction and communication
d. the ability to provide criticism and negative feedback ------
CORRECT ANSWER---------------d. the ability to provide criticism
and negative feedback
A 75-year-old female recovering from a broken hip is being
discharged from a healthcare facility. After completing her care
plan after discharge, the nurse learns that her patient has a 78-
year-old husband with dementia that she cares for at home. He
has been staying with other family members during her
convalescence. Which of these is the correct course of action for
the nurse?
a. Leave the discharge care plan as it is; assume that the family
will continue taking care of her husband.
b. Trust that the patient's rehabilitation has been sufficient and
she can immediately resume all previous activities related to
caring for her husband at home.
c. Confront the patient and ask her why she didn't disclose the
information about caring for her husband prior to completing her
discharge care plan.
d. Re-evaluate and revise her discharge care plan to ensure that
the patient and her husband are both well taken care of at home. -
-----CORRECT ANSWER---------------d. Re-evaluate and revise
her discharge care plan to ensure that the patient and her
husband are both well taken care of at home.
, A nurse is taking care of a previously healthy adult patient with a
newly diagnosed serious medical condition. The patient is
apprehensive and confused by all of the information, tests, test
results, and the number of medical practitioners involved in the
care plan. The nurse knows that it is her job to inform and
educate this patient on the rights and responsibilities of those
receiving healthcare as specified in the Patients' Bill of Rights.
According to this document, which of the following is not included
in this discussion?
a. the right to choose any provider or plan for healthcare
b. the responsibility to inform the healthcare staff of any previous
conditions and medications
c. the right to refuse any treatment
d. the right to be informed about and participate in the decisions
regarding medical treatment ------CORRECT ANSWER--------------
-c. the right to refuse any treatment (this is part of the Patient Self-
Determination Act)
The nurse working in the ICU takes a phone call from an unknown
person inquiring about the status of one of the patients under her
care. Which of the following is the best course of action for the
nurse?
a. Tell the person that the information cannot be given over the
phone.
b. Take all of the caller's information and list it in the patient's
chart prior to sharing the requested information.
c. Tell the person the patient's condition and reassure them the
best care is being given.
d. Check the patient's chart to see if the person is listed to receive
confidential information about the patient's medical condition and
care. ------CORRECT ANSWER---------------d. Check the patient's
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