Published - Thu, 23 Feb 2023

NCLEX-PN Exam Questions - Part 103

1. A gastroenterologist should be consulted for clients suffering from:

A) digestive system diseases.
B) urinary system diseases.
C) female reproductive system diseases.
D) nervous system diseases.

2. A client has experienced a CVA with right hemiparesis and is ready for discharge from the hospital to a long-term care facility for rehab. To provide optimal continuity of care, the nurse should do all of the following except:

A) document current functional status.
B) have the physician phone a report to the receiving facility.
C) copy appropriate parts of the medical record for transport to the receiving facility.
D) phone a report to the facility.

3. An example of a process standard on a med-surg unit is:

A) a procedure for changing IV tubing.
B) a policy for staffing.
C) the job description of the CEO (chief executive officer).
D) a procedure for checking waveforms on a client being treated on an intra-aortic balloon pump.

4. Which direction given to the nursing assistant is most likely to accomplish the task of getting a urine specimen delivered to the lab immediately after collection?

A) 'Make it a stat delivery.'
B) 'Please do it as soon as you can after break.'
C) 'This client is delirious, and we - re worried about a urinary sepsis.'
D) 'Take this client to the bathroom now and collect a urine specimen from this voiding. Take the specimen to the lab immediately.'

5. Priorities to be considered intermediate are:

A) the nonemergency, non-life-threatening needs of the client.
B) those tasks that can be delegated to assistive personnel.
C) those tasks that can be performed at the end of the shift.
D) those task that can be performed at any time.

1. Right Answer: A
Explanation: A gastroenterologist cares for clients with digestive system diseases. A urologist cares for clients with urinary system diseases. A gynecologist cares for clients with female reproductive system diseases. A neurologist cares for clients with nervous system diseases. Coordinated Care

2. Right Answer: B
Explanation: It is the nurses responsibility to communicate the clients condition and care plan to the receiving facility to support continuity of care. Documentation of the clients baseline functional status is important for the receiving facility to work with in further goal setting. A copy of select portions of the medical record (according to facility policy) is another form of communication and supports continuity. A physician might be asked to be involved if there are specific medical needs or orders that she believe are important, but is generally not involved. Coordinated Care

3. Right Answer: A
Explanation: Process standards define the actions and behaviors required by staff to provide care. A procedure for changing IV tubing is a psychomotor skill that is applied to helping clients meet their goals. Coordinated Care

4. Right Answer: D
Explanation: Effective delegation depends on clear, concise direction that leaves no room for question or interpretation on the part of the one being delegated to. Nursing assistants have a limited understanding of medical conditions and terminology, and should not be relied on to prioritize such tasks. Coordinated Care

5. Right Answer: A
Explanation: Priorities designated as intermediate by the nurse are those that are not urgent. They do not affect the clients immediate physiological status. This does not imply that they are not important or not necessary. Intermediate priorities might still require the skill level of an RN for completion. There might be specific time requirements for completion as well. Coordinated Care

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