Published - Thu, 23 Feb 2023

NCLEX-PN Exam Questions - Part 104

1. A mother has come to the pediatric clinic concerned about the recent outbreak of West Nile Virus. The ages of her children are 5, 7, and 10. The mother has asked the nurse what she can do to prevent her children from contracting this illness. Which piece of information is best to provide the mother with?

A) The children should wear long sleeves and long pants while outside.
B) Apply insect repellant containing DEET when the children are outside.
C) Remove standing water from the property.
D) All of the above.

2. The home health nurse has made a visit to an 85-year-old female clients home who has recently had surgery to replace her left knee. The client has been discharged from a rehab facility and has been able to walk on her own. The nurse assesses the need for teaching related to fall prevention. What should the nurse include in this teaching plan?

A) The client should remove all scatter rugs from the floor and minimize clutter.
B) The client should not get up and move around the house.
C) The client does not need to install a raised toilet and grab bar because she is able to walk on her own.
D) The client should wear a robe and socks while walking in the house.

3. Issues addressed in ethics committees include all of the following except:

A) nonpayment of bills.
B) euthanasia.
C) starting or stopping treatment.
D) use of feeding tubes.

4. How is the information documented on incident reports used?

A) to analyze risk categories
B) to make sure procedures are in compliance with regulations
C) to identify the educational needs of the staff
D) all of the above

5. The only time that an individual may receive medical care without giving informed consent is:

A) when the durable power of attorney for health care is not available.
B) in an emergency, life-or-death situation.
C) when the physician is not available for discussion with the client.
D) when they (clients) are not able to speak for themselves.

1. Right Answer: D
Explanation: It is recommended that the children wear insect repellant containing DEET and long-sleeve shirts and long pants when they are outside. Removing standing water from areas around where the children play can help decrease the number of breeding mosquitoes. These are the only known methods of prevention at this time.Health Promotion and Maintenance

2. Right Answer: A
Explanation: Rugs and clutter are a primary cause of falls in the home and should be eliminated if possible to decrease the risk of a fall. The elderly and those with gait issues are at an increased risk for a fall at home. The client should have a raised toilet seat and grab bars available in the bathroom to aid in movement in this potential slippery area of the home. Some clients find it difficult to rise up and down from the toilet and to get in and out of the shower. These items are all important in maintaining safety in the home. The client should not limit her movement within the home unless ordered by the physician. This decreases the ability of the client to perform activities of daily living and hinders the clients return to a normal lifestyle after surgery. The client should not wear baggy clothing such as long robes, and the client should not wear socks on slippery floors. These items can cause the client to trip, slip, or fall. Health Promotion and Maintenance

3. Right Answer: A
Explanation: Ethics committees do not deal with financial matters of payment. Euthanasia, starting or stopping treatment, and use of feeding tubes to maintain nutritional status are topics within the ethical scope of the committees function. Coordinated Care

4. Right Answer: D
Explanation: Risk management plays a vital role as an arm of quality monitoring and improvement programs. It utilizes information obtained from incident reports, as well as audits, committee minutes, service complaints, and client satisfaction questionnaires to perform all of the tasks identified. Safety and Infection Control

5. Right Answer: B
Explanation: Treatment may be given without consent in a life-threatening situation. Choices 1, 3, and 4 are incorrect. All attempts to notify a durable power of attorney for health care should be made. If unavailable, the physician assumes responsibility for treatment within facility protocol. The physician is obligated to have a discussion with the client in all non-life-threatening situations. If clients are not able to speak for themselves, their power of attorney for health care or responsible party is involved in the consent process. Coordinated Care

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