[App] SHRM-CP Offline Exam on All PC version 2025 - 1000 + Question
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NCLEX-PN Exam Questions - Part 62
1. The nurse uses prioritization to determine all the following except:
A) time allotment for certain tasks.
B) appropriate interventions.
C) treatment procedures.
D) the need for client education.
2. A day care center has asked the nurse to provide education for parents regarding safety in the home. What type of preventive care does this represent?
A) primary
B) secondary
C) tertiary
D) health promotion
3. A client has just returned from surgery where a femoral-popliteal bypass was performed. The nurse has assessed the client and is unable to feel a pulse at either the dorsalis pedis or the posterior tibial sites of the left foot. The foot feels warm and the color is pink. What action should the nurse perform next to prevent ischemia?
A) Notify the physician immediately.
B) Obtain a Doppler device to check for pulses, and notify the physician if they are still absent.
C) Wait 30 minutes and recheck the pulses.
D) Document the finding.
4. The ethical principle of keeping professional promises or obligations is:
A) veracity.
B) autonomy.
C) fidelity.
D) beneficence.
5. A risk management program within a hospital is responsible for all of the following except:
A) identifying risks.
B) controlling financial loss due to malpractice claims.
C) making sure that staff follow their job descriptions.
D) analyzing risks and trends to guide further interventions or programs.
A) time allotment for certain tasks.
B) appropriate interventions.
C) treatment procedures.
D) the need for client education.
2. A day care center has asked the nurse to provide education for parents regarding safety in the home. What type of preventive care does this represent?
A) primary
B) secondary
C) tertiary
D) health promotion
3. A client has just returned from surgery where a femoral-popliteal bypass was performed. The nurse has assessed the client and is unable to feel a pulse at either the dorsalis pedis or the posterior tibial sites of the left foot. The foot feels warm and the color is pink. What action should the nurse perform next to prevent ischemia?
A) Notify the physician immediately.
B) Obtain a Doppler device to check for pulses, and notify the physician if they are still absent.
C) Wait 30 minutes and recheck the pulses.
D) Document the finding.
4. The ethical principle of keeping professional promises or obligations is:
A) veracity.
B) autonomy.
C) fidelity.
D) beneficence.
5. A risk management program within a hospital is responsible for all of the following except:
A) identifying risks.
B) controlling financial loss due to malpractice claims.
C) making sure that staff follow their job descriptions.
D) analyzing risks and trends to guide further interventions or programs.
1. Right Answer: C
Explanation: Treatment procedures are standards of care as defined by the facility or nursing unit. If a treatment is indicated, the nurse is obligated to follow the established procedure to be compliant with practice standards. Established priorities contribute to the determination of time management, appropriate interventions, and the need for client education as a potential intervention. Coordinated Care
2. Right Answer: A
Explanation: Primary prevention involves activities that are utilized to promote wellness or prevent illness or injury. There are many dangers in the home for small children.Providing education regarding the need for safety measures to prevent injury in the home is considered primary prevention. Secondary prevention involves early detection of a disease or illness and quick intervention to aid the client in maintenance of the disease or injury. Tertiary prevention involves the reduction of a disability and the promotion of the highest level of functioning for a client in relation to his or her disease or injury. Health promotion is any activity that increases a clients health and wellness. Health Promotion and Maintenance
3. Right Answer: B
Explanation: The nurse should immediately obtain a Doppler device and recheck the pulses. The dorsalis pedis and posterior tibial can be difficult to assess and might need to be verified with a Doppler. Because the client just had a surgery in which a complication is arterial insufficiency, the client must be monitored carefully. If the pulses are not found, the nurse should recognize that this is an emergent situation, and the physician must be notified immediately. If the nurse waits 30 minutes before determining if the pulses can be felt, this could compromise the viability of the clients foot due to ischemia. Documenting the findings is important but must be performed after the nurse locates the dorsalis pedis and posterior tibial pulses or any necessary interventions are made. Health Promotion and Maintenance
4. Right Answer: C
Explanation: The ethical principle of veracity is truth-telling. Autonomy is client self-determination (that is, clients making their own decisions). Beneficence is the principle of doing good, which is a foundation of nursing care. Coordinated Care
5. Right Answer: C
Explanation: Risk management is an organizationwide program to identify risks and control incidents and legal liability.It does not have any direct supervisory or management responsibility for staff. Safety and Infection Control
Explanation: Treatment procedures are standards of care as defined by the facility or nursing unit. If a treatment is indicated, the nurse is obligated to follow the established procedure to be compliant with practice standards. Established priorities contribute to the determination of time management, appropriate interventions, and the need for client education as a potential intervention. Coordinated Care
2. Right Answer: A
Explanation: Primary prevention involves activities that are utilized to promote wellness or prevent illness or injury. There are many dangers in the home for small children.Providing education regarding the need for safety measures to prevent injury in the home is considered primary prevention. Secondary prevention involves early detection of a disease or illness and quick intervention to aid the client in maintenance of the disease or injury. Tertiary prevention involves the reduction of a disability and the promotion of the highest level of functioning for a client in relation to his or her disease or injury. Health promotion is any activity that increases a clients health and wellness. Health Promotion and Maintenance
3. Right Answer: B
Explanation: The nurse should immediately obtain a Doppler device and recheck the pulses. The dorsalis pedis and posterior tibial can be difficult to assess and might need to be verified with a Doppler. Because the client just had a surgery in which a complication is arterial insufficiency, the client must be monitored carefully. If the pulses are not found, the nurse should recognize that this is an emergent situation, and the physician must be notified immediately. If the nurse waits 30 minutes before determining if the pulses can be felt, this could compromise the viability of the clients foot due to ischemia. Documenting the findings is important but must be performed after the nurse locates the dorsalis pedis and posterior tibial pulses or any necessary interventions are made. Health Promotion and Maintenance
4. Right Answer: C
Explanation: The ethical principle of veracity is truth-telling. Autonomy is client self-determination (that is, clients making their own decisions). Beneficence is the principle of doing good, which is a foundation of nursing care. Coordinated Care
5. Right Answer: C
Explanation: Risk management is an organizationwide program to identify risks and control incidents and legal liability.It does not have any direct supervisory or management responsibility for staff. Safety and Infection Control
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