regardless of their practice area nurses should be concerned with

NCLEX-PN

Nclex Questions Management of Care

1. Regardless of their practice area, nurses should be concerned with:

A. all drug-resistant bacteria.
B. microorganisms that are critical.
C. transmission of microorganisms.
D. overprescription of bacteriostatic drugs.

Correct answer: C

Rationale: All nurses should be concerned with preventing the transmission of microorganisms to themselves and others. A primary way to achieve this is through asepsis. Nursing practice emphasizes providing a safe environment to shield clients, family, and healthcare providers from infections. Choices A, B, and D are incorrect. While drug-resistant bacteria, critical microorganisms, and overprescription of bacteriostatic drugs are important, nurses' primary focus should be on preventing microorganism transmission to ensure safety and well-being.

2. What does it mean to be a nursing advocate?

A. makes decisions for others.
B. encourages persons to make decisions for themselves and acts with or on behalf of the person to support those decisions.
C. manages the care of others.
D. is the legal representative for a person.

Correct answer: B

Rationale: A nursing advocate does not make decisions for others but instead empowers individuals to make decisions for themselves. By encouraging individuals to make their own decisions and supporting them in this process, nursing advocates uphold the principle of self-determination. This approach respects the autonomy and independence of individuals in managing their care. Therefore, the correct answer is to 'encourage persons to make decisions for themselves and act with or on behalf of the person to support those decisions.' Choices A, C, and D are incorrect as they do not align with the role of a nursing advocate in promoting patient autonomy and self-determination.

3. The nurse acts as an advocate for the nursing profession by performing all of the following activities except:

A. encouraging political involvement by nurses with their legislators.
B. acting as a first-aid provider for a children's athletic team.
C. precepting newly licensed nurses in the work situation.
D. encouraging as many persons to become nurses as possible.

Correct answer: D

Rationale: The nurse acts as an advocate for the nursing profession by encouraging appropriate persons to become nurses, by being a positive role model and mentor, and by communicating the needs of nurses in the most professional manner possible to those making the laws. Encouraging as many persons as possible to become nurses may not align with the advocacy role, as the focus should be on quality rather than quantity. Choices A, B, and C are activities that align with being an advocate for the nursing profession by promoting political involvement, providing first aid, and precepting newly licensed nurses, respectively.

4. In an emergency situation where a client is unconscious and requires immediate surgery, what action is necessary with regard to informed consent?

A. The healthcare team will proceed with the surgery as consent is not needed in emergencies.
B. The healthcare team will wait until the client's family can be contacted for consent.
C. The healthcare team will contact the hospital clergy to provide informed consent.
D. The healthcare team will obtain consent from the client's legal guardian before proceeding.

Correct answer: A

Rationale: In emergency situations where obtaining consent is not possible due to the client's condition, healthcare providers are allowed to perform life-saving procedures without informed consent. It is assumed that the client would want to receive necessary treatment to save their life. Therefore, the correct action is for the healthcare team to proceed with the surgery as consent is not needed. Waiting to contact the client's family for consent can delay life-saving treatment, risking the client's life. Contacting the hospital clergy for consent is unnecessary and can cause further delays. Obtaining consent from the client's legal guardian is not feasible in this critical situation and may lead to a delay in providing essential care.

5. A safety measure to implement when transferring a client with hemiparesis from a bed to a wheelchair is:

A. standing the client and walking him or her to the wheelchair.
B. moving the wheelchair close to the client's bed and standing and pivoting the client on his unaffected extremity to the wheelchair.
C. moving the wheelchair close to the client's bed and standing and pivoting the client on his affected extremity to the wheelchair.
D. having the client stand and push his body to the wheelchair.

Correct answer: B

Rationale: When transferring a client with hemiparesis from a bed to a wheelchair, it is crucial to ensure their safety. The correct safety measure involves moving the wheelchair close to the client's bed and having the client stand and pivot on his unaffected extremity to the wheelchair. This method provides support with the unaffected limb, reducing the risk of falls and promoting a safer transfer. Choice A is incorrect because walking the client is unsafe and not recommended. Choice C is incorrect as pivoting the client on his affected extremity can lead to injury or falls due to weakness or lack of control. Choice D is incorrect as it puts the client at risk by requiring them to push their body, which may not be feasible or safe for someone with hemiparesis.