how is the information documented on incident reports used

NCLEX-PN

NCLEX PN Test Bank

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

A. to analyze risk categories
B. to ensure compliance with regulations
C. to identify staff's educational needs
D. all of the above

Correct answer: D

Rationale: The information documented on incident reports is used for various purposes, including analyzing risk categories, ensuring compliance with regulations, and identifying staff's educational needs. Incident reports provide valuable data that can be utilized in risk management, quality monitoring, and improvement programs. Therefore, the correct answer is 'all of the above.' Choices A, B, and C are all correct as incident reports are used for analyzing risk categories, ensuring compliance with regulations, and identifying staff's educational needs, respectively. Thus, the most comprehensive answer is 'all of the above.'

2. When managing time effectively, which of the following stimuli should the nurse respond to first?

A. the physician's loud verbal direction
B. the nursing supervisor who is going to a meeting
C. unit staff leaving on a break
D. the care needs of the returning postoperative client just exiting the elevator

Correct answer: the care needs of the returning postoperative client just exiting the elevator

Rationale: The correct answer is to attend to the care needs of the returning postoperative client just exiting the elevator first. In a healthcare setting, patient care should always take precedence, especially for complex or unstable clients requiring immediate assessment and care. The physician's loud verbal direction, the nursing supervisor going to a meeting, and unit staff leaving on a break are important but do not involve direct patient care. Therefore, the nurse should prioritize responding to the returning postoperative client to ensure their immediate needs are met.

3. A nurse discovers that another nurse has administered an enema to a client even though the client told the nurse that he did not want one. Which is the most appropriate action for the nurse to take?

A. Report the incident to the nursing supervisor
B. Confront the nurse who gave the enema and inform the nurse that she may face charges of battery
C. Tell the client that the nurse did the right thing in giving the enema
D. Contact the client’s health care provider

Correct answer: Report the incident to the nursing supervisor

Rationale: Battery is any intentional touching of a client without the client’s consent, which violates the client’s rights. If a nurse discovers such an incident, they should report it to the nursing supervisor. Confronting the nurse and threatening charges of battery could lead to unnecessary conflict. Telling the client that the nurse did the right thing is incorrect as it goes against the client's wishes. While the health care provider may need to be notified eventually, the first step should be reporting the incident to the nursing supervisor to address the violation appropriately.

4. When a physician removes a chest tube, which type of dressing is recommended to be placed over the site?

A. transparent dressing
B. colloidal dressing
C. petrolatum gauze
D. nonadherent dressing

Correct answer: petrolatum gauze

Rationale: Petrolatum gauze is recommended to be placed over the site when a physician removes a chest tube because it forms an airtight seal, helping prevent air from entering the pleural space. This airtight seal is crucial to avoid complications such as a pneumothorax. Transparent dressing is not ideal for this purpose as it may not provide a sufficient seal due to its design. Colloidal dressing and nonadherent dressing are also not suitable for chest tube removal sites as they do not offer the same level of protection against air leakage and may not provide the necessary sealing properties.

5. Which of the following is not a function of parathyroid hormone?

A. moving calcium from bones to the bloodstream
B. inhibiting renal tubular reabsorption of phosphorus
C. promoting renal tubular reabsorption of calcium
D. enhancing renal production of vitamin D metabolites

Correct answer: inhibiting renal tubular reabsorption of phosphorus

Rationale: The correct answer is 'inhibiting renal tubular reabsorption of phosphorus.' Parathyroid hormone actually inhibits renal tubular reabsorption of phosphorus, making this choice the opposite of its function. Parathyroid hormone functions to move calcium from bones to the bloodstream (Choice A), promote renal tubular reabsorption of calcium (Choice C), and enhance renal production of vitamin D metabolites (Choice D). Therefore, all other choices are functions of parathyroid hormone except for the inhibition of phosphorus reabsorption.