the method of splinting is always dictated by

NCLEX-PN

Nclex Questions Management of Care

1. The method of splinting is always dictated by:

A. location of the injury and whether it is open or closed.
B. the severity of the client's condition and the priority decision.
C. the number of available rescuers and the type of splints.
D. all of the above.

Correct answer: B

Rationale: The correct answer is 'the severity of the client's condition and the priority decision.' When determining the method of splinting, it is crucial to consider the severity of the client's condition and make decisions based on their priority. Choice A is incorrect because while the location of the injury and whether it is open or closed are important factors, they do not always dictate the method of splinting. Choice C is incorrect as the number of available rescuers and the type of splints may impact the execution of splinting but do not solely dictate the method. Choice D is incorrect as it suggests that all the factors mentioned dictate the method, but in reality, the severity of the client's condition and the priority decision are the primary factors.

2. Which of the following clients would be most appropriate for an LPN to assign to a nursing assistant?

A. an 18-year-old client with a femur fracture who is just returning to the floor from the recovery unit
B. an 84-year-old client 2 days post-op after knee replacement surgery who needs help ambulating
C. a 35-year-old client who is suffering from an acute asthma attack
D. a 20-year-old client with Cystic Fibrosis who needs an early morning sputum sample collection

Correct answer: D

Rationale: Collecting sputum samples on stable clients is within the scope of practice for an LPN. This task does not require immediate intervention or assessment by an RN or medical provider. An RN should perform the initial assessment on any client immediately post-op as it requires a higher level of assessment and monitoring. A client suffering from an acute asthma attack should be attended to by an RN or medical provider due to the potential severity and need for prompt intervention. Assigning a medically stable client who needs help ambulating to a nursing assistant is appropriate as it falls within their scope of practice and allows the LPN to focus on tasks that require their expertise.

3. All of the following tasks could be delegated to a nursing assistant or unlicensed assistive personnel (UAP) except:

A. monitoring intravenous infusion
B. assisting a client to the bathroom
C. offering fluid intake every 1-2 hours
D. monitoring/recording the amount of fluid taken

Correct answer: A

Rationale: Monitoring an intravenous infusion involves assessing for complications, adjusting the flow rate, and monitoring the client's response, which requires the knowledge and skills of a licensed nurse (RN or LPN). Tasks that can be delegated to nursing assistants or unlicensed assistive personnel include assisting a client to the bathroom, offering fluids, and recording fluid intake. These activities are within the scope of practice for UAPs as they do not involve the specialized knowledge and training needed for intravenous infusion monitoring.

4. During an emergency procedure, is the surgical timeout a requirement?

A. The surgical timeout should be performed by the surgical team unless it would cause a delay leading to injury or death.
B. No, the timeout is not necessary during an emergency procedure.
C. No, the surgical timeout is not required in emergency procedures.
D. Yes, the surgical timeout must be performed in all cases.

Correct answer: A

Rationale: During an emergency procedure, the surgical timeout should be performed unless doing so would cause a delay leading to injury or death. This is because the primary goal during an emergency is to swiftly address the critical situation. Choice B is incorrect as it implies that the timeout is not necessary, which is not accurate. Choice C is also incorrect as it suggests that the timeout is not required in emergency procedures, disregarding safety protocols. Choice D is incorrect as it wrongly states that the timeout must be performed in all cases without considering the potential risks associated with delays during emergencies.

5. For which of the following conditions might blood be drawn to assess uric acid levels?

A. asthma
B. gout
C. diverticulitis
D. meningitis

Correct answer: B

Rationale: Uric acid levels are commonly assessed in patients with gout. Gout is a type of arthritis caused by the buildup of uric acid crystals in the joints, leading to inflammation and pain. Monitoring uric acid levels helps in diagnosing and managing gout. Asthma, diverticulitis, and meningitis are not conditions where blood tests for uric acid levels are typically necessary. Asthma is a respiratory condition, diverticulitis involves inflammation of the digestive tract, and meningitis is an infection of the meninges in the brain and spinal cord.