NCLEX-PN TEST BANK

Safe and Effective Care Environment Nclex PN Questions

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: encouraging as many persons to become nurses as possible.
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.

In a disaster situation, the nurse assessing a diabetic client on insulin assesses for all of the following except:

  • A. diabetic signs and symptoms.
  • B. nutritional status.
  • C. bleeding problems.
  • D. availability of insulin.

Correct Answer: C
Rationale: In a disaster situation, when assessing a diabetic client on insulin, the nurse should assess for diabetic signs and symptoms to monitor the client's condition, nutritional status to ensure proper dietary management, and availability of insulin to maintain the client's medication regimen. Bleeding problems are not directly related to diabetes or insulin use, making it the exception in this assessment scenario. Therefore, bleeding problems would not be a typical focus of assessment in this context.

In a community hospital, a nurse is employed as a staff nurse and is supervised by a nurse manager. The nurse understands that in this position, the term authority most appropriately refers to which description?

  • A. Accepting responsibility for the actions of others
  • B. The official power to ensure that an organizational decision is enforced
  • C. Bearing the legal responsibility for others’ performance of tasks
  • D. Taking responsibility for what staff members do

Correct Answer: The official power to ensure that an organizational decision is enforced
Rationale: The term authority refers to the official power of an individual to approve or command an action or to ensure that a decision is enforced. In the context of the nurse's position supervised by a nurse manager, having authority means having the official power to ensure that organizational decisions are carried out. Choice A, accepting responsibility for the actions of others, is more related to accountability rather than authority. Choice C, bearing the legal responsibility for others’ performance of tasks, is more about legal liability rather than authority. Choice D, taking responsibility for what staff members do, is similar to choice A and is more about accountability rather than having the official power to enforce decisions. Therefore, the correct answer is B as it directly relates to the concept of authority in the context described.

What condition is mammography used to detect?

  • A. pain
  • B. tumor
  • C. edema
  • D. epilepsy

Correct Answer: tumor
Rationale: Mammography is specifically used to detect tumors or abnormal growths, especially in breast tissue. It is not a tool for identifying pain, edema, or epilepsy. Therefore, the correct answer is 'tumor.' Pain is a symptom, edema is swelling, and epilepsy is a neurological disorder; none of these are conditions typically detected through mammography.

When should the biohazard emblem be affixed to containers according to the orientation nurse educator reviewing the biohazard legend with a class of new employees?

  • A. when there is presence of blood and body fluids.
  • B. when there is the need for droplet precautions.
  • C. when there is contact isolation.
  • D. when there is the potential for airborne transmission.

Correct Answer: when there is presence of blood and body fluids.
Rationale: The correct answer is 'when there is presence of blood and body fluids.' When handling body substances like blood and body fluids, the risk of transmission of infections increases. Federal regulations mandate warning labels on containers to alert employees and waste collectors. The biohazard emblem consists of a three-ring symbol overlaying a central concentric ring. Blood, wound drainage, feces, and urine are examples of body fluids that can transmit infections and diseases to others. The other choices, B, C, and D, are incorrect because the presence of the biohazard emblem is specifically linked to the handling of blood and body fluids, not to droplet precautions, contact isolation, or airborne transmission.

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