while documenting on a paper form the nurse realizes they have made a mistake writing the progress note what should the nurse do

NCLEX-PN

Nclex PN Questions and Answers

1. While documenting on a paper form, the nurse realizes they have made a mistake writing the progress note. What should the nurse do?

A. Use a black marker to fully cover up the mistake.
B. Do not make any changes to the progress note but explain later in the note that a mistake was made and note what should have been written.
C. Use whiteout to cover over the mistake and write over it.
D. Inform the client about the mistake and offer to provide a corrected copy.

Correct answer: B

Rationale: In the scenario described, it is essential for the nurse not to alter the original progress note. Option B is the correct course of action as it maintains the integrity of the documentation while acknowledging the error for transparency and accuracy. Using a black marker (Option A) or whiteout (Option C) can be seen as an attempt to conceal the mistake, which is not in line with professional standards. Option D is incorrect because the mistake should be addressed within the documentation itself, not by informing the client directly about it.

2. Which NSAID is comparable to morphine in efficacy?

A. Feldene
B. Stodal
C. Toradol
D. Elavil

Correct answer: C

Rationale: The correct answer is Toradol. Toradol is the first injectable NSAID that has been found to be comparable to morphine in terms of efficacy. Feldene (choice A) is not known for being comparable to morphine in efficacy. Stodal (choice B) is a homeopathic cough syrup and not an NSAID. Elavil (choice D) is a tricyclic antidepressant and not an NSAID, so it is not comparable to morphine in efficacy. Therefore, Toradol is the most appropriate choice as it matches the description provided in the question.

3. Which of the following statements from a client may indicate that they are at a higher risk for a fall?

A. "I would like to get out of bed but would like to put on my non-skid socks first."?
B. "Can you make sure the two bedrails are raised before leaving the room?"?
C. "I think I'm ready to walk a longer distance with the cane today."?
D. "I need to get out of bed to go to the bathroom now. I cannot find my glasses but cannot wait."?

Correct answer: D

Rationale: The correct answer is 'I need to get out of bed to go to the bathroom now. I cannot find my glasses but cannot wait.' This statement indicates that the client is in a hurry and unable to find their glasses, which could increase the risk of a fall due to impaired vision. Choice A about putting on non-skid socks shows the client's awareness of fall prevention, reducing the risk. Choice B demonstrates the client's request for bedrails to be raised, which is a safety measure, reducing the risk as well. Choice C suggests the client's readiness to walk a longer distance with a cane, indicating progress in mobility but not necessarily a higher fall risk.

4. After receiving a recent tattoo, someone should be screened for:

A. tuberculosis.
B. herpes.
C. hepatitis.
D. syphilis.

Correct answer: C

Rationale: After receiving a recent tattoo, screening for hepatitis is crucial due to the risk of blood-borne hepatitis B or C if strict sterile procedures are not followed during the tattooing process. Tuberculosis is an airborne pathogen and is not directly related to receiving a tattoo. Herpes and syphilis are infections spread through direct contact, such as sexual contact, and are not typically associated with tattooing.

5. To assess a client's ankle ROM, which ROM exercises should the nurse have them perform?

A. flexion, extension, hyperextension
B. flexion, extension, abduction, adduction
C. external rotation, internal rotation
D. extension, flexion, inversion, eversion

Correct answer: D

Rationale: The correct answer is extension, flexion, inversion, and eversion. These exercises help assess the full range of motion of the ankles. Flexion and extension evaluate the bending and straightening movements of the ankle joint, respectively. Inversion and eversion assess the inward and outward movements of the foot at the ankle joint. Hyperextension, abduction, and adduction are not specific movements of the ankle joint, making choices A and B incorrect. External and internal rotation are movements more related to joints like the hip or shoulder, not the ankle, making choice C incorrect.