Published - Thu, 23 Feb 2023

NCLEX-PN Exam Questions - Part 61

1. While walking in the hallway of an acute care unit of the hospital, the nurse overhears the change of shift report. The nurse should:

A) make the charge nurse on the unit aware of the situation so that he or she can take the necessary steps to maintain the confidentiality of the information being reported.
B) disregard the information because it changes quickly on the acute care unit and is outdated within 2 - 3 hours anyway.
C) return to his or her own unit and not disclose that confidential information has been overheard.
D) ignore the situation.

2. In the process of an annual physical exam, a client is diagnosed with Benign Prostatic Hypertrophy (BPH). This client is likely to have a consult with which type of physician?

A) gynecologist
B) physiatrist
C) urologist
D) proctologist

3. A nurse discharge planner is preparing a client for discharge from an acute care setting. The nurse assesses that skilled home care services are clinically indicated. This assessment is based on all of the following indicators except:

A) the client has been admitted to the hospital three times in the last 2 months.
B) the client has a Foley catheter.
C) the client - s family is available to care for him 24 hours a day.
D) the client is ordered to continue IV antibiotics 5 days post discharge.

4. As a type of quality indicator, an example of a structure standard is:

A) a written philosophy.
B) a procedure for a straight catheterization.
C) a protocol for treatment of a client with chest pain.
D) the diagnostic work-up for a client with abdominal pain.

5. 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.

1. Right Answer: A
Explanation: To protect the confidentiality of the information being reported, the nurse should make the charge nurse on the unit aware of the situation so that the information can be communicated in an appropriate way in privacy. Coordinated Care

2. Right Answer: C
Explanation: A urologist is the physician who specializes in urinary tract and prostatic disease. A gynecologist specializes in disease of the female reproductive tract. A physiatrist specializes in rehabilitation care. A proctologist specializes in lower colonic digestive diseases. Coordinated Care

3. Right Answer: C
Explanation: Family availability to provide care and assistance is not an indicator for skilled home care. In fact, the nurse might see some opportunity for family education in meeting the clients needs so that less community support is needed. This needs to be negotiated with the family. Frequent hospital readmissions imply that the client has not been able to manage either due to condition instability or lack of care needs being met. This is a red flag for home care services to be able to meet those needs and appropriately monitor the client. A Foley catheter is an indication for home health care due to infection potential and care requirements. IV antibiotics involve home care due to maintaining line patency and assessment of the site. Coordinated Care

4. Right Answer: A
Explanation: Structure standards define all the conditions needed to operate, direct, and control a system. They do not address client care but rather describe structure with regard to purpose, such as philosophy, objectives, goals, hours of operation, and management responsibility. Coordinated Care

5. Right Answer: A
Explanation: Monitoring an intravenous infusion must be performed by an RN or LPN. Assisting during activity, offering fluids and recording intake are in the job scope of the nursing assistant. Coordinated Care

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