NCLEX Practice Exam 4

Question 1

All of the following are one of the five rights of delegation EXCEPT the

Accepted Answer

right department

Answer

right person

Answer

right circumstances

Answer

right supervision/evaluation

Answer

right task

Answer

right communication

Question 2

Which of the following statements about advocacy is correct?

Accepted Answer

Nurses must safeguard a patient’s rights and safety at all times.

Answer

Nurses must advocate for their patients as long as they align themselves with the treating physician.

Answer

As part of a nurse’s responsibility to advocate for the patient, the nurse must counsel the patient before obtaining informed consent.

Answer

The nurse is responsible for talking the patient into the correct treatment decisions.

Question 3

What is one way that a nurse can minimize the chances of being found negligent in court if sued by a patient?

Accepted Answer

Make sure that the nursing practice is in accordance with the standards of care.

Answer

Do what the nurse believes is correct, especially if the physician appears to be making an incorrect decision.

Answer

Follow the physician’s instructions exactly.

Answer

Follow the wishes of family members of a terminally ill patient, even if they do not have power of attorney.

Question 4

The nurse is caring for a patient who is newly diagnosed with stage IV breast cancer. The patient is expressing anxiety and concerns about an upcoming surgical procedure. The nurse consults the chart and notes that the patient has not signed consent forms for the procedure. How should the nurse respond?

Accepted Answer

“I understand that you have some concerns about your treatment. Let me get the physician to come in and talk to you.”

Answer

“Don’t worry about the procedure; you will be fine.”

Answer

“A bilateral mastectomy with dissection of the axillary lymph nodes is the most appropriate treatment for your case.”

Answer

“Let me get your signature on the consent form while we are talking about your surgery.”

Question 5

Which of the following processes will assist patients in obtaining necessary treatments or therapies for optimal outcome?

Accepted Answer

Case management

Answer

Managed care

Answer

Multidisciplinary care

Answer

Health care

Question 6

Health maintenance organizations and preferred provider organizations are examples of what type of organization?

Accepted Answer

Managed care

Answer

Case management

Answer

Quality improvement

Answer

Healthcare

Question 7

You are responsible for reviewing the nursing unit’s refrigerator. Which of the following drug, if found inside the fridge, should be removed?

Accepted Answer

Nadolol (Corgard)

Answer

Opened (in-use) Humulin N injection

Answer

Urokinase (Kinlytic)

Answer

Epoetin alfa IV (Epogen)

Question 8

A new mother has some questions about phenylketonuria (PKU). Which of the following statements made by a nurse is not correct regarding PKU?

Accepted Answer

The effects of PKU are reversible.

Answer

A Guthrie test can check the necessary lab values.

Answer

The urine has a high concentration of phenylpyruvic acid

Answer

Mental deficits are often present with PKU.

Question 9

You are taking the history of a 14-year-old girl who has a (BMI) of 18. The girl reports inability to eat, induced vomiting and severe constipation. Which of the following would you most likely suspect?

Accepted Answer

Anorexia nervosa

Answer

Multiple sclerosis

Answer

Bulimia nervosa

Answer

Systemic sclerosis

Question 10

In acid-base balance the normal plasma PCO2 and bicarbonate levels are disturbed. Match the changes in these parameters given below with the disorders in the drop down list. Low plasma PaCO2

Accepted Answer

Respiratory Alkalosis

Answer

Metabolic Acidosis

Answer

Metabolic Alkalosis

Answer

Respiratory Acidosis