NCLEX QUESTIONS
A nurse is caring for a patient scheduled for an invasive procedure. The
patient states, "I do not understand why I need this surgery, I feel that
I am doing fine and this will case my pain to worsen." Which of the
following actions should the nurse take?
A. Proceed with the surgery since the patient has already been briefed
by the doctor and signed the consent form.
B. Explain the details and benefits of the surgery to the patient in great
detail.
C. Notify the surgeon that the patient has questions about the surgery
and is wanting clear answers
D. Inform the patient the surgery is not an option and he needs to
proceed with the surgery.
Correct answer is C because the surgeon is the only one to inform the
patient of why surgery is needed and to answer their questions. A is
incorrect because although the patient has signed the consent form,
they can have questions and revoke the consent. B is incorrect
because It is not the nurses job to inform patients of pros and cons of
surgery. D is incorrect because the patient has autonomy and should
never be forced for a procedure.
While walking into an elevator, 2 nurses are discussing a patients
personal health information. What should the nurse do?
A. Ignore the conversation and proceed with their shift.
B. Join the conversation to provide additional information.
C. Report the incident to the hospital's compliance officer. D. Remind
the nurses that discussing patient information in public areas is a
breach of HIPPA
The correct answer is D as the nurse should take the action to stop the
conversation as soon as possible. A is incorrect because ignoring the
situation does not help the nurse protect the patients confidentiality. B
is incorrect as this further worsens the situation. C is incorrect
because the conversation will still proceed until the complaint is made.
A nurse is caring for a hospice patient who is experiencing severe pain.
The patient's family requests that the nurse administer a higher dose
of pain medication than prescribed, by the provider stating that the
patient’s suffering is worsening. What should the nurse do?
A. Administer the higher dose as requested by the family as they care
for the patient the most.
B. Explain to the family that increasing the dose without a doctor's
order is not allowed and would be in violation.
C. Ignore the family's request and continue with the current prescribed
dose.
D. Increase the dose slightly to alleviate the patient's pain.
The correct answer is B because the nurse should provide education on
the fact that only providers may adjust medicine dosage. A is incorrect
as giving a higher dose is in violation of nursing code. C is incorrect as
Ignoring the family is not addressing the families questions and
concerns. D is incorrect as adjusting the dose even slightly is illegal.
A nurse discovers that another nurse has been documenting care that
was not provided. Which action should the nurse take first?
A. Confront the nurse about the false documentation and threaten her
to stop.
B. Report the incident to the nurse manager.
C. Ignore the issue to avoid conflict as the nurse is your friend.
D. Document the care that was not provided after she charts
The correct answer is B as reporting the incident will allow the nurse
case manager to teach the nurse the dangers of false charting. A is
incorrect as a nurse should never make a situation hostile on purpose.
C is incorrect as ignoring the issue does not address the ethical
violation. D is incorrect as documenting over the prior nurse can cause
confusion.
