1
Nclex: ethics, delegation, prioritization,
legal
The new graduate nurse interviews for a position in a nursing
department of a large health care agency that uses the approach of
shared governance. Which of these statements best illustrate the shared
governance model?
A. Staff groups are appointed to discuss nursing practice and client
education issues
B. Non-nurse managers supervise nursing staff in groups of units
C. Nursing departments share responsibility for client outcomes
D. An appointed board oversees any administrative decisions - -Correct
Answer --✔️C. Nursing departments share responsibility for client
outcomes
Shared governance or self-governance is a method of organizational
design. It promotes empowerment of nurses to give them responsibility
for client care issues and outcomes with other divisions in the agency.
The triage nurse identifies that a 16-year-old client is legally married and
has signed the consent form for treatment. What would be an
appropriate action by the nurse?
1
, 2
A. Refer the teenager to a community pediatric hospital emergency
department
B. Proceed with the triage process in the same manner as any adult client
C. Ask the teenager to wait until a parent or legal guardian can be
contacted
D. Withhold treatment until telephone consent can be obtained from
their partner - -Correct Answer --✔️B. Proceed with the triage process in
the same manner as any adult client
Minors may become known as an "emancipated minor" through
marriage, pregnancy, high school graduation, independent living or
service in the military. Therefore, this married client has the legal capacity
of an adult. Otherwise, the age for legal signatures is 18 years of age.
The registered nurse (RN) and the unlicensed assistive person (UAP) are
caring for clients on a surgical unit. Which action(s) by the UAP warrant
immediate intervention? (Select all that apply.)
A. the UAP empties the indwelling catheter bag for the client who had a
transurethral resection of the prostate (TURP) yesterday
B. The UAP applies moisture barrier cream to the client's excoriated
perianal area
C. The UAP assists a client, who received an IV narcotic analgesic 30
minutes ago, to ambulate in the hall
D. The UAP applies a fingertip pulse oximeter on a client whose
fingernail is painted dark blue
2
, 3
E. The UAP assists a client, who had a total knee replacement two days
ago, to shave using a straight-edge razor - -Correct Answer --✔️C. The
UAP assists a client, who received an IV narcotic analgesic 30 minutes
ago, to ambulate in the hall
D. The UAP applies a fingertip pulse oximeter on a client whose
fingernail is painted dark blue
E. The UAP assists a client, who had a total knee replacement two days
ago, to shave using a straight-edge razor
The UAP can perform a number of nursing tasks, such as emptying an
indwelling urinary catheter bag and applying moisture barrier cream
after peri care. However, it is unsafe for the UAP to ambulate a client
who recently received an IV push narcotic. Although UAP can shave
clients, it is unsafe to shave someone using a straight-edge razor
because a client who had knee replacement surgery is probably taking
an anticoagulant; only an electric razor should be used. Pulse oximeter
readings must be done on a finger that is warm and free from dark
fingernail polish.
A nurse manager suspects a staff nurse of substance use disorder (SUD).
Which approach would be the best initial action by the nurse manager?
A. Schedule a staff conference, without the nurse present, to collect
information
B. Consult with human resources about the issue and needed actions
C. Confront the nurse about the suspicions in a private meeting
D. Counsel the employee to resign to avoid investigation and rumors - -
Correct Answer --✔️B. Consult with human resources about the issue and
needed actions
3
Nclex: ethics, delegation, prioritization,
legal
The new graduate nurse interviews for a position in a nursing
department of a large health care agency that uses the approach of
shared governance. Which of these statements best illustrate the shared
governance model?
A. Staff groups are appointed to discuss nursing practice and client
education issues
B. Non-nurse managers supervise nursing staff in groups of units
C. Nursing departments share responsibility for client outcomes
D. An appointed board oversees any administrative decisions - -Correct
Answer --✔️C. Nursing departments share responsibility for client
outcomes
Shared governance or self-governance is a method of organizational
design. It promotes empowerment of nurses to give them responsibility
for client care issues and outcomes with other divisions in the agency.
The triage nurse identifies that a 16-year-old client is legally married and
has signed the consent form for treatment. What would be an
appropriate action by the nurse?
1
, 2
A. Refer the teenager to a community pediatric hospital emergency
department
B. Proceed with the triage process in the same manner as any adult client
C. Ask the teenager to wait until a parent or legal guardian can be
contacted
D. Withhold treatment until telephone consent can be obtained from
their partner - -Correct Answer --✔️B. Proceed with the triage process in
the same manner as any adult client
Minors may become known as an "emancipated minor" through
marriage, pregnancy, high school graduation, independent living or
service in the military. Therefore, this married client has the legal capacity
of an adult. Otherwise, the age for legal signatures is 18 years of age.
The registered nurse (RN) and the unlicensed assistive person (UAP) are
caring for clients on a surgical unit. Which action(s) by the UAP warrant
immediate intervention? (Select all that apply.)
A. the UAP empties the indwelling catheter bag for the client who had a
transurethral resection of the prostate (TURP) yesterday
B. The UAP applies moisture barrier cream to the client's excoriated
perianal area
C. The UAP assists a client, who received an IV narcotic analgesic 30
minutes ago, to ambulate in the hall
D. The UAP applies a fingertip pulse oximeter on a client whose
fingernail is painted dark blue
2
, 3
E. The UAP assists a client, who had a total knee replacement two days
ago, to shave using a straight-edge razor - -Correct Answer --✔️C. The
UAP assists a client, who received an IV narcotic analgesic 30 minutes
ago, to ambulate in the hall
D. The UAP applies a fingertip pulse oximeter on a client whose
fingernail is painted dark blue
E. The UAP assists a client, who had a total knee replacement two days
ago, to shave using a straight-edge razor
The UAP can perform a number of nursing tasks, such as emptying an
indwelling urinary catheter bag and applying moisture barrier cream
after peri care. However, it is unsafe for the UAP to ambulate a client
who recently received an IV push narcotic. Although UAP can shave
clients, it is unsafe to shave someone using a straight-edge razor
because a client who had knee replacement surgery is probably taking
an anticoagulant; only an electric razor should be used. Pulse oximeter
readings must be done on a finger that is warm and free from dark
fingernail polish.
A nurse manager suspects a staff nurse of substance use disorder (SUD).
Which approach would be the best initial action by the nurse manager?
A. Schedule a staff conference, without the nurse present, to collect
information
B. Consult with human resources about the issue and needed actions
C. Confront the nurse about the suspicions in a private meeting
D. Counsel the employee to resign to avoid investigation and rumors - -
Correct Answer --✔️B. Consult with human resources about the issue and
needed actions
3
