CPEN FINAL PAPER EXAM QUESTIONS ACCURATE ANSWERS FULL SOLUTION
Question:
Why is it important to double-check medications before administration?
Answer:
Medication errors must be corrected before administration, and double-checking is a safety priority.
Question:
What is a key action a nurse should take when assessing a non-verbal female client who becomes
agitated during a skin assessment?
Answer:
Verify the client's culture and/or religious practices and consider asking for a female nurse to
perform the assessment.
Question:
What rationale supports the need for cultural sensitivity in nursing care?
Answer:
Cultural/religious sensitivity is essential for respectful, patient-centered care, and agitation may
stem from modesty or cultural norms.
Question:
What assessment findings might prompt a nurse to call the healthcare provider after a hip fracture
repair in a 90-year-old client?
Answer:
Weak pedal pulses, a loose staple in the hip incision, warmth and redness in the left leg, and a larger
left leg compared to the right.
,Question:
What do the findings of warmth, swelling, redness, and weak pulses indicate in a post-operative
patient?
Answer:
They suggest possible deep vein thrombosis (DVT) or infection, both of which are urgent issues.
Question:
What is the priority nursing action if a client's dialysis fistula is determined to be non-functional?
Answer:
Notify the healthcare provider immediately, as the client cannot survive without dialysis.
Question:
Why is survival the priority in cases involving dialysis?
Answer:
Dialysis is life-sustaining for patients with end-stage renal disease (ESRD).
Question:
What should a nurse consider when a client with osteoarthritis has not been eating well due to pain?
Answer:
The nurse should assess the client's pain management and consider interventions to improve intake,
while respecting the client's independence.
Question:
What is the significance of reporting look-alike/sound-alike medications being stored together?
Answer:
It is a systems-based safety concern that can lead to medication errors.
, Question:
What is the appropriate response if a nurse encounters a non-verbal client who is agitated during an
assessment?
Answer:
Respect the client's privacy and cultural beliefs, and consider delegating the assessment to a female
nurse.
Question:
What does the NCLEX tip 'Select all that apply' imply for nursing actions?
Answer:
Pick all safe, legal, and reasonable nurse actions based on the information presented.
Question:
What should a nurse do if they notice a loose staple in a client's hip incision during a home health
visit?
Answer:
This finding should be reported to the healthcare provider as it may indicate a complication.
Question:
What is the role of the healthcare provider in cases of potential DVT or infection?
Answer:
The healthcare provider should be contacted for further assessment and intervention.
Question:
Why is it inappropriate to delegate skin assessment to unlicensed assistive personnel (UAP)?
Answer:
UAPs do not perform assessments; this is within the scope of practice for licensed nurses.
Question:
Why is it important to double-check medications before administration?
Answer:
Medication errors must be corrected before administration, and double-checking is a safety priority.
Question:
What is a key action a nurse should take when assessing a non-verbal female client who becomes
agitated during a skin assessment?
Answer:
Verify the client's culture and/or religious practices and consider asking for a female nurse to
perform the assessment.
Question:
What rationale supports the need for cultural sensitivity in nursing care?
Answer:
Cultural/religious sensitivity is essential for respectful, patient-centered care, and agitation may
stem from modesty or cultural norms.
Question:
What assessment findings might prompt a nurse to call the healthcare provider after a hip fracture
repair in a 90-year-old client?
Answer:
Weak pedal pulses, a loose staple in the hip incision, warmth and redness in the left leg, and a larger
left leg compared to the right.
,Question:
What do the findings of warmth, swelling, redness, and weak pulses indicate in a post-operative
patient?
Answer:
They suggest possible deep vein thrombosis (DVT) or infection, both of which are urgent issues.
Question:
What is the priority nursing action if a client's dialysis fistula is determined to be non-functional?
Answer:
Notify the healthcare provider immediately, as the client cannot survive without dialysis.
Question:
Why is survival the priority in cases involving dialysis?
Answer:
Dialysis is life-sustaining for patients with end-stage renal disease (ESRD).
Question:
What should a nurse consider when a client with osteoarthritis has not been eating well due to pain?
Answer:
The nurse should assess the client's pain management and consider interventions to improve intake,
while respecting the client's independence.
Question:
What is the significance of reporting look-alike/sound-alike medications being stored together?
Answer:
It is a systems-based safety concern that can lead to medication errors.
, Question:
What is the appropriate response if a nurse encounters a non-verbal client who is agitated during an
assessment?
Answer:
Respect the client's privacy and cultural beliefs, and consider delegating the assessment to a female
nurse.
Question:
What does the NCLEX tip 'Select all that apply' imply for nursing actions?
Answer:
Pick all safe, legal, and reasonable nurse actions based on the information presented.
Question:
What should a nurse do if they notice a loose staple in a client's hip incision during a home health
visit?
Answer:
This finding should be reported to the healthcare provider as it may indicate a complication.
Question:
What is the role of the healthcare provider in cases of potential DVT or infection?
Answer:
The healthcare provider should be contacted for further assessment and intervention.
Question:
Why is it inappropriate to delegate skin assessment to unlicensed assistive personnel (UAP)?
Answer:
UAPs do not perform assessments; this is within the scope of practice for licensed nurses.
