Questions 2026 Exam All
Answers and Illustrations
Given
A nurse is caring for a 72-year-old client who is scheduled for surgery
tomorrow.
The client tells the nurse, "I don't fully understand what the surgeon
explained,
but I signed the consent form because my daughter told me to." What is
the
,nurse's most appropriate action?
A. Reinforce that the signed consent is legally binding and no further
action is
needed
B. Notify the surgeon that the client may not fully understand the
procedure
C. Ask the daughter to re-explain the procedure to the client
D. Proceed with preoperative teaching as planned since consent was
obtained - ANSWER ✔✔B. Notify the surgeon that the client may not
fully understand the procedure
Reason: Informed consent requires that the patient fully understands the
procedure before agreeing. The nurse's role as a patient advocate is to
identify when understanding may be inadequate and notify the provider.
The nurse does not re-explain the procedure and cannot rely on family
members or assume consent is valid if comprehension is questionable.
A nurse is caring for a 65-year-old client with advanced chronic illness
who
, states, "I don't want any more aggressive treatments. I just want to be
comfortable." The client's family insists that "everything possible" be
done to
prolong the client's life. What is the nurse's best initial action?
A. Follow the family's wishes since they are the legal decision-makers
B. Encourage the client to reconsider to avoid family conflict
C. Document the client's statement and notify the healthcare provider
D. Delay action until the client becomes unable to make decisions -
ANSWER ✔✔C. Document the client's statement and notify the
healthcare provider
Reason: Advocacy in nursing means supporting the client's autonomy
and expressed wishes. Since the client is alert and able to make
decisions, their preferences take priority over family opinions. The nurse
should document the client's statement and communicate it to the
healthcare provider to ensure appropriate care planning
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