REX-PN #2 Questions and Complete
Solutions Graded A+
Which of the following statements is the most accurate information with regard to client consent? -
Answer: The healthcare provider proposing the procedure requiring written consent is the person who
must ensure that written client consent is obtained
The nurse notes that informed consent has not been obtained for electroconvulsive therapy even
though the client is scheduled for it. What is the nurse's best determination in planning care for this
client? - Answer: Informed consent needs to be obtained from the client
Clients who are admitted involuntarily to a mental health unit do not lose their right to informed
consent.
A one-day-old newborn diagnosed with intrauterine growth retardation is observed by the nurse to be
irritable, restless, fist-sucking, and having a high-pitched cry. Which of the following actions should the
nurse take first? - Answer: Tightly swaddle the infant in a flexed position
A flexed position will promote the client's comfort and security
A 65-year-old female uses a wheelchair because of mobility limitations. On one occasion, she is unable
to call the nurse to assist her to the toilet. She urinates in her wheelchair. The practical nurse scolds her
in front of other residents for her "accident". The nurse has demonstrated which of the following? -
Answer: Verbal abuse
Nurses who seek to enhance their cultural-competency skills and apply sensitivity toward others are
committed to which professional nursing value? - Answer: Belief in the dignity and worth of each person
A nurse manager is concerned about the incidence of work-related accidents on the unit. These
accidents are causing many staff nurses to be on long-term disability. What is the first action the nurse
manager should take to address these problems? - Answer: Compile a list of all data on staff accidents
for the past two years
Using personal possessions without asking permission, reading someone else's mail and touching other
people without their permission are all examples of: - Answer: Poor boundaries- they are symptoms of
antisocial AND passive-aggressive behaviour.
, While working with Robert, an anxious client, the practical nurse begins feeling jittery and tense herself.
She begins to notice she cannot concentrate while her client is talking to her. The practical nurse is
experiencing which of the following anxieties? - Answer: Empathized
A physical disorder must be present for secondary anxiety to materialize
A practical nurse provides instructions to a malnourished 23-year-old pregnant client regarding iron
supplementation. Which of the following statements by the client indicates an understanding of the
instructions? - Answer: "The iron is best absorbed if taken on an empty stomach.
he instructor asks a nursing student to identify a situation that represents an example of invasion of
client privacy. Which situation, if identified by the student, indicates an understanding of a violation of
this client's rights? - Answer: Observing care provided to the client without the client's permission
A practical nurse is caring for a client diagnosed with possible liver damage following a motor vehicle
accident. Which of the following actions by the nurse reflects appropriate care for this client? - Answer:
Report the client's nosebleed to the unit charge nurse immediately, bleeding, especially from the nose
and rectum is consistent with internal organ damage (including liver damage).
A practical nurse is working in a palliative care hospice when a client with terminal pancreatic cancer
requests for assistance. The client is 82-years-old and is weak and unable to move from his bed for three
straight days. He has stopped eating and is not able to drink more than a few sips of water every two
hours. The client has not completed an advance directive. Who should be the substitute decision maker
(SDM) when he is no longer able to make decision on his care? - Answer: The client's adult children
The adult children are the legal next of kin and will be the SDMs.`
Which of the following actions by the nurse would be considered negligence? - Answer: Massaging
lotion on the abdomen of a 3-year-old diagnosed with Wilms' tumour
Wilms' tumour - Answer: A rare type of kidney cancer. It causes a tumour on one or both kidneys.
Any manipulation of the mass, including massaging, may cause the cancer cells to spread from the site
of original growth to a secondary site.
Solutions Graded A+
Which of the following statements is the most accurate information with regard to client consent? -
Answer: The healthcare provider proposing the procedure requiring written consent is the person who
must ensure that written client consent is obtained
The nurse notes that informed consent has not been obtained for electroconvulsive therapy even
though the client is scheduled for it. What is the nurse's best determination in planning care for this
client? - Answer: Informed consent needs to be obtained from the client
Clients who are admitted involuntarily to a mental health unit do not lose their right to informed
consent.
A one-day-old newborn diagnosed with intrauterine growth retardation is observed by the nurse to be
irritable, restless, fist-sucking, and having a high-pitched cry. Which of the following actions should the
nurse take first? - Answer: Tightly swaddle the infant in a flexed position
A flexed position will promote the client's comfort and security
A 65-year-old female uses a wheelchair because of mobility limitations. On one occasion, she is unable
to call the nurse to assist her to the toilet. She urinates in her wheelchair. The practical nurse scolds her
in front of other residents for her "accident". The nurse has demonstrated which of the following? -
Answer: Verbal abuse
Nurses who seek to enhance their cultural-competency skills and apply sensitivity toward others are
committed to which professional nursing value? - Answer: Belief in the dignity and worth of each person
A nurse manager is concerned about the incidence of work-related accidents on the unit. These
accidents are causing many staff nurses to be on long-term disability. What is the first action the nurse
manager should take to address these problems? - Answer: Compile a list of all data on staff accidents
for the past two years
Using personal possessions without asking permission, reading someone else's mail and touching other
people without their permission are all examples of: - Answer: Poor boundaries- they are symptoms of
antisocial AND passive-aggressive behaviour.
, While working with Robert, an anxious client, the practical nurse begins feeling jittery and tense herself.
She begins to notice she cannot concentrate while her client is talking to her. The practical nurse is
experiencing which of the following anxieties? - Answer: Empathized
A physical disorder must be present for secondary anxiety to materialize
A practical nurse provides instructions to a malnourished 23-year-old pregnant client regarding iron
supplementation. Which of the following statements by the client indicates an understanding of the
instructions? - Answer: "The iron is best absorbed if taken on an empty stomach.
he instructor asks a nursing student to identify a situation that represents an example of invasion of
client privacy. Which situation, if identified by the student, indicates an understanding of a violation of
this client's rights? - Answer: Observing care provided to the client without the client's permission
A practical nurse is caring for a client diagnosed with possible liver damage following a motor vehicle
accident. Which of the following actions by the nurse reflects appropriate care for this client? - Answer:
Report the client's nosebleed to the unit charge nurse immediately, bleeding, especially from the nose
and rectum is consistent with internal organ damage (including liver damage).
A practical nurse is working in a palliative care hospice when a client with terminal pancreatic cancer
requests for assistance. The client is 82-years-old and is weak and unable to move from his bed for three
straight days. He has stopped eating and is not able to drink more than a few sips of water every two
hours. The client has not completed an advance directive. Who should be the substitute decision maker
(SDM) when he is no longer able to make decision on his care? - Answer: The client's adult children
The adult children are the legal next of kin and will be the SDMs.`
Which of the following actions by the nurse would be considered negligence? - Answer: Massaging
lotion on the abdomen of a 3-year-old diagnosed with Wilms' tumour
Wilms' tumour - Answer: A rare type of kidney cancer. It causes a tumour on one or both kidneys.
Any manipulation of the mass, including massaging, may cause the cancer cells to spread from the site
of original growth to a secondary site.
