A nurse is providing care to a client who is preparing to undergo surgery. The client inquires about advance directives. Which of the following statements should the nurse make?

"Advance directives are the same as a consent form for health care treatment."

"Advance directives protect your right to make your own health care decisions."

"Advance directives must be approved by your lawyer."

"Advance directives are for clients who have life-threatening conditions."

Answer and Explanation

The Correct Answer is B

Choice A reason: Advance directives outline future care wishes, unlike consent for immediate treatment. This conflates distinct legal documents, misinforming the client.

Choice B reason: Advance directives ensure autonomy, letting clients dictate care preferences pre-surgery. This accurately conveys their purpose in healthcare decision-making.

Choice C reason: Lawyer approval isn’t required; forms are legally valid with witnesses. This overstates complexity, deterring clients from creating directives.

Choice D reason: Directives apply to all, not just life-threatening cases. They’re proactive for any surgery, so this limits their broad applicability.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A reason: Measuring seizure duration is critical for medical management, as prolonged seizures (over 5 minutes) may require emergency intervention like anticonvulsants. Timing helps assess severity and guides treatment, prioritizing safety and data collection over unnecessary restraint, aligning with evidence-based practice.

Choice B reason: Restraining arms and legs during a seizure risks injury like fractures or dislocations, as tonic-clonic movements are involuntary and forceful. Safety involves clearing the area, not restricting motion, since restraint opposes neurological protocols, increasing harm rather than protecting the client.

Choice C reason: Lowering side rails during a seizure increases fall risk, as tonic-clonic activity can propel the client off the bed. Keeping rails up, padded if possible, ensures safety by containing movement, contradicting this action’s utility, as evidence prioritizes preventing trauma.

Choice D reason: Inserting an oral airway during a seizure is dangerous; clenched jaws can break teeth or the device, risking aspiration. Airway management occurs post-seizure if needed, not during, as neurological guidelines emphasize protection without invasive actions causing injury.

A. Moves objects to mouth B. Anterior fontanel closed C. Rolls from back to abdomen D. Posterior fontanel closed

Correct Answer is B

Explanation

Choice A reason: Mouthing objects is normal at 4 months, aiding exploration and teething. It’s developmentally appropriate, not requiring provider notification at this stage.

Choice B reason: Anterior fontanel closure before 9-18 months may signal craniosynostosis, affecting brain growth. This premature finding warrants urgent provider evaluation.

Choice C reason: Rolling back to abdomen is a 4-6-month milestone, expected here. It’s a healthy motor development sign, not needing provider attention.

Choice D reason: Posterior fontanel often closes by 2-3 months, normal at 4 months. This aligns with typical infant skull development, not a concern.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is providing care to a client who is preparing to undergo surgery. The client inquires about advance directives. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is in bed and begins experiencing a tonic-clonic seizure. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is collecting data from a 4-month-old infant at a well-child visit. For which of the following findings should the nurse notify the provider?

Correct Answer is B

Explanation

A nurse is caring for a client who has a new diagnosis of diabetes mellitus and is refusing to learn how to self-administer insulin. Which of the following responses should the nurse make?

A nurse is reinforcing teaching with new parents about car seat safety. Which of the following instructions should the nurse include?

A nurse is assisting with the care of a client following electroconvulsive therapy for the treatment of a depressive disorder. Which of the following findings should the nurse expect 15 min following the procedure?

A nurse is completing documentation in the medical record about a client who fell on the floor. Which of the following statements should the nurse include in the documentation?

A nurse enters a client’s room and finds her sitting on the floor next to the shower. The client states that she slipped on some water outside of the shower. Which of the following actions should the nurse take first?

A home health nurse is conducting a home inspection for a client who is at risk for falls. Which of the following instructions should the nurse provide for the client?

A nurse is assisting with the care of a group of clients during a mass casualty event. Which of the following tasks should the nurse assign to an assistive personnel (AP)?

A nurse is providing care to a client who is preparing to undergo surgery. The client inquires about advance directives. Which of the following statements should the nurse make?