A nurse in the emergency department admits a client who is unconscious and has extensive internal injuries that require emergency surgery. None of the client's family members are able to be reached. The nurse should recognize that emergency surgery can be performed under which of the following legal guidelines?

Living will

Good Samaritan Act

Joint liability

Implied consent

Answer and Explanation

The Correct Answer is D

Rationale:
A. A living will provides instructions for end-of-life care but does not authorize emergency surgical procedures.
B. The Good Samaritan Act protects healthcare providers who give emergency care outside a healthcare setting, not in-hospital surgical consent.
C. Joint liability refers to shared legal responsibility and is not related to consent for treatment.
D. Implied consent allows healthcare providers to perform emergency procedures when a client is unconscious or unable to give consent, and no legal representative is available, making it the correct legal guideline in this scenario.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Rationale:
A. Facial numbness after a thyroidectomy suggests hypocalcemia, likely due to parathyroid gland injury, and places the client at risk for laryngeal spasms and airway obstruction. This is the priority client.
B. Pain with voiding from acute pyelonephritis is important but not immediately life-threatening.
C. Teaching about insulin administration is necessary but not urgent compared to airway compromise.
D. Clear liquid stools before a colon resection are expected and indicate proper bowel preparation, not an urgent concern.

A. Provide training related to safe handling of chemicals. B. Consult the material safety data sheet. C. Review with staff on where to obtain information about chemicals used in the workplace. D. Facilitate medical treatment of the exposure. E. Identify the chemical involved. F. Encourage use of personal protective equipment when handling chemicals.

Correct Answer is ["B","D","E"]

Explanation

Rationale:
A. Important for preventing future incidents, but not an immediate priority for the employee who is currently injured.
B. Critical to determine the chemical’s hazards and the correct emergency response, guiding immediate care.
C. Important for long-term safety and education but does not address the current injury.
D. Highest priority because the employee is experiencing burns and potential chemical injury; immediate treatment is necessary to prevent harm.
E. Essential to determine appropriate first aid, medical treatment, and reporting requirements; directly affects immediate care.
F. Preventive measure for the future; does not address the current exposure or injury.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is receiving change-of-shift report on four clients. Which of the following clients should the nurse plan to see first?

Correct Answer is A

Explanation

A nurse manager is overseeing employees on their unit. Exhibits Select 3 actions the nurse manager should identify as the priority.

Correct Answer is ["B","D","E"]

Explanation

A nurse is planning to delegate care for a male client who has anemia Exhibits Select the tasks the nurse should plan to assign to an assistive personnel (AP). Select all that apply.

A nurse is preparing a shift assignment for an assistive personnel (AP) on the unit. Which of the following tasks should the nurse assign to the AP?

A nurse working in the emergency department is assessing several clients. Which of the following clients is the highest priority?

A nurse is conducting an in-service about the nursing code of ethics with a group of newly licensed nurses. Which of the following information should the nurse include in the teaching as an example of advocacy?

A nurse is planning care for four clients who were classified using a disaster triage tag system following a mass casualty event. Which of the following clients should the nurse identify as the priority?

A nurse is caring for a client who is scheduled for surgery. After signing the consent form, the client tells the nurse that she has concerns about the procedure. Which of the following actions should the nurse take?

A nurse is caring for a client who received pain medication 1 hr ago and reports pain as 8 on a scale of 0 to 10. Which of the following actions should the nurse take first?

A nurse is providing teaching to a client about advance directives. Which of the following client statements indicates to the nurse an understanding of the teaching?