a gastroenterologist should be consulted for clients suffering from

NCLEX-PN

Nclex Questions Management of Care

1. A gastroenterologist should be consulted for clients suffering from:

A. digestive system diseases
B. urinary system diseases
C. female reproductive system diseases
D. nervous system diseases

Correct answer: A

Rationale: A gastroenterologist specializes in treating diseases and disorders of the digestive system, including the stomach, intestines, liver, and pancreas. Therefore, clients with digestive system diseases should consult a gastroenterologist. Choices B, C, and D are incorrect because urinary system diseases are managed by urologists, female reproductive system diseases by gynecologists, and nervous system diseases by neurologists.

2. Quality is defined as a combination of all of the following except:

A. conforming to standards.
B. performing at the minimally acceptable level.
C. meeting or exceeding customer requirements.
D. exceeding customer expectations.

Correct answer: B

Rationale: Quality in any context is about meeting or exceeding customer requirements and exceeding customer expectations. It also involves conforming to standards to ensure consistency and reliability. Merely performing at the minimally acceptable level does not encompass the essence of quality, as it sets the bar at the lowest level of acceptability rather than aiming for excellence or customer satisfaction. Therefore, the correct answer is 'performing at the minimally acceptable level,' as this choice falls short in capturing the comprehensive definition of quality.

3. A risk management program within a hospital is responsible for all of the following except:

A. identifying risks.
B. controlling financial loss due to malpractice claims.
C. ensuring that staff follow their job descriptions.
D. analyzing risks and trends to guide further interventions or programs.

Correct answer: C

Rationale: A risk management program within a hospital is responsible for identifying risks, controlling financial loss due to malpractice claims, and analyzing risks and trends to guide further interventions or programs. It is not responsible for ensuring that staff follow their job descriptions. Monitoring staff adherence to their job descriptions falls under the purview of departmental managers or supervisors. The primary focus of a risk management program is to assess, mitigate, and manage risks related to patient safety, quality of care, and financial implications, rather than overseeing staff job descriptions.

4. After assigning tasks, what is the nurse's primary responsibility?

A. Assigning any tasks that were not completed to the next nursing shift
B. Documenting completion of each task
C. Allowing each staff member to make judgments when performing the tasks
D. Following up with each staff member regarding the performance of the task and the outcomes related to implementation of the task

Correct answer: D

Rationale: The nurse's primary responsibility after assigning tasks is to follow up with each staff member regarding the task's performance and outcomes. This ensures accountability and quality care delivery. Allowing staff members to make judgments independently can compromise patient safety if they lack the necessary knowledge or experience. While documenting task completion is important, it should follow the follow-up to assess outcomes. Assigning incomplete tasks to the next shift is not ideal as it may result in unmet patient needs and increased workload for the next shift.

5. What can happen if a restraint is attached to a side rail or other movable part of the bed?

A. Do nothing to the client.
B. Injure the client if the rail or bed is moved.
C. Help the client stay in the bed without falling out.
D. Help the client with better posture.

Correct answer: B

Rationale: Attaching a restraint to a movable part of the bed can lead to client injury if that part of the bed is moved before releasing restraints. This could result in the client getting caught or trapped, possibly causing harm. Choices C and D are incorrect because attaching restraints to movable parts of the bed is not intended to help the client stay in bed or improve posture; rather, it poses a risk of injury. Choice A is incorrect as it does not address the potential harm associated with using restraints on movable parts of the bed.