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National Council Licensure Examination(NCLEX-PN) Questions 331–335 (page: 68)

Updated On: 9-Feb-2026

Which of the following individuals may legally give informed consent?

  1. an 86-year-old male with advanced Alzheimer’s disease
  2. a 14-year-old girl needing an appendectomy who is not an emancipated minor
  3. a 72-year-old female scheduled for a heart transplant
  4. a 6-month-old baby needing bowel surgery

Answer(s): C

Explanation:

The 72-year-old client scheduled for heart transplant surgery may give informed consent for the surgery. There are no age limitations with the exception of minors.
Choices “an 86-year-old male with advanced Alzheimer’s disease”, “a 14-year-old girl needing an appendectomy who is not an emancipated minor” and “6-month-old baby needing bowel surgery” are incorrect. An individual with advanced Alzheimer’s disease is incompetent to make decisions.
Only an emancipated minor may give consent (a 14-year-old child who lives alone, away from family, and is totally independent).
Infants are unable to give consent.



A wrong committed by one person against another (or against the property of another) that might result in a civil trial is ______________.

  1. a tort
  2. a crime
  3. a misdemeanor
  4. a felony

Answer(s): A

Explanation:

Torts are wrongs committed by one person against another person (or against the property of another), which might result in civil trials.
A crime is also defined as a wrong against a person or their property but is considered to be against the public as well.
Misdemeanors are crimes that are commonly punishable with fines or imprisonment for less than one year, with both or with parole.
A felony is a serious crime punishable by imprisonment in a State or Federal penitentiary for more than one year.



A client with massive chest and head injuries is admitted to the ICU from the Emergency Department. All of the following are true except ______________.

  1. the physician in charge of the case is the only person allowed to decide whether organ donation can occur.
  2. the client’s legally responsible party may make the decision for organ donation for the donor if the client is unable to do so.
  3. the organ procurement organization makes the decision regarding which organs to harvest.
  4. a declaration of wishes or documentation of wishes regarding organ donation by the donor is necessary for organ harvesting

Answer(s): B

Explanation:

The client’s legally responsible party may make the decision for organ donation if the client is unable to do so. The donor (or legally responsible party for the donor), the physician, and the organ-procurement organization are all involved in the process regarding whether organ donation is appropriate for a specific donor.



A 45-year-old client with type I diabetes is in need of support services upon discharge from a skilled rehabilitation unit.

Which of the following services is an example of a skilled support service?

  1. shopping for groceries
  2. house cleaning
  3. transportation to physician’s visits
  4. medication instruction

Answer(s): D

Explanation:

The only skilled service listed is medication instruction.
Grocery shopping, house-cleaning services, and transportation services are all examples of unskilled services offered by volunteer and fee-for-service agencies.



The greatest time savers when planning client care include all of the following except ______________.

  1. reacting to the crisis of the moment
  2. setting goals
  3. planning
  4. specifying priorities

Answer(s): A

Explanation:

The greatest time-savers when planning client care are activities that facilitate focus and completion of priority items.
Time-savers include setting goals, establishing priorities, planning tasks, delegating where appropriate, re- assessment, and ongoing evaluation of needs.



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