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National Council Licensure Examination(NCLEX-PN) Questions 366–370 (page: 75)

Updated On: 9-Feb-2026

An example of a process standard on a med-surg unit is ______________.

  1. a procedure for changing IV tubing.
  2. a policy for staffing.
  3. the job description of the CEO (chief executive officer).
  4. a procedure for checking waveforms on a client being treated on an intra-aortic balloon pump.

Answer(s): A

Explanation:

Process standards define the actions and behaviors required by staff to provide care.
A procedure for changing IV tubing is a psychomotor skill that is applied to helping clients meet their goals.



Which direction given to the nursing assistant is most likely to accomplish the task of getting a urine specimen delivered to the lab immediately after collection?

  1. “Make it a stat delivery.”
  2. “Please do it as soon as you can after break.”
  3. “This client is delirious, and we’re worried about a urinary sepsis.”
  4. “Take this client to the bathroom now and collect a urine specimen from this voiding. Take the specimen to the lab immediately.”

Answer(s): D

Explanation:

Effective delegation depends on clear, concise direction that leaves no room for question or interpretation on the part of the one being delegated to.
Nursing assistants have a limited understanding of medical conditions and terminology, and should not be relied on to prioritize such tasks.



Priorities to be considered intermediate are ______________.

  1. the nonemergency, non-life-threatening needs of the client.
  2. those tasks that can be delegated to assistive personnel.
  3. those tasks that can be performed at the end of the shift.
  4. those task that can be performed at any time.

Answer(s): A

Explanation:

Priorities designated as intermediate by the nurse are those that are not urgent. They do not affect the client’s immediate physiological status. This does not imply that they are not important or not necessary.
Intermediate priorities might still require the skill level of an RN for completion. There might be specific time requirements for completion as well.



Issues addressed in ethics committees include all of the following except ______________.

  1. nonpayment of bills
  2. euthanasia
  3. starting or stopping treatment
  4. use of feeding tubes

Answer(s): A

Explanation:

Ethics committees do not deal with financial matters of payment.
Euthanasia, starting or stopping treatment, and use of feeding tubes to maintain nutritional status are topics within the ethical scope of the committee’s function.



The only time that an individual may receive medical care without giving informed consent is ______________.

  1. when the durable power of attorney for health care is not available
  2. in an emergency, life-or-death situation
  3. when the physician is not available for discussion with the client
  4. when they (clients) are not able to speak for themselves

Answer(s): B

Explanation:

Treatment may be given without consent in a life-threatening situation. Choices “when the durable power of attorney for health care is not available”, “when the physician is not available for discussion with the client”, “when they (clients) are not able to speak for themselves” are incorrect.
All attempts to notify a durable power of attorney for health care should be made. If unavailable, the physician assumes responsibility for treatment within facility protocol. The physician is obligated to have a discussion with the client in all non-life-threatening situations.
If clients are not able to speak for themselves, their power of attorney for health care or responsible party is involved in the consent process.



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