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National Council Licensure Examination(NCLEX-PN) Questions 381–385 (page: 78)

Updated On: 9-Feb-2026

Which of these is true regarding advance directives?

  1. An advanced directive is legally valid in every state, no matter which state it was created in.
  2. A physician must determine when a patient is unable to make medical decisions for himself.
  3. They must be reviewed and re-signed every 10 years in order to remain valid.
  4. They cannot be honored by EMTs (emergency medical technicians) unless signed by a doctor.

Answer(s): D



Which of these scenarios would not be considered a violation of HIPAA laws?

  1. looking up only the address (not the medical portion) in the chart of a co-worker who just delivered a baby so you can surprise her with a gift
  2. discussing discharge plans with a patient in a multi-bed recovery room with the curtain drawn around the patient’s bed
  3. looking up the medical information of a friend not in your care but who gave you permission
  4. checking on your spouse’s medical record because you are listed as her power of attorney

Answer(s): B



An LPN is working on the care plan for a patient with diabetes mellitus. Which of these outcomes would be the most appropriate?

  1. The patient will maintain a blood glucose level within normal limits throughout my shift.
  2. The patient will maintain a blood glucose level within the normal range of 70-110 (per facility policy).
  3. The patient will maintain a blood glucose level within normal range limits today.
  4. The patient will maintain a blood glucose level within the normal range of 70-110 (per facility policy) throughout my shift.

Answer(s): D



The LPN notices a patient with poor gait and balance. She is currently being treated for hypertension, but the nurse is concerned.

What should the nurse do?

  1. Speak with the attending physician about his concerns and request a referral for the patient to go to the hospital gym.
  2. Speak with the attending physician about his concerns and request a referral to physical therapy.
  3. Do nothing as this has nothing to do with why the patient was hospitalized.
  4. Add this issue to the nursing care plan and have daily gait/balance training as an intervention.

Answer(s): B



A patient being treated for sickle cell disease has an order for pain medication. Morphine was ordered, but the nurse is having difficulty deciphering the dose.

The nurse should ______________.

  1. call the charge nurse to reach out to the ordering physician to verify the order including the correct medication, dose, route, and frequency
  2. call the physician to verbally verify the order including correct medication, dose, route, and frequency
  3. just go with his or her gut on what the typical dose is for this medication and administer to the patient so they do not have to wait on the physician
  4. ask the attending physician to come back to the unit and to help read what the order states regarding the correct medication, dose, route, and frequency

Answer(s): B



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