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Practice Question

A pregnant client is admitted into the hospital due to preterm labor. She tells the nurse that she is going to go home right now because she cannot stand being in the hospital another minute. Which of the following should the nurse do first?

Answer Choices:

Correct Answer:

Notify the RN.

Rationale:

📞The nurse must first report the client’s intention to the supervising RN because this client is admitted and leaving may pose serious medical risks.

🚨Preterm labor places both the mother and fetus at risk, and leaving the hospital could result in harmful outcomes if not properly addressed.

⚖️Calling security or using restraints without proper delegation or justification can violate client rights and safety protocols.

🩺Notifying the RN ensures that appropriate interventions or education can be initiated to encourage the client to stay.

📌Core Message

Notifying the RN allows for appropriate intervention when a client expresses intent to leave against medical advice.

Want to practice more questions like this?

This question is from NCLEX PN-Practice Exam-2 which contains 130 questions.

More Questions from This Exam
The nurse manager of a mental health unit is reviewing a chart entry made by a staff member. The entry reads: "I feel unloved; appears confused and restless." Which of the following statements best describes why this nursing documentation is incorrect?

Answer Choices:

A. The nurse who made this chart entry failed to document that the client made the quote.
B. The nurse who made this chart entry failed to explore/interpret the client’s feelings of being "unloved."
C. The nurse who made this chart entry failed to indicate the importance of the client’s statement(s).
D. The nurse who made this chart entry failed to accurately describe the evidence of confusion and restlessness.
The nurse is supervising a newly hired nursing assistant (NA). The NA is providing oral care to an unconscious client. Which of the following actions made by the NA would indicate that the NA requires further instructions from the LPN?

Answer Choices:

A. Assuring the client remains in the lateral position for 30 minutes after oral care
B. Placing a towel under the client’s chin prior to completing oral care
C. Positioning the client in an upright position while providing oral care
D. Placing the client in the lateral position with the head turned to the side during oral care
From Exam
NCLEX PN-Practice Exam-2

130 Questions

View Full Exam
Question Details
  • Category: NCLEX PN
  • Subcategory: NCLEX-PN Practice Exams
  • Domain: NCLEX-PN (Practice Exams)
  • Answer Choices: 4
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