NCLEX-PN

pauses is to enhance the immediate interaction with the LPN, fostering a supportive atmosphere for the client to process and participate in the discussion. The other options, involving writing down questions for the doctor, providing a break from the topic, or ensuring the client's attention, do not align with the intended purpose of the thoughtful use of silence in this context. (See Prioritizing Adequate Time for Client Communication ) 34. An LPN is tasked with checking the narcotic count on a medical surgical unit. Which statement by the LPN requires further investigation? A.​ “The end of shift narcotics count is incorrect and needs to be reported.” B.​ “I need a witness when I waste the leftover narcotics in the client’s PCA pump.” C.​ “I left the narcotics box unlocked after confirming the beginning of shift count was correct.” D.​ “I am going to check the facility’s policy for how to dispose of this controlled substance.” Correct Response: C Explanation: The correct answer is (C) "I left the narcotics box unlocked after confirming the beginning of shift count was correct." This statement by the LPN requires further investigation as it indicates a lapse in security protocols, posing a potential risk to client safety. Proper storage and security of narcotics are paramount to prevent unauthorized access and potential diversion, and leaving the narcotics box unlocked could compromise the integrity of controlled substances. In contrast, the other statements show appropriate awareness and diligence in narcotic management, such as (A) reporting incorrect counts at the end of the shift, (B) ensuring a witness during the disposal of leftover narcotics in a client-controlled analgesia (PCA) pump, and (D) consulting the facility's policy for proper disposal of controlled substances. Adhering to established procedures and maintaining the security of controlled substances are crucial for maintaining the safety and integrity of medication management in healthcare settings.(See Documenting Medication Administration Across All Routes ) 35. Although you were informed that your assigned client has no special skincare needs, you observe reddened areas over bony prominences upon your assessment. What is the next appropriate action? A.​ Correct the initial assessment form. B.​ Redo the assessment and document the current findings. C.​ Conduct and document an emergency assessment. D.​ Perform and document a focused assessment of skin integrity. Correct Response: D Explanation: The correct answer is (D) . Conducting and recording a targeted assessment of skin integrity is the appropriate course of action in response to this newly identified issue. (A) and (B) are not applicable as the initial assessment remains unchanged and cannot be revised. (C) is also inappropriate, as the situation does not involve a life-threatening event, and therefore, an emergency assessment is unnecessary. (See Assessment of Skin Breakdown Risk )

635

© 2025 ACHIEVE ULTIMATE CREDIT-BY-EXAM GUIDE | NCLEX-PN ​

​

​

​

​