Coordinated Care NCLEX PN

Question 1 of 5

An Rh-negative woman with previous sensitization has delivered an Rh-positive fetus. Which of the following nursing actions should be included in the client's care plan?

A. emotional support to help the family deal with feelings of guilt about the infant's conditionB. administration of MICRhoGam to the woman within 72 hours of deliveryC. administration of Rh-immune globulin to the newborn within 1 hour of deliveryD. lab analysis of maternal Direct Coombs' test

Correct Answer: A

Rationale: Sensitization means the mother has antibodies against Rh-positive blood, risking hemolytic disease in the fetus. Emotional support is critical to address guilt and concerns about the infant's condition.

Question 2 of 5

An 85-year-old client is eligible for Medicare reimbursable home care services. Referral is contingent on meeting which of the following criteria?

A. homebound status, requiring skilled therapy careB. immediate previous hospitalization for acute careC. ageD. requirement of nursing and social work support

Correct Answer: A

Rationale: The requirements for Medicare-reimbursable home care services include the client being homebound and requiring a skilled service, such as PT/OT/ST/nursing/social work.

Question 3 of 5

Delegation of tasks to appropriate personnel allows the nurse to:

A. take a break.B. keep other members of the team productive.C. maintain tight control of all aspects of the workflow.D. realize the importance of her role by making all decisions.

Correct Answer: B

Rationale: Maintaining the productivity of all team members by delegating tasks appropriate to the job descriptions of the personnel increases work effectiveness and efficiency.

Question 4 of 5

Which is the correct order regarding the hierarchy of members of the nursing team from least authority to highest authority?A.staff nurse ,B.nurse manager,C.LPN ,D.charge nurse

A. A) C, D, A, BB. B) A, C, B, DC. C) C, A, D, BD. D) C, A, B, D

Correct Answer: C

Rationale: Nurse managers oversee charge nurses who oversee staff nurses who oversee LPNs.

Question 5 of 5

An LPN works on an adult medical/surgical unit and has been pulled to work on the burn unit, which cares for clients of all ages. What should he do?

A. He should take the assignment, but make it clear he will only care for adult clients.B. He should take the assignment, but explain the situation to the charge nurse and ask for a quick orientation before starting.C. He should refuse to take the assignment, as caring for infant and child population is not within his scope of practice.D. He should take the assignment, but ask to be paired with a more experienced LPN.

Correct Answer: B

Rationale: While the LPN may specialize in a certain type of nursing or feel more comfortable caring for a specific client population, he should be able to use his skill set to safely and independently care for other populations as well. However, the LPN should let the charge nurse know his background before beginning his shift so he can familiarize himself with new equipment, ask questions, and identify resources.

Coordinated Care NCLEX PN | Nurselytic

Nurselytic

NCLEX-PN

NCLEX-PN