NCLEX-PN
Coordinated Care NCLEX PN Questions Questions
Question 1 of 5
The ICU nurse caring for a client who has just been declared brain dead can expect to find evidence of the client's wishes regarding organ donation:
Correct Answer: A
Rationale: In most states, indication of organ donor status is found on the driver's license. Evidence in a last will and testament or in a safety deposit box is not readily accessible for decision-making if the need arises. Insurance cards do not contain such information.
Question 2 of 5
The team is in the client's room to insert a chest tube, and the nurse suspects that the attending physician who is going to perform the procedure is intoxicated. Which of the following actions is most appropriate?
Correct Answer: A
Rationale: When there is a concern about a potentially unsafe health care provider, the nurse should intervene immediately and not allow the physician to continue with the procedure until the concern is investigated; the concern should be reported to the next person in the chain of command. An incident report can be written following reporting and an investigation.
Question 3 of 5
A 2-year-old child diagnosed with HIV comes to a clinic for immunizations. Which of the following vaccines should the nurse expect to administer in addition to the scheduled vaccines?
Correct Answer: A
Rationale: Children with HIV are at higher risk for pneumococcal infections, so the pneumococcal vaccine is recommended in addition to routine vaccines. The other vaccines are not indicated for this context.
Question 4 of 5
The nurse is caring for a client awaiting test results on a biopsy. The client is unconscious, and the physician informs the client's spouse that the biopsy came back positive for cancer. The spouse asks the nurse if they will not share this news with the client because they would prefer the client be unaware of the diagnosis. Which of the following responses is most appropriate?
Correct Answer: B
Rationale: The ethical principle of veracity requires that the nurse is truthful with the client and does not withhold information even if it is requested by the family.
Question 5 of 5
Which of the following scenarios are considered violations of HIPAA laws?
Correct Answer: D
Rationale: Reviewing or obtaining any information regarding clients not in your care or discussing sensitive client information in non-secure environments are violations of HIPAA. Discussing discharge plans in a multi-bed recovery room is considered an 'incidental disclosure' and is not considered a HIPAA violation.