NCLEX-RN
Coordinated Care NCLEX RN Practice Questions Questions
Question 1 of 5
An 84-year-old adult male requires nonurgent surgery. The client is considered to have diminished decision-making capacity due to a diagnosis of Alzheimer's. The nurse questions his ability to provide informed consent for the procedure. The best action for the nurse to take in this situation is which of the following?
Correct Answer: B
Rationale: Hospital policy guides consent for clients with diminished capacity, ensuring legal and ethical compliance. A cousin is not automatically a surrogate, and physicians cannot sign consent.
Question 2 of 5
The nurse is caring for a client admitted for right-sided renal artery stenosis. Where should the nurse anticipate auscultating for a renal bruit?
Correct Answer: A
Rationale: A bruit from right-sided renal artery stenosis is auscultated over the right renal artery, near the mid-abdomen.
Question 3 of 5
The nurse is caring for a client when the attending physician comes in to round on the client. At the nurses' station, the nurse smells alcohol on the physician's breath when he hands her the chart with new orders. Which action by the nurse is appropriate?
Correct Answer: A
Rationale: Notifying the nurse manager ensures proper handling of a potential impairment issue without direct confrontation or breaching client trust.
Question 4 of 5
A newly graduated nurse has completed hospital orientation and has just started working with her own clients. Which of the following assignments is most appropriate for this nurse?
Correct Answer: C
Rationale: The stable post-catheterization client requires routine care, suitable for a new graduate. The other assignments involve complex or unstable conditions.
Question 5 of 5
The nurse is caring for a 7-year-old child who presents to the ED with multiple bruises, a fractured ankle, and cigarette burns on the arms. Which action by the nurse is most appropriate?
Correct Answer: D
Rationale: Suspected child abuse, indicated by bruises, fractures, and burns, requires immediate reporting to the charge nurse for further action, as nurses are mandated reporters. Options A, B, and C may delay reporting or escalate the situation inappropriately.