Coordinated Care PN NCLEX Questions

Question 1 of 5

Which of these clients should the LPN/LVN see first?

A. a client with a newly placed NG who is complaining of pain around the face and a plugged noseB. a post-op prostatectomy client who complains of bladder spasms and blood in his foley bagC. a client in an arm cast who is 2 days post-op and reports feelings of numbness and tingling in her affected armD. a client newly diagnosed with Hepatitis A who reports stomach pain and itchy skin

Correct Answer: C

Rationale: Numbness and tingling hours or days after a cast is applied may indicate compartment syndrome and should be reported to a medical provider right away. The other options all feature expected or typical symptoms related to their diagnosis.

Question 2 of 5

Health promotion activities are designed to help clients:

A. reduce the risk of illness.B. maintain maximal function.C. promote healthy habits related to health care.D. all of the above.

Correct Answer: D

Rationale: Health promotion activities are designed to help clients reduce the risk of illness, maintain maximum function, and promote health habits related to health care.

Question 3 of 5

The LPN notices a client with poor gait and balance. She is currently being treated for hypertension, but the nurse is concerned. What should the nurse do?

A. Add this issue to the nursing care plan and have daily gait/balance training as an intervention.B. Do nothing as this has nothing to do with why the client was hospitalized.C. Speak with the attending physician about his concerns and request a referral for the client to go to the hospital gym.D. Speak with the attending physician about his concerns and request a referral to physical therapy.

Correct Answer: D

Rationale: Nurses need to be aware of clients' needs even if they do not pertain to the reason for hospitalization and treatment. It is important to advocate for clients and request referrals when concerns and/or issues arise during care.

Question 4 of 5

Which of the following nursing measures is most appropriate to meet the expected outcome of positive body image?

A. administering immune globulin intravenouslyB. assessing the extremities for edema, redness and desquamation every 8 hoursC. explaining progression of the disease to the client and his or her familyD. assessing heart sounds and rhythm

Correct Answer: C

Rationale: Teaching the client and family about progression of the disease includes explaining when symptoms can be expected to improve and resolve. Knowledge of the course of the disease can help them understand that no permanent disruption in physical appearance will occur that could negatively affect body image. Clients with Kawasaki disease might receive immune globulin intravenously to reduce the incidence of coronary artery lesions and aneurysms. Cardiac effects could be linked to body image, but
Choice 3 is the most direct link to body image. The nurse assesses symptoms to assist in evaluation of treatment and progression of the disease.

Question 5 of 5

A nurse is caring for a 10 year-old boy who has just been diagnosed with a congenital heart defect. Which of the following clinical signs does not indicate CHF?

A. Increased body weightB. Elevated heart rateC. Lower extremity edemaD. Compulsive behavior

Correct Answer: D

Rationale: Compulsive behavior does not indicate CHF.

Coordinated Care PN NCLEX Questions | Nurselytic

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