NCLEX-RN
NCLEX RN Coordinated Care Questions Questions
Question 1 of 5
A local volunteer singing group performs in the activity room of a long-term care facility. The group's leader asks the nurse if they may take a photo of themselves with several of the clients. The nurse gives permission to the leader, who then posts the photo on Facebook. Upon notification of this situation, the facility administration immediately terminates the nurse. What Health Insurance Portability and Accountability Act (HIPAA) violation did the nurse commit?
Correct Answer: A
Rationale: Allowing the photo and its public posting without consent violates client confidentiality under HIPAA.
Question 2 of 5
The nurse is admitting a new client complaining of severe abdominal pain. When asked about valuables, the client says he has $1,500 cash in his wallet. He is from out of state and does not have anyone who can take his wallet into safekeeping for him. Which statement by the nurse best addresses this situation?
Correct Answer: C
Rationale: Security handling valuables follows hospital policy, ensuring safety and documentation.
Question 3 of 5
Which statement concerning informed consent is false?
Correct Answer: B
Rationale: Married minors can give informed consent, making this statement false. Pregnant minors and adults 18+ can also consent, while those 17 and younger typically cannot.
Question 4 of 5
The nurse is charting on his client, who had an open appendectomy the previous day. Which are appropriate nursing documentation entries? Select all that apply.
Correct Answer: C,D
Rationale: Objective entries about meal tolerance and ambulation are appropriate. Subjective terms like 'appeared anxious' or 'appeared angry' lack measurable data.
Question 5 of 5
The nurse is caring for clients on a medical-surgical floor. Which tasks related to pain management can be delegated to unlicensed assistive personnel (UAP)? Select all that apply.
Correct Answer: B,C,D
Rationale: UAPs can remind clients to report pain (
B), report objective signs like grimacing (
C), and ask about pain presence (
D), as these tasks do not require clinical judgment. Assessing pain levels (
A) requires nursing judgment, and administering medications (E) is outside the UAP's scope.