NCLEX-RN
NCLEX RN Coordinated Care Questions Questions
Question 1 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 2 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 3 of 5
The ED nurse is attending orientation for nurses new to working in the ED. As part of the training, the ED nurse would expect to report which conditions to the proper authorities? Select all that apply.
Correct Answer: A,C,D,E
Rationale: West Nile virus, gunshot wounds, elder abuse, and unknown dog bites are reportable due to public health or legal mandates.
Question 4 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 5 of 5
Which diagnostic tool is most commonly used to determine the location of the myocardial damage?
Correct Answer: A
Rationale: An ECG is the primary tool to identify the location of myocardial damage by showing characteristic waveform changes. Echocardiograms assess heart function, enzymes indicate damage but not location, and catheterization is invasive and less common initially.