NCLEX-RN
NCLEX RN Practice Exam Coordinated Care Questions
Question 1 of 5
The ED nurse is working in triage on a summer weekend. The following clients present at the same time. Which client does the nurse anticipate being seen first?
Correct Answer: B
Rationale: The infant's symptoms suggest meningitis, a life-threatening condition requiring immediate attention.
Question 2 of 5
A nurse is preparing a client scheduled for a right mastectomy. Which statement indicates the need for further intervention?
Correct Answer: D
Rationale: Expressing doubt and requesting more explanation about the procedure indicates the client may not fully understand or be comfortable with the surgery, requiring further intervention to ensure informed consent. Options A, B, and C reflect appropriate client actions or standard procedures.
Question 3 of 5
The nurse is caring for a middle-aged woman who walks 3 miles every morning. The nurse notes that during her morning walk, the client called her son and stated that she thought she was having a heart attack. Which symptom, identified by the client, is the most common and consistent with a myocardial infarction (MI)?
Correct Answer: C
Rationale: Chest pressure is the hallmark symptom of myocardial infarction, often described as a heavy, squeezing, or crushing sensation. Palpitations, edema, and nausea may occur but are less specific.
Question 4 of 5
The newly graduated nurse is caring for an elderly client on the medical-surgical floor. The nurse recalls learning about client advocacy. Which actions by the nurse indicate an understanding of client advocacy? Select all that apply.
Correct Answer: C,D,E
Rationale: Ensuring understanding of treatment options, providing an interpreter, and addressing advance directives respect client autonomy and rights. Bypassing the client or pushing organ donation is not advocacy.
Question 5 of 5
The nurse is caring for an elderly client who is 1 day post-hip replacement surgery. Which nursing interventions should be included on the care plan? Select all that apply.
Correct Answer: A,B,C
Rationale: Compression stockings prevent DVT, ambulation promotes recovery, and coughing/deep breathing prevent respiratory complications. Fluid restriction is not indicated.