NCLEX-PN
Coordinated Care NCLEX PN Questions
Extract:
Question 1 of 5
A 14 year-old boy has been admitted to a mental health unit for observation and treatment. The boy becomes agitated and starts yelling at nursing staff members. What should the nurse first response be?
Correct Answer: A
Rationale: Seclusion is your best option in this scenario to ensure safety and de-escalation.
Question 2 of 5
While taking care of a client, the nurse thinks that physical therapy in the hospital might be beneficial to their condition. Which of the following is the ideal referral process? A.Transport the client to the physical therapy room for treatment. ,B.Provide the client's medical record to the physical therapist. ,C.Contact the client's primary care provider to suggest a physical therapy referral.
Correct Answer: D
Rationale: For the client's referral to physical therapy, the nurse should first contact the primary care provider to discuss. Once the primary care provider provides the official referral, the physical therapist should have an opportunity to review the client's condition and medical record. Once the physical therapist has completed their review and is ready to see the client, the nurse can transport the client to physical therapy.
Question 3 of 5
A client who is experiencing infertility says to the nurse, 'I feel I will be incomplete as a man/woman if I cannot have a child.' Which of the following nursing diagnoses is likely to be appropriate for this client?
Correct Answer: B
Rationale: Of the nursing diagnoses listed, the client's statement most represents Body Image Disturbance because it directly refers to loss of the function of having a child. Nothing in the statement indicates that the client is at risk for harming herself. Ineffective Role Performance could be correct but is not the best choice because the statement does not reflect a disruption of the parent's role. Powerlessness could be an appropriate nursing diagnosis if the client described feeling powerless about the infertility.
Question 4 of 5
A preschooler has successfully completed the test item 'counts 5 blocks' on the Denver II test. This pass is evidence of which of the following developmental concepts?
Correct Answer: D
Rationale: Counting five blocks demonstrates conservation, the understanding that quantity remains constant despite changes in arrangement or appearance.
Question 5 of 5
Which of these is true regarding advance directives?
Correct Answer: D
Rationale: If summoned, EMTs are legally obligated to provide emergency care to a client, regardless of advance directive status, unless the directive is signed by a doctor. If the client is brought to the hospital, physicians will evaluate the client and implement the advance directive, if necessary. Two physicians, not one, are needed to determine if a client is unable to make decisions for himself/herself. Advance directives do not expire and remain in effect until they are changed. Some states do not honor advance directives created in other states, so if a client moves, he/she should check with his/her new state policies on this topic.