NCLEX PN Coordinated Care Questions

Extract:

Question 1 of 5

A legal right to confidentiality of client information is waived when:

Correct Answer: A

Rationale: The legal right to confidentiality is waived when the court requires information for legal proceedings, when the state requires mandatory reporting, when a client reveals intent to harm, or when a client cannot make safe decisions.

Question 2 of 5

A client being treated for sickle cell disease has an order for pain medication. Morphine was ordered, but the nurse is having difficulty deciphering the dose. The nurse should

A. ask the attending physician to come back to the unit and to help read what the order states regarding the correct medication, dose, route, and frequency B. call the charge nurse to reach out to the attending physician to verify the order including the correct medication, dose, route, and frequency C. call the attending physician to verbally verify the order including correct medication, dose, route, and frequency D. just go with his or her gut on what the typical dose is for this medication and administer to the client so they do not have to wait on the physician

Correct Answer: C

Rationale: It is the nurse's responsibility to fully comprehend an attending physician's order prior to carrying it out. This includes verifying any confusing or indiscernible directions/orders via calling or discussing in person with the attending physician.

Question 3 of 5

A middle-aged woman tells the nurse that she has been experiencing irregular menses for the past six months. The nurse should assess the woman for other symptoms of:

A. climacteric. B. menopause. C. perimenopause. D. postmenopause.

Correct Answer: C

Rationale: Perimenopause refers to a period of time in which hormonal changes occur gradually, ovarian function diminishes, and menses become irregular. Perimenopause lasts approximately five years. Climacteric is a term applied to the period of life in which physiologic changes occur and result in cessation of a woman's reproductive ability and lessened sexual activity in males. The term applies to both genders. Climacteric and menopause are interchangeable terms when used for females. Menopause is the period when permanent cessation of menses has occurred. Postmenopause refers to the period after the changes accompanying menopause are complete.

Question 4 of 5

Which of the following statements is true about a post-discharge follow-up?

A. The nurse should ensure the client is educated on their discharge instructions. B. If the client seems stable, they likely do not need a follow-up visit. C. The physician is responsible for making sure the client has their prescriptions upon discharge. D. If the client has questions, the nurse should instruct the client to bring them up at their follow-up appointment.

Correct Answer: A

Rationale: The nurse is responsible for ensuring the client is educated, they have their prescriptions, and all their questions are addressed prior to discharge. A client should always have a follow-up visit scheduled with their provider.

Question 5 of 5

The nurse is preparing a client for surgery who says it is against their religion to accept blood transfusions. Which of the following statements would be most appropriate?

A. I can ask pastoral care to send someone to speak with you about this concern since it would not be safe to refuse a blood transfusion.' B. I understand, and you have the right to refuse blood transfusions.' C. While I understand, if there is excessive bleeding during surgery, we may need to transfuse blood to stabilize you.' D. I have received a blood transfusion before, and I do not think you understand the risks versus the benefits of refusing this.'

Correct Answer: B

Rationale: The client has the right to refuse treatments or procedures, such as a blood transfusion, for religious reasons, and the nurse should confirm this.

NCLEX PN Coordinated Care Questions | Nurselytic

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