Questions 9

NCLEX-RN

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NCLEX RN Coordinated Care Questions Questions

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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 preparing to interpret an electrocardiogram rhythm strip. Identify the order for interpreting the strip. Use all the options.

Correct Answer: B,C,A,D

Rationale: The correct order is: determine heart rate and rhythm, analyze P waves, measure P-R interval, then QRS duration for systematic ECG interpretation.

Question 3 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 4 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.

Question 5 of 5

A 4-month-old infant is admitted to the pediatric unit for a 10-day course of antibiotics. The parents are only able to visit on weekends. Which action indicates the nurse understands the emotional needs of the infant?

Correct Answer: A

Rationale: Soothing music addresses the infant's emotional needs by providing comfort in the absence of parents.

Similar Questions

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?
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.
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?
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.

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