NCLEX PN Coordinated Care Questions

Extract:

Question 1 of 5

An advance directive is written and notarized according to law in the state of Colorado. This document is legal and binding:

Correct Answer: B

Rationale: Advance directive protocols and documents are defined by each state.

Question 2 of 5

When teaching parents how their children learn sex role identification, the nurse should include which of the following statements?

A. Sex role identification begins in infancy B. Sex role identification begins in the preschool years C. Sex role identification begins during the school-age years D. Sex role identification begins during early adolescence

Correct Answer: A

Rationale: Sex role identification starts in infancy as children begin to recognize body parts and gender differences, progressing through developmental stages.

Question 3 of 5

While documenting on a paper form, the nurse realizes they have made a mistake writing the progress note. What should the nurse do?

A. Mark through the mistake with a single line, then add initials and the date and time. B. Use a black marker to fully cover up the mistake. C. Do not make any changes to the progress note but explain later in the note that a mistake was made and note what should have been written. D. Use whiteout to cover over the mistake and write over it.

Correct Answer: A

Rationale: If a mistake has been made, it should be corrected with a line through the mistake along with the nurse's initials and the date and time. Whiteout or a black marker that fully covers up the previous documentation is not as legally defensible and is not necessary.

Question 4 of 5

A 35-year-old Latin-American client wishes to lose weight to reduce her chances of developing heart disease and diabetes. The client states, 'I do not know how to make my diet work with the kind of foods that my family eats.' What should the nurse do first to help the client determine a suitable diet for disease prevention?

A. Provide her with copies of the approved dietary guidelines for the American Diabetic Association and the American Heart Association. B. Ask the client to provide a list of the types of foods she eats to determine how to best meet her needs. C. Provide a high-protein diet plan for the client. D. Provide the client with information related to risk factors for heart disease and diabetes.

Correct Answer: B

Rationale: Assessment is the first step. Assessing what the client eats helps the nurse determine a plan for dietary recommendations based on the ADA and AHA guidelines. Providing the client with a copy of the guidelines is important but is not the first priority. Based on the client's wish to reduce her chances of heart disease and diabetes, a high-protein diet plan might not be appropriate. Providing information to the client related to risk factors for heart disease and diabetes is important but is not the first step.

Question 5 of 5

To manage time most effectively, the nurse responds to which of the following stimuli first:

A. the physician's loud verbal direction. B. the nursing supervisor who is going to a meeting. C. unit staff leaving on a break. D. the care needs of the returning postoperative client just exiting the elevator.

Correct Answer: D

Rationale: While many environmental stimuli might compete for attention and time, the client care needs of complex or unstable clients and those requiring assessment and care must take priority.

NCLEX PN Coordinated Care Questions | Nurselytic

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