Coordinated Care NCLEX PN

Extract:

Question 1 of 5

An example of a process standard on a med-surg unit is:

Correct Answer: A

Rationale: Process standards define the actions and behaviors required by staff to provide care.

Question 2 of 5

An LPN on a Continuous Quality Improvement (CQI) team is tasked with implementing strategies to reduce medication errors. Which of the following strategies would be most beneficial for the LPN to implement?

A. Track individuals with medication errors and report them to administration. B. Remind staff of the five rights of medication administration. C. Ensure that all staff members are proficient in completing incident reports if a medication error occurs. D. Double check that staff document medication administration in the electronic medical record.

Correct Answer: C

Rationale: Organized, accurate incident reports are important in tracking and understanding why errors occurred. CQI teams use incident reports to create new or build upon existing policies to help standardize medical processes to help reduce errors.

Question 3 of 5

An LPN works on an adult medical/surgical unit and has been pulled to work on the burn unit, which cares for clients of all ages. What should he do?

A. He should take the assignment, but make it clear he will only care for adult clients. B. He should take the assignment, but explain the situation to the charge nurse and ask for a quick orientation before starting. C. He should refuse to take the assignment, as caring for infant and child population is not within his scope of practice. D. He should take the assignment, but ask to be paired with a more experienced LPN.

Correct Answer: B

Rationale: While the LPN may specialize in a certain type of nursing or feel more comfortable caring for a specific client population, he should be able to use his skill set to safely and independently care for other populations as well. However, the LPN should let the charge nurse know his background before beginning his shift so he can familiarize himself with new equipment, ask questions, and identify resources.

Question 4 of 5

Which of these is true regarding advance directives?

A. They must be reviewed and re-signed every 10 years in order to remain valid. B. An advanced directive is legally valid in every state, no matter which state it was created in. C. A physician must determine when a client is unable to make medical decisions for himself. D. They cannot be honored by EMTs (emergency medical technicians) unless signed by a doctor.

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.

Question 5 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?

A. Create an atmosphere of seclusion for the boy according to procedures. B. Remove other patients from the area via wheelchairs for added speed. C. Ask the patient, 'What is making you mad?' D. Ask the patient, 'Why are you doing this, have you thought about what your parents might say?'

Correct Answer: A

Rationale: Seclusion is your best option in this scenario to ensure safety and de-escalation.

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