NCLEX-PN
Coordinated Care NCLEX PN Questions
Extract:
Question 1 of 5
An Rh-negative woman with previous sensitization has delivered an Rh-positive fetus. Which of the following nursing actions should be included in the client's care plan?
Correct Answer: A
Rationale: Sensitization means the mother has antibodies against Rh-positive blood, risking hemolytic disease in the fetus. Emotional support is critical to address guilt and concerns about the infant's condition.
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
The nurse notices that a family is waiting at the nursing station desk for its loved one to be brought to the unit for admission during a change-of-shift report. The nurse should:
Correct Answer: A
Rationale:
To protect the privacy of clients and the confidentiality of the information shared in a change-of-shift report, the family should be asked to wait in the client's room, and the report should be resumed only after it can no longer hear what is said.
Question 4 of 5
Vaccines provide what type of immunity?
Correct Answer: A
Rationale: Vaccines stimulate the body's immune system to produce antibodies, conferring active immunity. Passive immunity involves transferred antibodies, and transplacental immunity is a form of passive immunity from mother to fetus.
Question 5 of 5
Which of the following is not true of clinical pathways?
Correct Answer: A
Rationale: Clinical pathways may be daily or weekly, so they may not need to be updated every day.