Coordinated Care NCLEX PN Questions

Extract:

Question 1 of 5

As a type of quality indicator, an example of a structure standard is:

Correct Answer: A

Rationale: Structure standards define all the conditions needed to operate, direct, and control a system. They do not address client care but rather describe structure with regard to purpose, such as philosophy, objectives, goals, hours of operation, and management responsibility.

Question 2 of 5

Which of the following scenarios are considered violations of HIPAA laws?

A. Discussing discharge plans with a client in a multi-bed recovery room with the curtain drawn around the client's bed. B. Looking up the medical information of a friend not in your care but who gave you permission. C. Checking on your spouse's medical record because you are listed as her power of attorney. D. Avoiding conversations about clients while in line in the cafeteria with a mutual caregiver of that client. E. Looking up only the address of a co-worker who delivered a baby so you can surprise her with a gift.

Correct Answer: D

Rationale: Reviewing or obtaining any information regarding clients not in your care or discussing sensitive client information in non-secure environments are violations of HIPAA. Discussing discharge plans in a multi-bed recovery room is considered an 'incidental disclosure' and is not considered a HIPAA violation.

Question 3 of 5

As a type of quality indicator, an example of a structure standard is:

A. a written philosophy. B. a procedure for a straight catheterization. C. a protocol for treatment of a client with chest pain. D. the diagnostic work-up for a client with abdominal pain.

Correct Answer: A

Rationale: Structure standards define all the conditions needed to operate, direct, and control a system. They do not address client care but rather describe structure with regard to purpose, such as philosophy, objectives, goals, hours of operation, and management responsibility.

Question 4 of 5

While on the wound care team, the nurse notices that a fellow nurse opens extra colloid dressing that are often thrown away when they are not needed. What should the nurse do?

A. Nothing, as it is not impacting client care. B. Discuss with the colleague the concern about wasting supplies. C. Tell the charge nurse to stop ordering these dressings. D. Remove the colloid dressing from the shelf so that the nurse will find other supplies to use.

Correct Answer: B

Rationale:
To ensure cost effective care, the nurse should discuss this wastage with the colleague as throwing away unused supplies may impact the unit's supply cost.

Question 5 of 5

The ICU nurse caring for a client who has just been declared brain dead can expect to find evidence of the client's wishes regarding organ donation:

A. on the driver's license of the client. B. in the client's safety deposit box. C. in the client's last will and testament. D. on the client's insurance card.

Correct Answer: A

Rationale: In most states, indication of organ donor status is found on the driver's license. Evidence in a last will and testament or in a safety deposit box is not readily accessible for decision-making if the need arises. Insurance cards do not contain such information.

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