NCLEX-PN
Coordinated Care NCLEX Questions Questions
Extract:
Question 1 of 5
The advanced directive in a client's chart is dated August 12, 1998. The client's daughter produces a Power of Attorney for Health Care, dated 2003, which contains different care direction(s). The nurse is supposed to:
Correct Answer: C
Rationale: The document dated 2003 supersedes the previous version and should be used as a basis for care direction.
Choices 1 and 2 are incorrect because the 1998 version is now outdated.
Choice 4 is incorrect because the nurse can be held negligent for not responding to the 2003 document as directed.
Question 2 of 5
The LPN on shift notices a client come in to the clinic with bruises on his arm. The client seems very afraid and doesn't speak much which concerns the nurse because these are signs of physical abuse. The nurse should
Correct Answer: B
Rationale: It is the responsibility of any healthcare provider/team member to report any type of suspected abuse to the police or dictated agency per the state policy.
Question 3 of 5
Which of these would be an appropriate assignment for the LPN/LVN?
Correct Answer: D
Rationale: Collecting sputum samples on stable clients are within the scope of practice for an LPN. An RN should do the initial assessment on any client immediately post-op. An RN or medical provider should attend to any client suffering from an acute asthma attack. A client who is medically stable and needs help ambulating is best assigned to a nursing assistant.
Question 4 of 5
In conducting a health screening for 12-month-old children, the nurse expects them to have been immunized against which of the following diseases?
Correct Answer: B
Rationale: By 12 months, children should have received DTaP (diphtheria, tetanus, pertussis) and polio vaccines. MMR (measles, mumps, rubella) is given after 12 months, and hepatitis A is not routine at this age.
Question 5 of 5
Which direction given to the nursing assistant is most likely to accomplish the task of getting a urine specimen delivered to the lab immediately after collection?
Correct Answer: D
Rationale: Effective delegation depends on clear, concise direction that leaves no room for question or interpretation. The specific instruction to collect and deliver immediately ensures the task is prioritized.