Coordinated Care NCLEX PN Questions

Extract:

Question 1 of 5

The LPN needs to delegate a task to the nurse aide who is new to the unit. Which of these is the best option for the nurse to choose in proceeding?

Correct Answer: A

Rationale: Delegation is transferring responsibility for a task but sharing its accountability. It is the delegator's responsibility to make sure the delegatee understands the task prior and to follow up after to make sure it was done correctly and safely.

Question 2 of 5

A 2-year-old child diagnosed with HIV comes to a clinic for immunizations. Which of the following vaccines should the nurse expect to administer in addition to the scheduled vaccines?

A. pneumococcal vaccine B. hepatitis A vaccine C. Lyme disease vaccine D. typhoid vaccine

Correct Answer: A

Rationale: Children with HIV are at higher risk for pneumococcal infections, so the pneumococcal vaccine is recommended in addition to routine vaccines. The other vaccines are not indicated for this context.

Question 3 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 4 of 5

Which of the following activities is not part of client advocacy?

A. involving the client in treatment and decision making B. standing up for what is right for the client C. sharing your personal opinions to help provide additional information D. encouraging the client to advocate for themselves

Correct Answer: C

Rationale:
To be a good client advocate, the nurse should not tell the client what they personally think about a decision the client is making.

Question 5 of 5

Which of the following tasks are appropriate for an LPN to perform?

A. Adjust the cervical traction device of a 68-year-old client as instructed by the charge nurse. B. Teaching a 24-year-old first-time mother how to properly care for her new baby. C. Assess a 36-year-old man newly admitted for chest pain. D. Obtain an occult blood sample from a 16-year-old client with ulcerative colitis. E. Document the administration of acetaminophen to a 43-year-old, status post-op knee arthroplasty.

Correct Answer: A

Rationale: While LPNs are expected to perform assessments, initial assessments should always be performed by a registered nurse or attending physician. LPNs should take orders for client care and equipment adjustment from prescribing providers directly, not the charge nurse. Teaching, obtaining stool samples, and documenting medication administration are all within the scope of practice of an LPN.

Coordinated Care NCLEX PN Questions | Nurselytic

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