NCLEX-RN
NCLEX RN Coordinated Care Questions Questions
Extract:
Question 1 of 5
The nurse is caring for clients on a medical-surgical floor. Which tasks related to pain management can be delegated to unlicensed assistive personnel (UAP)? Select all that apply.
Correct Answer: B,C,D
Rationale: UAPs can remind clients to report pain (
B), report objective signs like grimacing (
C), and ask about pain presence (
D), as these tasks do not require clinical judgment. Assessing pain levels (
A) requires nursing judgment, and administering medications (E) is outside the UAP's scope.
Question 2 of 5
The nurse is caring for clients on a medical-surgical floor. Which tasks related to pain management can be delegated to unlicensed assistive personnel (UAP)? Select all that apply.
Correct Answer: B,C,D
Rationale: UAPs can remind clients to report pain (
B), report objective signs like grimacing (
C), and ask about pain presence (
D), as these tasks do not require clinical judgment. Assessing pain levels (
A) requires nursing judgment, and administering medications (E) is outside the UAP's scope.
Question 3 of 5
The ED nurse is attending orientation for nurses new to working in the ED. As part of the training, the ED nurse would expect to report which conditions to the proper authorities? Select all that apply.
Correct Answer: A,C,D,E
Rationale: West Nile virus, gunshot wounds, elder abuse, and unknown dog bites are reportable due to public health or legal mandates.
Question 4 of 5
A 4-month-old infant is admitted to the pediatric unit for a 10-day course of antibiotics. The parents are only able to visit on weekends. Which action indicates the nurse understands the emotional needs of the infant?
Correct Answer: A
Rationale: Soothing music addresses the infant's emotional needs by providing comfort in the absence of parents.
Question 5 of 5
Which diagnostic tool is most commonly used to determine the location of the myocardial damage?
Correct Answer: A
Rationale: An ECG is the primary tool to identify the location of myocardial damage by showing characteristic waveform changes. Echocardiograms assess heart function, enzymes indicate damage but not location, and catheterization is invasive and less common initially.