NCLEX-RN
NCLEX RN Coordinated Care Questions Questions
Extract:
Question 1 of 5
The nurse is charting on his client, who had an open appendectomy the previous day. Which are appropriate nursing documentation entries? Select all that apply.
Correct Answer: C,D
Rationale: Objective entries about meal tolerance and ambulation are appropriate. Subjective terms like 'appeared anxious' or 'appeared angry' lack measurable data.
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 nurse is charting on his client, who had an open appendectomy the previous day. Which are appropriate nursing documentation entries? Select all that apply.
Correct Answer: C,D
Rationale: Objective entries about meal tolerance and ambulation are appropriate. Subjective terms like 'appeared anxious' or 'appeared angry' lack measurable data.
Question 4 of 5
The nurse is admitting a new client complaining of severe abdominal pain. When asked about valuables, the client says he has $1,500 cash in his wallet. He is from out of state and does not have anyone who can take his wallet into safekeeping for him. Which statement by the nurse best addresses this situation?
Correct Answer: C
Rationale: Security handling valuables follows hospital policy, ensuring safety and documentation.
Question 5 of 5
The nurse is preparing to interpret an electrocardiogram rhythm strip. Identify the order for interpreting the strip. Use all the options.
Correct Answer: B,C,A,D
Rationale: The correct order is: determine heart rate and rhythm, analyze P waves, measure P-R interval, then QRS duration for systematic ECG interpretation.