NCLEX-RN
NCLEX RN Coordinated Care Questions Questions
Extract:
Question 1 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.
Question 2 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.
Question 3 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 4 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 5 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.