NCLEX-PN
Coordinated Care NCLEX PN Questions Questions
Extract:
Question 1 of 5
The team is in the client's room to insert a chest tube, and the nurse suspects that the attending physician who is going to perform the procedure is intoxicated. Which of the following actions is most appropriate?
Correct Answer: A
Rationale: When there is a concern about a potentially unsafe health care provider, the nurse should intervene immediately and not allow the physician to continue with the procedure until the concern is investigated; the concern should be reported to the next person in the chain of command. An incident report can be written following reporting and an investigation.
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?
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
The team is in the client's room to insert a chest tube, and the nurse suspects that the attending physician who is going to perform the procedure is intoxicated. Which of the following actions is most appropriate?
Correct Answer: A
Rationale: When there is a concern about a potentially unsafe health care provider, the nurse should intervene immediately and not allow the physician to continue with the procedure until the concern is investigated; the concern should be reported to the next person in the chain of command. An incident report can be written following reporting and an investigation.
Question 4 of 5
Which of the following statements, if made by the parents of a newborn, does not indicate a need for further teaching about cord care?
Correct Answer: D
Rationale: Parents should be taught to wash their hands before and after providing cord care. This prevents transferring pathogens to and from the cord. Folding the diaper below the cord exposes the cord to air and allows for drying. It also prevents wet or soiled diapers from coming into contact with the cord. Current recommendations include cleaning the area around the cord 3-4 times a day with a cotton swab but do not include putting alcohol or other antimicrobials on the cord. It is normal for the cord to turn dark as it dries.
Question 5 of 5
The ICU nurse caring for a client who has just been declared brain dead can expect to find evidence of the client's wishes regarding organ donation:
Correct Answer: A
Rationale: In most states, indication of organ donor status is found on the driver's license. Evidence in a last will and testament or in a safety deposit box is not readily accessible for decision-making if the need arises. Insurance cards do not contain such information.