NCLEX-RN
NCLEX RN Coordinated Care Questions Questions
Extract:
Question 1 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 2 of 5
Which statement concerning informed consent is false?
Correct Answer: B
Rationale: Married minors can give informed consent, making this statement false. Pregnant minors and adults 18+ can also consent, while those 17 and younger typically cannot.
Question 3 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 4 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 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.