Coordinated Care NCLEX PN Questions

Extract:

Question 1 of 5

Which of the following tasks are appropriate for an LPN to perform?

Correct Answer: A

Rationale: While LPNs are expected to perform assessments, initial assessments should always be performed by a registered nurse or attending physician. LPNs should take orders for client care and equipment adjustment from prescribing providers directly, not the charge nurse. Teaching, obtaining stool samples, and documenting medication administration are all within the scope of practice of an LPN.

Question 2 of 5

What is the primary theory that explains a family's concept of health and illness?

A. Health Belief Model B. Education-School-Completing Factor C. Family Health Expert Factor D. Disconnected Family Factor

Correct Answer: A

Rationale: The Health Belief Model describes readiness factors; the perceived feelings of susceptibility and seriousness of the health problem (the threat); and positive motivation to maintain, regain, or attain wellness.

Question 3 of 5

The LPN needs to delegate a task to the nurse aide who is new to the unit. Which of these is the best option for the nurse to choose in proceeding?

A. Delegate the task to the nurse aide, confirm understanding, and follow up to ensure the task was safely/correctly done. B. Delegate the task to the nurse aide, watch them perform the task without them seeing you, and follow up to ensure the task was done safely/accurately. C. Delegate the task to the nurse aide, supervise if needed and check in after the task to see if help is needed. D. Delegate the task to the nurse aide, ensure understanding of the task, and supervise task being performed.

Correct Answer: A

Rationale: Delegation is transferring responsibility for a task but sharing its accountability. It is the delegator's responsibility to make sure the delegatee understands the task prior and to follow up after to make sure it was done correctly and safely.

Question 4 of 5

To provide optimal continuity of care, the nurse should do all of the following except:

A. document current functional status. B. have the physician phone a report to the receiving facility. C. copy appropriate parts of the medical record for transport to the receiving facility. D. phone a report to the facility.

Correct Answer: B

Rationale: It is the nurse's responsibility to communicate the client's condition and care plan to the receiving facility to support continuity of care. Documentation of the client's baseline functional status is important for the receiving facility to work with in further goal setting. A copy of select portions of the medical record (according to facility policy) is another form of communication and supports continuity. A physician might be asked to be involved if there are specific medical needs or orders that she believe are important, but is generally not involved.

Question 5 of 5

As a type of quality indicator, an example of a structure standard is:

A. a written philosophy. B. a procedure for a straight catheterization. C. a protocol for treatment of a client with chest pain. D. the diagnostic work-up for a client with abdominal pain.

Correct Answer: A

Rationale: Structure standards define all the conditions needed to operate, direct, and control a system. They do not address client care but rather describe structure with regard to purpose, such as philosophy, objectives, goals, hours of operation, and management responsibility.

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