Coordinated Care NCLEX PN

Extract:

Question 1 of 5

Which of these would be the most appropriate way to document a client's refusal of medication?

Correct Answer: C

Rationale: Documentation in healthcare should be objective, thorough, but direct. It should be articulate, with correct grammar and spelling.

Question 2 of 5

The nurse is caring for a client recovering from a stroke who recently regained consciousness. The client is having difficulty communicating verbally with the team. Which of the following would be least appropriate?

A. Begin client data collection prior to receiving the physician's order for the referral. B. Use documents to contribute information for the referral. C. Wait for the physician to order speech therapy and then assist with the appropriate documentation. D. Participate in the client referral process.

Correct Answer: C

Rationale: The nurse should participate in the client referral process, collect client data, and use appropriate documents to contribute information. It is not necessary to wait for the physician's order if the nurse recognizes the need for client referral.

Question 3 of 5

A concern regarding maternal and infant mortality and morbidity is that:

A. a segment of the population is not receiving prenatal care. B. families appear unconcerned about quality health care. C. the personnel shortage in the maternity field will increase. D. maternal-child health workers are not adequately prepared.

Correct Answer: A

Rationale: There is a concern that a segment of the population is not accessing prenatal care, affecting infant and maternal mortality and morbidity.

Question 4 of 5

Which of these is true regarding advance directives?

A. They must be reviewed and re-signed every 10 years in order to remain valid. B. An advanced directive is legally valid in every state, no matter which state it was created in. C. A physician must determine when a client is unable to make medical decisions for himself. D. They cannot be honored by EMTs (emergency medical technicians) unless signed by a doctor.

Correct Answer: D

Rationale: If summoned, EMTs are legally obligated to provide emergency care to a client, regardless of advance directive status, unless the directive is signed by a doctor. If the client is brought to the hospital, physicians will evaluate the client and implement the advance directive, if necessary. Two physicians, not one, are needed to determine if a client is unable to make decisions for himself/herself. Advance directives do not expire and remain in effect until they are changed. Some states do not honor advance directives created in other states, so if a client moves, he/she should check with his/her new state policies on this topic.

Question 5 of 5

Which of the following physical findings indicates that an 11-12-month-old child is at risk for developmental dysplasia of the hip?

A. refusal to walk B. not pulling to a standing position C. negative Trendelenburg sign D. negative Ortolani sign

Correct Answer: B

Rationale: The nurse might be concerned about developmental dysplasia of the hip if an 11-12-month-old child doesn't pull to a standing position. An infant who does not walk by 15 months of age should be evaluated. Children should start walking between 11-15 months of age. Trendelenberg sign is related to weakness of the gluteus medius muscle, not hip dysplasia. Ortolani sign is used to identify congenital subluxation or dislocation of the hip in infants.

Coordinated Care NCLEX PN | Nurselytic

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