NCLEX-PN
NCLEX PN Coordinated Care Questions Questions
Extract:
Question 1 of 5
While documenting on a paper form, the nurse realizes they have made a mistake writing the progress note. What should the nurse do?
Correct Answer: A
Rationale: If a mistake has been made, it should be corrected with a line through the mistake along with the nurse's initials and the date and time. Whiteout or a black marker that fully covers up the previous documentation is not as legally defensible and is not necessary.
Question 2 of 5
Which of the following statements is true about a post-discharge follow-up?
Correct Answer: A
Rationale: The nurse is responsible for ensuring the client is educated, they have their prescriptions, and all their questions are addressed prior to discharge. A client should always have a follow-up visit scheduled with their provider.
Question 3 of 5
A 35-year-old Latin-American client wishes to lose weight to reduce her chances of developing heart disease and diabetes. The client states, 'I do not know how to make my diet work with the kind of foods that my family eats.' What should the nurse do first to help the client determine a suitable diet for disease prevention?
Correct Answer: B
Rationale: Assessment is the first step. Assessing what the client eats helps the nurse determine a plan for dietary recommendations based on the ADA and AHA guidelines. Providing the client with a copy of the guidelines is important but is not the first priority. Based on the client's wish to reduce her chances of heart disease and diabetes, a high-protein diet plan might not be appropriate. Providing information to the client related to risk factors for heart disease and diabetes is important but is not the first step.
Question 4 of 5
A client states, 'I eat a well-balanced diet. I do not smoke. I exercise regularly, and I have a yearly checkup with my physician. What else can I do to help prevent cancer?' The nurse should respond with which of the following statements?
Correct Answer: D
Rationale: All listed actions contribute to cancer prevention: adequate sleep supports immune function, self-breast exams aid early detection, and stress reduction enhances overall health. These complement the client's existing healthy habits.
Question 5 of 5
Which of the following factors can impact an individual's ability to give informed consent?
Correct Answer: C
Rationale: Pain medications might alter alertness, thought processes, and reactions. It is recommended that a client be approached for consent at least 4 hours after the last dose of pain medicine to allow minimal impact. IQ and educational levels might have a bearing on how information is presented through the discussion process, but they do not have a bearing on informed-consent decision-making.