Coordinated Care NCLEX PN Questions

Extract:

Question 1 of 5

While performing a physical assessment on a 6-month-old infant, the nurse observes head lag. Which of the following nursing actions should the nurse perform first?

Correct Answer: B

Rationale: Persistent head lag at 6 months suggests developmental or neurological issues, warranting immediate physician referral for evaluation.

Question 2 of 5

The nurse uses prioritization to determine all the following except:

A. time allotment for certain tasks. B. appropriate interventions. C. treatment procedures. D. the need for client education.

Correct Answer: C

Rationale: Treatment procedures are standards of care as defined by the facility or nursing unit. If a treatment is indicated, the nurse is obligated to follow the established procedure to be compliant with practice standards. Established priorities contribute to the determination of time management, appropriate interventions, and the need for client education as a potential intervention.

Question 3 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:

A. on the driver's license of the client. B. in the client's safety deposit box. C. in the client's last will and testament. D. on the client's insurance card.

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.

Question 4 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.

Question 5 of 5

While on the wound care team, the nurse notices that a fellow nurse opens extra colloid dressing that are often thrown away when they are not needed. What should the nurse do?

A. Nothing, as it is not impacting client care. B. Discuss with the colleague the concern about wasting supplies. C. Tell the charge nurse to stop ordering these dressings. D. Remove the colloid dressing from the shelf so that the nurse will find other supplies to use.

Correct Answer: B

Rationale:
To ensure cost effective care, the nurse should discuss this wastage with the colleague as throwing away unused supplies may impact the unit's supply cost.

Coordinated Care NCLEX PN Questions | Nurselytic

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