Coordinated Care NCLEX PN

Extract:

Question 1 of 5

While walking in the hallway of an acute care unit of the hospital, the nurse overhears the change of shift report. The nurse should:

Correct Answer: A

Rationale:
To protect the confidentiality of the information being reported, the nurse should make the charge nurse on the unit aware of the situation so that the information can be communicated in an appropriate way in privacy.

Question 2 of 5

How often should the nurse change the intravenous tubing on total parenteral nutrition solutions?

A. every 24 hours B. every 36 hours C. every 48 hours D. every 72 hours

Correct Answer: A

Rationale: The nurse should change the intravenous tubing on total parenteral nutrition solutions every 24 hours, due to the high risk of bacterial growth.

Question 3 of 5

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

A. Heparin refused during shift. Risks reviewed.' B. The client refused the heparin injection when I tried to administer it. She yelled at me saying, 'I do not want that injection right now!' and told me to leave the room. I explained the risks of not taking the medication. She seemed very annoyed that I tried to give it at that time. I will attempt again later in my shift.' C. Subcutaneous Heparin injection was attempted to be given to the client per the physician's order. Client refused, stating, 'I do not want that injection.' Potential risks for refusing the medication were reviewed with the client and client verbalized understanding.' D. Ct stated she did not want the SQ heparin inj at this time. Risks of not taking this med were reviewed with the ct and ct verbalized understanding.'

Correct Answer: C

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

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

An LPN on a Continuous Quality Improvement (CQI) team is tasked with implementing strategies to reduce medication errors. Which of the following strategies would be most beneficial for the LPN to implement?

A. Track individuals with medication errors and report them to administration. B. Remind staff of the five rights of medication administration. C. Ensure that all staff members are proficient in completing incident reports if a medication error occurs. D. Double check that staff document medication administration in the electronic medical record.

Correct Answer: C

Rationale: Organized, accurate incident reports are important in tracking and understanding why errors occurred. CQI teams use incident reports to create new or build upon existing policies to help standardize medical processes to help reduce errors.

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