Coordinated Care Practice Test for the Nclex-PN® Exam PDF

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Summary

These practice exam questions are similar to the NCLEX PN exam. They come with answers and rationale at the end....

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Coordinated Care Practice Test for the NCLEX-PN® Exam

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Table of Contents Answers Questions Hints Answer Summary Answer Explanations

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Questions 1) Note: These questions include ones similar to alternative format questions as seen on the NCLEX-PN exam. An LPN works on an adult medical/surgical unit and has been pulled to work on the burn unit, which cares for clients of all ages. What should he do? A) He should take the assignment, but make it clear he will only care for adult clients. B) He should take the assignment, but explain the situation to the charge nurse and ask for a quick orientation before starting. C) He should refuse to take the assignment, as caring for infant and child population is not within his scope of practice. D) He should take the assignment, but ask to be paired with a more experienced LPN.

2) Which of the following tasks are appropriate for an LPN to perform? Select all that apply. A. Adjust the cervical traction device of a 68-year-old client as instructed by the charge nurse. B. Teaching a 24-year-old first-time mother how to properly care for her new baby. C. Assess a 36-year-old man newly admitted for chest pain. D. Obtain an occult blood sample from a 16-year-old client with ulcerative colitis. E. Document the administration of acetaminophen to a stable 43-year-old, status post-op knee arthroplasty. A) B, D, E B) A, C, D C) B, C, D. E D) A, B, C, D, E

3) Which of these would be an appropriate assignment for the LPN/LVN? A) an 18-year-old femur fracture client who is just returning to the floor from the recovery unit B) an 84-year-old client 2 days post-op after knee replacement surgery who needs help ambulating C) a 35-year-old client who is suffering from an acute asthma attack D) a 20-year-old client with Cystic Fibrosis who needs an early morning sputum sample collection

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4) Which of these clients should the LPN/LVN see first? A) a client with a newly placed NG who is complaining of pain around the face and a plugged nose B) a post-op prostatectomy client who complains of bladder spasms and blood in his foley bag C) a client in an arm cast who is 2 days post-op and reports feelings of numbness and tingling in her affected arm D) a client newly diagnosed with Hepatitis A who reports stomach pain and itchy skin

5) An LPN is talking with a client scheduled to undergo a vasectomy in the next few minutes. He states, “I know I signed the form and all, but I’m not feeling so sure of this. It can be reversed pretty easily, right?” What is the LPN’s best response? A) “Yes, vasectomies can be reversed, but I’m sure once you have it you won’t regret it.” B) “It’s normal to feel a little nervous before a procedure like this one.” C) “It sounds like you have a few more questions you’d like answered. Let me grab the doctor quickly so he can answer them for you.” D) “It sounds like you might be a little nervous. Don’t worry, this is a pretty minor procedure, and the doctor doing it is the best we have. You’re in great hands.”

6) 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.

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7) Which of the following scenarios are considered violations of HIPAA laws? Select all that apply. A. Discussing discharge plans with a client in a multi-bed recovery room with the curtain drawn around the client’s bed. B. Looking up the medical information of a friend not in your care but who gave you permission. C. Checking on your spouse’s medical record because you are listed as her power of attorney. D. Avoiding conversations about clients while in line in the cafeteria with a mutual caregiver of that client. E. Looking up only the address of a co-worker who delivered a baby so you can surprise her with a gift. A) A, B, D B) A, D C) B, C D) B, C, E

8) An LPN is working on the care plan for a client with diabetes mellitus. Which of these outcomes would be the most appropriate? A) The client will maintain a blood glucose level within the normal range of 70–110 (per facility policy). B) The client will maintain a blood glucose level within normal range limits today. C) The client will maintain a blood glucose level within the normal range of 70–110 (per facility policy) throughout my shift. D) The client will maintain a blood glucose level within normal limits throughout my shift.

9) The LPN notices a client with poor gait and balance. She is currently being treated for hypertension, but the nurse is concerned. What should the nurse do? A) Add this issue to the nursing care plan and have daily gait/balance training as an intervention. B) Do nothing as this has nothing to do with why the client was hospitalized. C) Speak with the attending physician about his concerns and request a referral for the client to go to the hospital gym. D) Speak with the attending physician about his concerns and request a referral to physical therapy.

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10) A client being treated for sickle cell disease has an order for pain medication. Morphine was ordered, but the nurse is having difficulty deciphering the dose. The nurse should ____. A) ask the attending physician to come back to the unit and to help read what the order states regarding the correct medication, dose, route, and frequency B) call the charge nurse to reach out to the attending physician to verify the order including the correct medication, dose, route, and frequency C) call the attending physician to verbally verify the order including correct medication, dose, route, and frequency D) just go with his or her gut on what the typical dose is for this medication and administer to the client so they do not have to wait on the physician

11) 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.”

12) 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.

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13) An LPN is having conflict with another nurse during her shift. She has tried to discuss the issues with the nurse with no resolution. What is the most appropriate way for the nurse to proceed? A) Report the conflict to the director of nursing over the unit. B) Report the conflict to the assigned charge nurse of the unit. C) Report the conflict to the nurse manager of the unit. D) Discuss the conflict with the other nurse to attempt resolution of issue.

14) A nurse is giving shift report off to the oncoming LPN. Which of these is an inappropriate shift report? A) The nurse gives report to the oncoming LPN, checking a wound vac and dressing together. B) The nurse reports in SBAR format, noting that the client was noncompliant with their diet during the shift. C) The nurse reports in the hallway, SBAR format, and alerts the oncoming LPN about how rude the client was throughout the shift. D) The nurse reports at bedside with the oncoming LPN and discusses the client’s concerns after the chart has been reviewed.

15) A nurse witnesses a client sign the consent form for surgery with the surgeon. As the surgeon leaves, the client starts to speak and then stops. The nurse asks if the client has further questions and he says, “I don’t want to bother the surgeon.” The nurse should ____. A) acknowledge the client’s wish not to bother the surgeon and tell the client to let you know if they change their mind B) acknowledge the client’s wish not to bother the surgeon and answer all of their questions, as appropriate C) go get the surgeon to answer all of the client’s questions D) answer any questions as appropriate as well as have the surgeon come back to answer any questions if needed

16) 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.

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17) In what order should the LPN see the following clients? Use appropriate letters to match the correct order A. a 72-year-old client with pneumonia asking to order her dinner. B. a 23-year-old client with left arm fracture after an MVA complaining of 6 out of 10 pain in his arm. C. a 53-year-old client with lower leg swelling complaining of sudden onset headache and blurry vision. D. a 47-year-old client requesting more information regarding her surgery scheduled in three hours A) A, D, B, C B) C, B, D, A C) D, C, B, A D) B, C, A, D

18) The LPN on shift notices a client come in to the clinic with bruises on his arm. The client seems very afraid and doesn’t speak much which concerns the nurse because these are signs of physical abuse. The nurse should ____. A) use therapeutic communication to talk to the client and attempt to get evidence of suspected abuse B) report the findings to the appropriate authorities based on the state requirements and protocols C) ignore the bruises, as this is not why the client is being treated and is not appropriate for the nurse to address D) report the suspected abuse to one of the other nurses and work together on how to handle it

19) A client is having an abortion in a women’s clinic and the nurse caring for the client does not think the reasoning is appropriate. The nurse asks, “Are you sure you want to do this, it can’t be undone. Have you read about your other options? Adoption is always a good choice.” The client states she understands all options and is comfortable with her choice. The nurse nods and leaves the room to discuss the procedure with the physician. Which client right did the nurse violate with her actions? A) the client’s right to make personal health decisions without interference, as the nurse tried to sway the client’s decision-making and healthcare choice in the direction of not having an abortion B) the client’s right to be left alone without unsolicited attention, as the nurse inserted herself in the client’s healthcare scenario and offered uninvited advice C) the client’s right to confidentiality, as the nurse is talking to the physician about the client and the abortion D) the client’s right to respectful care, as the nurse clearly made it known that she did not approve of the abortion

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20) A client is refusing to stay in the hospital because he does not agree with his healthcare treatment plan. The nurse stops the client from leaving due to concern for his health. Which of these legal charges could the nurse face? A) False imprisonment, as the nurse is not allowing the client to leave as he has decided to. B) Malpractice, as the nurse is intentionally keeping the patient from making his own decisions, thus violating that nursing duty. C) Invasion of privacy, as the nurse is getting involved in the patient’s private decisions regarding healthcare. D) Negligence, as the nurse ignored the clients right to choose with regard to his healthcare.

21) While taking care of a client, the nurse thinks that physical therapy in the hospital might be beneficial to their condition. Which of the following is the ideal referral process? A. Transport the client to the physical the...