NCLEX Coordinated Care Questions

The nurse on a locked psychiatric unit is administering morning medications to a patient with schizophrenia. The patient refuses and says, “I’m not going to take that!” What is the nurse’s BEST response?

The nurse supervises a UAP (unlicensed assistive personnel) assist a legally blind patient with their meal at dinner time. What action, if performed by the UAP, is correct?

The nurse notices a significant increase in the number of patients admitted to the medical/surgical unit who do not have ID bracelets on their wrists. Instead, the ID bracelets are taped to the chart and are often lost in the process. Which of the following actions, if taken by the nurse, is BEST to resolve this issue?

The nurse in the outpatient care clinic cares for a client diagnosed with heart failure. Which of the following orders, if written by the physician, should the nurse question?

The charge nurse is supervising the nursing care administered on a busy medical/surgical unit. Which of the following situations, if noticed, would require immediate intervention?

The RN (registered nurse) supervises nursing care administered at a nursing home. A patient is ordered by the doctor to receive a tonometry exam. The RN calls to schedule the appointment with the ophthalmologist’s office and receives four different appointment times. Which of the following times would be BEST for this patient’s exam?

The nurse works on a medical/surgical unit. She asks a UAP (unlicensed assistive personnel) to ambulate a client recovering from a hysterectomy. Two hours later, the patient rings her call bell and asks to be walked, claiming that she has not seen the UAP this shift. The nurse finds the UAP talking on her cell phone in the break room. Which of the following actions should the nurse take NEXT?

The nurse receives a report on the medical/surgical unit. Which of the following clients should the nurse see FIRST?

The nurse has just received report on four patients in her assignment. Which of the following patients should the nurse see FIRST?

The nurse cares for children at a daycare. On a hot summer day, four children return from recess with various complaints. Which of the following children should the nurse see FIRST?

A patient is diagnosed with a DVT. Which of the following, if stated by a UAP (Unlicensed Assistive Personnel), requires intervention by the nurse?

A charge nurse on the cardiac unit observes a new graduate nurse as she suctions a patient with a tracheostomy. What action, if performed by the graduate nurse, would require intervention from the charge nurse?

The nurse in an emergency room receives a call from an ambulance alerting that a bomb has gone off in a nearby shopping center and a minimum of forty victims will be arriving shortly for medical care. What action should the nurse take NEXT?

Which of the following must be performed by an RN and NOT a UAP (unlicensed assistive personnel)?

SELECT ALL THAT APPLY:

Which of the following tasks can be delegated to a UAP (unlicensed assistive personnel)?

The nurse cares for a patient on an acute cardiac unit. The nurse writes her note for the next shift. It is vital to communicate which of the following information to the next shift?

The nurse working on the diabetic specialty unit cares for four patients. A nursing assistant reports that each of the patients requires the nurse’s attention. Which of the following patients, if described as detailed below by the nursing assistant, should be seen FIRST?

Which of the following should be included in performance evaluations of nursing staff?

An older client is admitted to the cardiac floor for new-onset atrial fibrillation. As the nurse is gathering admission history on the client, the client states, “Did you know that they can keep people alive even after they’re brain dead? I never want to end up on those breathing machines.” Which of the following questions should the nurse ask NEXT?

The charge nurse implements a change in the nursing assistant’s job description. The change increases the nursing assistant’s responsibilities. A nurse with 20 years of service on the unit verbally agrees to the change, but her behaviors indicate otherwise. Which of the following actions by the charge nurse is MOST appropriate?

A Hindu patient dies after a long, drawn-out battle with pancreatic cancer. The family is gathered by the bedside. Which of the following interventions, if offered by the nurse, would be MOST appropriate?

A nursing assistant on the nurse’s unit was injured four months ago in a fire. Her right leg was badly burned. She has just been cleared for work by a rehabilitation facility, but she walks with a prominent limp and an extremely unsteady gait. The nursing assistant wants to return to work on her unit, which has a critical care level of acuity. To assist the nursing assistant, the nurse should take which of the following actions?

The charge nurse works with two LPNs (licensed practical nurses) and one UAP (unlicensed assistive personnel). Which of the following assignments, if selected for the UAP, would be considered appropriate?

A local congressman is admitted to the psychiatric unit with a diagnosis of major depression with intent to self-harm. A nurse who works in the pediatric unit asks the psychiatric nurse why the patient has been admitted. Which of the following responses by the nurse is BEST?

The registered nurse is part of a team that includes two LPNs (Licensed Practical Nurses) and a UAP (Unlicensed Assistive Personnel). Which of the following patients would be most appropriate for an LPN?

The nurse cares for four clients in labor on the maternity unit. Which of the following patients should the nurse see FIRST?

A 55-year-old male patient arrives at the ER with anterior epistaxis that has not resolved after an hour of applying pressure. Which of the following instructions, if given to the UAP by the nurse, would be considered CORRECT?

A nurse observes a student nurse assess infants in the nursery. Which of the following, if observed by the nurse, would require an IMMEDIATE intervention?

The nurse answers the phone on a busy medical/surgical floor. A family member requests information on a patient by name. What response, if given by the nurse, is CORRECT?

The LPN (licensed practical nurse) observes nursing care administered by a UAP (unlicensed assistive personnel). Which of the following actions, if noted by the LPN, would require further teaching?

The charge nurse in the emergency department receives a call that four patients will be arriving immediately with various injuries. Based on the following reports, order the patients from first to last to be seen.

The nursing team includes two RNs, one LPN, a nursing assistant, and a nurse reassigned from the postpartum unit. The nurse should consider the assignments appropriate if the reassigned nurse cares for which of the following patients?

A student nurse is giving a child with suspected otitis media an ear examination. Which of the following actions, if taken by the student nurse, would require correction?

Which of the following situations is an example of negligence?

The nurse works on a unit caring for chronic pain management patients. A UAP (unlicensed assistive personnel) is pulled from another unit to help out the busy floor. An hour into the shift, the UAP asks the nurse “What is with the patient in room five? He says he’s in pain, but he’s watching TV!” Which of the following is the nurse’s BEST response?

The nurse changes a dressing on a client with an abdominal wound with a Penrose drain in place. What priority information should the nurse chart about this procedure?

A nurse’s aide comes to the nurse and expresses concerns about a patient’s T-tube. The aide says, “I’m kind of worried because it’s drained 700mL over the course of our shift. That’s a lot!” Which of the following responses does the nurse give to the aide?

The licensed practical nurse may NOT assume the primary care for which of the following patients?

The nursing team consists of one RN, two LPNs, and one nursing assistant. The nurse determines that assignments are appropriate if the nursing assistant is assigned to which of the following patients?

Performing a procedure on a client in the absence of an informed consent can lead to which of the following charges?

The charge nurse is making patient assignments and assigns the LPN to a patient who had a chest tube inserted 3 hours ago. Which of the following is correct?

A patient comes into the ER with COPD exacerbation and is having difficulty breathing. What action, if performed by the nurse, would be considered negligence?

A 101-year-old patient with end stage renal disease is refusing to take her medications “because they don’t work and I’m going to die soon anyway.” Which of the following responses is most correct?

The psychiatric unit processed four new admissions on the previous shift. Which of the new patients should the admissions nurse see FIRST?

The nursing team on the medical/surgical unit consists of an RN, two LPNs, and a nursing assistant. Which of the following clients should be assigned to the nursing assistant?