Coordination of Care 2

Question 1

A nurse is caring for a client who needs wound care daily after discharge. Which referral is most appropriate?

Accepted Answer

Home health nursing

Answer

Home health nursing provides skilled nursing services such as wound care, medication management, and ongoing assessment in the client's home environment following discharge from an acute care facility.

Question 2

A nurse receives a telephone order from a physician during an emergency. After taking the verbal order, which step is most important?

Accepted Answer

Read back the order to the physician for confirmation

Answer

Reading back the verbal/telephone order to the prescriber is the critical safety step that confirms accuracy before the nurse implements any intervention, reducing the risk of medication or treatment errors.

Question 3

A nurse is preparing to transfer a client from the medical-surgical unit to the ICU due to deteriorating condition. Which action is most important to facilitate a safe transfer?

Accepted Answer

Provide a verbal and written handoff report to the receiving nurse

Answer

A thorough verbal and written handoff report (SBAR) is the most critical element of a safe client transfer, ensuring the receiving nurse has accurate and complete information about the client's condition, treatments, and current status.

Question 4

A nurse is working with an unlicensed assistive personnel (UAP). Which task is appropriate for the nurse to delegate to the UAP?

Accepted Answer

Measuring and recording urinary output from a catheter

Answer

Measuring and recording urinary output from a catheter is a routine, non-complex task within the UAP's scope of practice. Assessment, teaching, and medication administration (such as enemas) require nursing judgment and cannot be delegated.

Question 5

A nurse is reviewing a newly admitted client's medication list and notices a potential drug-drug interaction. Which action should the nurse take first?

Accepted Answer

Contact the prescribing provider to discuss the interaction

Answer

The nurse's first action should be to contact the prescribing provider to report the potential interaction and obtain guidance. The provider is responsible for deciding how to manage the interaction, which may include modifying doses, changing timing, or substituting medications.

NCLEX Practice Test

NCLEX Practice Test

Coordination of Care 2