Coordinated Care NCLEX-PN practice questions
- of the exam
- 18–24% of the exam
- Client Needs category
- Safe and Effective Care Environment Client Needs category
- last updated
- October 2026 last updated
Coordinated Care is the largest category on the NCLEX-PN. The test plan describes it as the LPN/VN collaborating with the health care team to make client care work. Most items turn on scope: what the practical nurse does, what goes to the RN, and what can be assigned to assistive personnel.
Updated October 2026
Coordinated Care
5 free coordinated care questions
Playable here, no account. Rationales expand in place.
Coordinated Care · free set
1 of 5A practical nurse working in a long-term care facility is organizing the morning assignment for unlicensed assistive personnel (UAP). The unit has four residents with varying needs. Which task is appropriate for the practical nurse to assign to the UAP?
Rationale
Measuring and recording urinary output for a stable resident with an indwelling catheter is a routine, non-assessment task with a predictable outcome that falls within UAP scope under LPN/LVN supervision. All five rights of delegation are met: the task is routine, no complex nursing judgment is required, and the client is stable. Option A: Evaluating the effectiveness of a care intervention requires clinical assessment and judgment; this is a nursing function that cannot be delegated to UAP. Option B: Reinforcing education requires nursing knowledge to verify comprehension and correct misunderstandings; this is a nursing function, not a UAP task. Option D: Performing a skin assessment, especially on a newly admitted resident with an existing pressure injury, requires clinical nursing judgment and is not within UAP scope.
Answer: C
A practical nurse at an outpatient surgery center is completing pre-procedure preparation for a 70-year-old client scheduled for a colonoscopy. The client has signed the informed consent form but tells the nurse, "The doctor went through everything very fast. I still don't really understand what they're going to do or what could go wrong." What is the most appropriate action by the practical nurse?
Rationale
Informed consent requires that the client understands the procedure, its purpose, potential risks, and alternatives. When a client expresses that they do not understand despite having signed the form, the practical nurse advocates for the client by notifying the provider so that adequate informed consent can be obtained before the procedure proceeds. Option A: A signed form alone does not constitute valid informed consent if the client did not understand what they signed; the client retains the right to have questions answered before the procedure. Option B: Dismissing the client's concerns and proceeding does not ensure informed consent and fails to advocate for the client's right to understand their care. Option C: Providing detailed explanations of a surgical procedure's risks and alternatives is the provider's responsibility; the LPN/LVN does not obtain or re-obtain informed consent.
Answer: D
A practical nurse on a pediatric unit is assigned to administer a scheduled nasogastric (NG) tube feeding to an 8-year-old client. The PN has not performed this skill since orientation several months ago and is uncertain about the correct steps to verify tube placement at the bedside before initiating the feeding. What is the most appropriate action for the practical nurse?
Rationale
Recognizing personal skill limitations and seeking assistance before performing an infrequently practiced procedure is both a safety standard and a professional practice expectation for the LPN/LVN. Notifying the charge nurse and requesting supervision or a skills review before initiating the feeding protects the client from potential complications such as aspiration from an unverified tube position. Option A: Proceeding without confirmed knowledge of proper tube placement verification risks administering feeding into the lungs, which can cause aspiration pneumonia or death. Option B: Parent report is not a clinically acceptable method for verifying NG tube placement; placement must be confirmed by established clinical methods prior to each feeding. Option D: Refusing the assignment without notification abandons the client and is professionally inappropriate; the correct response is to seek assistance, not to refuse and walk away.
Answer: C
A practical nurse is caring for a 45-year-old client with newly diagnosed hypertension at an outpatient primary care clinic. The client states, 'My doctor just added a second blood pressure medication, but I was too nervous to ask why during the appointment. I guess I just have to accept it.' Which response by the practical nurse best promotes client self-advocacy?
Rationale
Encouraging the client to write down questions and ask the provider directly empowers the client to speak up for themselves, which is the core of self-advocacy. It builds communication skills and confidence rather than creating dependence on the nurse as an intermediary. Option A: Telling the client to simply trust the provider discourages the client from asking questions and undermines their right to be informed and actively involved in their own care. Option B: Explaining the medication change removes the opportunity for the client to engage directly with their provider and does not build the self-advocacy skills needed for ongoing management of a chronic condition. Option C: Contacting the provider on the client's behalf does not promote self-advocacy; it reinforces dependence on others to speak for the client rather than building the client's own capacity to communicate with the care team.
Answer: D
A practical nurse working on a medical-surgical unit has been asked to participate in a unit-based quality improvement (QI) initiative aimed at reducing the incidence of client falls. Which actions are appropriate for the practical nurse to take as part of this QI activity? Select all that apply.
Rationale
Collecting and documenting fall data (A) is a core PN contribution to QI data gathering. Reporting data to the charge nurse (E) keeps the interdisciplinary team informed. Attending QI committee meetings and sharing observations (D) is an appropriate participatory role for the PN. Communicating environmental hazards (F) supports proactive safety improvement and is within PN scope. Option B: Independently rewriting a unit protocol is outside PN scope; protocol revision requires RN, advanced practice, and leadership involvement. Option C: Implementing a new monitoring schedule without RN oversight exceeds PN independent authority; changes to unit workflows require direction from the RN or leadership.
Answer: A, D, E, F
2026 test plan
What Coordinated Care covers
A selection of the activities NCSBN lists for this category, in plain words.
- Assigning tasks to assistive personnel and monitoring their work
- Contributing to and updating the plan of care
- Participating in the consent process and advance directives
- Advocating for client rights and promoting self-advocacy
- Recognizing your own limits and asking for help
- Confidentiality, privacy, and mandatory reporting
How to answer these
Ask whose job it is before you ask what to do. If the action needs assessment, teaching from scratch, or a new order, it is not the practical nurse acting alone.
Other NCLEX-PN categories
Safety and Infection Prevention and Control
10–16% of the exam →
Health Promotion and Maintenance
6–12% of the exam →
Psychosocial Integrity
9–15% of the exam →
Basic Care and Comfort
7–13% of the exam →
Pharmacological Therapies
10–16% of the exam →
Reduction of Risk Potential
9–15% of the exam →
Physiological Adaptation
7–13% of the exam →
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