NCLEX Exam NCLEX-PN Topic 2 Question 10 Discussion

Actual exam question for NCLEX's NCLEX-PN exam

Question #: 10
Topic #: 2

The advanced directive in a client's chart is dated August 12, 1998.The client's daughter produces a Power of Attorney for Health Care, dated 2003, which contains different care direction(s). The nurse is supposed to:

Afollow the 1998 version because it's part of the legal chart.

Bfollow the 1998 version because the physician's code order is based on it.

Cfollow the 2003 version, place it in the chart, and communicate the update appropriately.

Dfollow neither until clarified by the unitmanager.

Show Suggested Answer

Suggested Answer: C

The document dated 2003 supersedes the previous version and should be used as a basis for care direction.

Choices 1 and 2 are incorrect because the 1998 version is now outdated. Choice 4 is incorrect because the nurse can be held negligent for not responding to the 2003 document as directed.Coordinated Care

by Shalon at Aug 17, 2025, 12:14 PM

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Apolonia

18 hours ago

I'd go with C. The updated Power of Attorney should take precedence, even if it's not the original chart document. Better to communicate the change properly than risk following outdated directives.

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