NCLEX-PN Exam - 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Choices 1 and 2 are incorrect because the 1998 version is now outdated.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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Sina

5 months ago

I agree, we need to clarify this with the unit manager first!

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Angelo

5 months ago

Wait, can we really ignore the older directive just like that?

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Annice

5 months ago

Definitely follow the 2003 version, it's more recent!

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Justine

5 months ago

I think the 1998 directive is still valid since it's in the chart.

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Kallie

6 months ago

The 2003 Power of Attorney should take precedence, right?

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Derick

6 months ago

What if neither document is clear? I feel like D could be a safe choice until we get clarification from the unit manager.

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Curtis

6 months ago

I think we practiced a similar question where the latest directive was prioritized. So, I’m leaning towards C, but I’m a bit uncertain.

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Micah

7 months ago

I'm not entirely sure, but I feel like the 1998 directive should still hold some weight since it's in the legal chart.

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Craig

7 months ago

I remember discussing how the most recent document usually takes precedence, so I think it might be C.

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Donte

7 months ago

Hmm, I'm not sure about this one. There could be some nuances I'm missing. I think I'll go with option D and get clarification from the unit manager before proceeding. Better safe than sorry.

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Isaiah

7 months ago

I'm pretty confident that the correct answer is C - follow the 2003 version, place it in the chart, and communicate the update appropriately. The newer power of attorney should supersede the older advanced directive.

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Alline

7 months ago

I'm a little confused on this one. The question mentions different care directions, so I'm not sure if I should just go with the newer document or try to reconcile the differences. I'll need to think this through carefully.

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Roy

8 months ago

Okay, I think the key here is to follow the most recent legal document, which is the 2003 power of attorney. That should take precedence over the older advanced directive.

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Stevie

8 months ago

Hmm, this is a tricky one. I'll need to carefully review the details of the advanced directive and power of attorney to determine the most appropriate course of action.

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Nancey

8 months ago

I'm with C too. Ain't no way I'm risking my job by following some outdated directive. Gotta go with the new legal document, plain and simple.

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Shelton

8 months ago

But what if the 2003 version has more recent and relevant care directions?

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Aracelis

8 months ago

Haha, imagine if we just ignored the new Power of Attorney and went with the old one. That would be a lawsuit waiting to happen! C is the clear choice here.

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Ryann

4 months ago

Always better to update and communicate changes.

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Nickolas

5 months ago

Can't believe some would stick to the old directive!

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Bronwyn

5 months ago

Definitely! Ignoring the new one would be risky.

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Micaela

6 months ago

C is the safest option for sure.

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Lorrie

9 months ago

I'd say C as well. The patient's daughter has the authority here, and we need to respect the updated instructions. Anything else would be negligent.

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Cathrine

9 months ago

Definitely C. The newer legal document supersedes the older one, no question. Gotta keep up with the changes, folks!

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Nadine

8 months ago

Absolutely, the newer document takes precedence. It's important to stay current with legal directives.

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Audry

8 months ago

C) follow the 2003 version, place it in the chart, and communicate the update appropriately.

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Paz

9 months ago

I think we should follow the 1998 version since it's in the client's chart.

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Apolonia

9 months 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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Jin

8 months ago

A) follow the 1998 version because it's part of the legal chart.

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