Seems like a defect was shipped. MacOS 12.6.8 - the following error prevents any functionality
node_modules/mongodb/lib/operations/find_and_modify.js:33
options.includeResultMetadata ??= false;
^^^
SyntaxError: Unexpected token '??='
at wrapSafe (internal/modules/cjs/loader.js:984:16)
at Module._compile (internal/modules/cjs/loader.js:1032:27)
at Object.Module._extensions..js (internal/modules/cjs/loader.js:1097:10)
at Module.load (internal/modules/cjs/loader.js:933:32)
at Function.Module._load (internal/modules/cjs/loader.js:774:14)
at Module.require (internal/modules/cjs/loader.js:957:19)
at require (internal/modules/cjs/helpers.js:88:18)
at Object.<anonymous> (/Users/mikestorey/source/learn/mongo-developer/node_modules/mongodb/lib/collection.js:21:27)
at Module._compile (internal/modules/cjs/loader.js:1068:30)
at Object.Module._extensions..js (internal/modules/cjs/loader.js:1097:10)