Question 1

What is the most appropriate assignment for a nurse who has 10 years of experience in a neurological ICU when floated to a pediatric oncology unit?&#10;A)A 3-year-old boy with leukemia who has contracted bacterial meningitis&#10;B)A 6-year-old boy with osteogenic sarcoma&#10;C)An 18-month-old infant postsurgery with a neuroblastoma&#10;D)A 14-year-old girl with a pheochromocytoma and adrenalectomy

Accepted Answer

The nurse's experience in a neurological ICU makes them well-suited to care for a patient with bacterial meningitis, a condition that involves the nervous system.

Question 2

A LPN who has been assigned four clients asks the charge nurse which client should be assessed first after report. Which client should the charge nurse suggest be assessed first?&#10;A)A 56-year-old man with type I diabetes with 4 p.m.blood sugar of 92&#10;B)A 77-year-old man with congestive heart failure (CHF) who has a potassium level of 3.1&#10;C)A 24-year-old woman with pyelonephritis and a fever of 101.1&#176;F&#10;D)A 38-year-old man with 22% deep partial-thickness burns of the legs and abdomen.

Accepted Answer

The client with congestive heart failure (CHF) and a potassium level of 3.1 should be assessed first because a low potassium level can lead to serious cardiac arrhythmias, making this situation the most potentially life-threatening among the options provided.

Question 3

Identify the characteristics of a task that is to be delegated that would require that it be assigned to an RN.&#10;A)The client is relatively stable.&#10;B)The task is routine in nature and follows hospital policies.&#10;C)The task requires decision making to complete it.&#10;D)The client requires an assessment at the beginning of the shift.

Accepted Answer

Tasks that require decision-making should only be assigned to an RN as they have the necessary knowledge and skills to make critical decisions regarding client care.

Question 4

Most state nurse practice acts do not give delegatory authority to _____________________such as licensed practical nurses or unlicensed assistive personnel (UAPs).Multiple Response
Identify one or more choices that best complete the statement or answer the question.

Accepted Answer

The answer of Most state nurse practice acts do not...

Question 5

Which assignment is most appropriate for a CNA floated to the medical/surgical unit from the outpatient clinic?&#10;A)Assist a 72-year-old man 1 day post-cerebrovascular accident (CVA) with dysphagia to eat lunch.&#10;B)Obtain a temperature on a 29-year-old woman with gastrointestinal bleeding during the last 30 minutes of a whole-blood transfusion.&#10;C)Complete the admission vital signs and assessment on a 44-year-old woman who just returned from the post-anesthesia care unit (PACU) after nephrectomy.&#10;D)Change the sterile dressings on a 22-year-old man 2 days after undergoing skin graft for burn injuries

Accepted Answer

A CNA (Certified Nursing Assistant) is trained to assist with basic patient care tasks such as taking vital signs but is not typically trained in more specialized tasks such as changing sterile dressings, completing detailed assessments, or assisting patients with specific medical conditions like dysphagia. Obtaining a temperature is within the scope of practice for a CNA and does not require specialized training, making option B the most appropriate assignment.

Question 6

Select the most appropriate client for the RN to assign to the CNA.&#10;A)A client with difficulty swallowing food and fluids&#10;B)A client with constipation who needs tap-water enemas&#10;C)A client with a colostomy who requires irrigations&#10;D)A client with a PEG tube who is receiving continuous tube feedings

Accepted Answer

A CNA (Certified Nursing Assistant) can be assigned tasks that do not require the clinical judgment and skill of a registered nurse (RN). Administering tap-water enemas for constipation is within the scope of practice for a CNA in many settings, as it involves basic care procedures. Clients with difficulty swallowing, requiring colostomy irrigations, or with a PEG tube receiving continuous feedings typically need more specialized care that should be provided by an RN or another licensed healthcare professional.

Question 7

Because of short staffing in the intensive care unit (ICU), a labor and delivery nurse is floated to the unit. Identify the most appropriate assignment for this nurse.&#10;A)A 36-year-old woman with steroid-induced cardiomyopathy&#10;B)An 85-year-old man in cardiogenic shock&#10;C)A 3-year-old girl with an accidental overdose of acetaminophen (Tylenol)&#10;D)A 23-year-old man with malignant hypertension

Accepted Answer

The answer of Because of short staffing in the intensive...

Question 8

To which individual can the charge nurse delegate the task of completing the history and physical examination for a newly admitted client?&#10;A)RN&#10;B)Licensed practical (vocational) nurse&#10;C)Certified nursing assistant, level II&#10;D)Certified nursing assistant, level III

Accepted Answer

Only a registered nurse has the education and scope of practice to complete a comprehensive history and physical examination for a newly admitted client. Licensed practical nurses (B) may assist with vital sign assessments and other basic tasks but cannot perform a full physical exam. Certified nursing assistants, level II and III (C and D) have even less training and cannot complete a physical exam.

Question 9

Identify the task that may be delegated to an LPN (LVN) if all the clients are stable.&#10;A)Adding potassium to a bag of D5W that was already hanging&#10;B)Developing the nursing diagnosis for a newly admitted client&#10;C)Teaching a new diabetic patient how to administer insulin injections&#10;D)Turning a client with a CVA every 2 hours

Accepted Answer

Turning a stable client with a CVA every 2 hours is a task that can be delegated to an LPN (LVN) as it is within their scope of practice and does not require the same level of assessment or critical thinking skills as the other options. Adding medication to an existing bag requires an RN to assess compatibility and potential interactions, developing a nursing diagnosis requires a higher level of critical thinking, and teaching a new diabetic patient how to administer insulin injections requires an RN to assess the patient's understanding and ability to perform the task.

Question 10

From the list below, select all items that would constitute barriers to effective delegation.&#10;A)Decisiveness&#10;B)Micromanaging&#10;C)Policies that tolerate mistakes&#10;D)Management-by-crisis mode&#10;E)Confidence in self&#10;F)Work overload

Accepted Answer

B) Micromanaging is a barrier because it involves controlling the process so tightly that the delegated task doesn't allow others to make a full contribution.
D) Management-by-crisis mode can limit the availability of regular process and structured time for delegation activities.
F) Work overload reduces the willingness and/or ability to delegate effectively because delegating tasks takes effort and time.

Question 11

Select the personal characteristic of an RN that would tend to render his or her delegation ineffective.&#10;A)Many years of experience in delegation&#10;B)Demands perfection of employees&#10;C)Feels self-confident in his or her ability as a leader&#10;D)Trusts in the abilities of others

Accepted Answer

The answer of Select the personal characteristic of an RN...

Question 12

An RN is assigned to a step-down coronary care unit with 20 clients in various stages of recovery. What is the primary consideration in assigning the units staff that includes two RNs, two LPNs (LVNs), and one CNA?

A)Distance of client rooms from the nurses' station
B)Skill level of each staff member
C)Staff preferences for specific clients
D)Developmental needs of clients

Accepted Answer

The answer of An RN is assigned to a step-down...

Question 13

When a nurse delegates a task, who is responsible for ensuring that the task was completed as assigned?&#10;A)The person to whom the task was delegated&#10;B)The physician who ordered the task&#10;C)The nurse manager&#10;D)The nurse who delegated the task

Accepted Answer

The answer of When a nurse delegates a task, who...

Question 14

During the first day assigned to a medical/surgical unit, a newly certified nurse assistant (CNA) is unable to obtain a urine specimen by catheterization. What should the supervising RN do next?&#10;A)Confront the CNA about not being honest concerning his or her ability to perform the procedure.&#10;B)Assign the CNA to work with a staff RN to observe and learn the skill.&#10;C)Recommend that the CNA be fired because the probation period is still in effect.&#10;D)Assign only basic-care clients to the CNA.

Accepted Answer

The answer of During the first day assigned to a...

Question 15

Which statement made by a nursing student during a class on delegation indicates that the student needs additional study of the topic?&#10;A)&#34;The tasks delegated should have expected and predictable outcomes.&#34;&#10;B)&#34;The RN who delegates is also responsible for education about the task to be performed.&#34;&#10;C)&#34;Assessing clients is a task of the RN.&#34;&#10;D)&#34;When nurses delegate, they are delegating nursing.&#34;

Accepted Answer

The answer of Which statement made by a nursing student...

Question 16

What is the first step in the delegation process?&#10;A)Obtaining permission from the client for another care provider to help with the care&#10;B)Instructing the person to whom the task is delegated about the assignment&#10;C)Determining the skill level of the person to whom the task is to be delegated&#10;D)Allowing the person to observe the RN performing the task before making the assignment

Accepted Answer

The answer of What is the first step in the...

Deck 16: Delegation in Nursing