,1.Can an RN delegate to the LPN to provide tracheostomy care to a
client with pneumonia? - CORRECT ANSWERS Yes.
2.A nurse on a med-surg unit has received change-of-shift report & will
care for 4 clients. Which of the following client's needs may the nurse
assign to an assistive personnel (AP)?
A. Feeding a client who was admitted 24 hrs ago w/aspiration
pneumonia
B. Reinforcing teaching w/a client who is learning to walk using a quad
cane
C. Reapplying a condom catheter for a client who has urinary
incontinence
D. Applying a sterile dressing to a pressure ulcer - CORRECT
ANSWERS C. Reapplying a condom catheter for a client who has
urinary incontinence
Rationale: The application of a condom catheter is a noninvasive,
routine procedure that the nurse may delegate to the AP
3.A nurse is delegating the ambulation of a client who had knee
arthroplasty 5 days ago to an AP. Which of the following information
should the nurse share with the AP? Select All.
,A. The roommate is up independently.
B. The client ambulates w/his slippers on over his antiembolic stockings
C. The client uses a front-wheeled walker when ambulating
D. The client had pain medication 30 min ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morning - CORRECT
ANSWERS B, C, D
4 An RN is making assignments for client care to a LPN at the beginning
of the shift. Which of the following assignments should the LPN
question?
A. Assisting a client who is 24hr postop to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a client who was
admitted on the previous shift
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump - CORRECT
ANSWERS D. Replacing the cartridge and tubing on a PCA pump
Rationale: The RN is responsible for the PCA pump
5.A nurse is preparing an in-service program about delegation. Which of
the following elements should she identify when presenting the 5 rights
of delegation? Select all.
, A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances - CORRECT ANSWERS B, C, E
A and D are rights of medication administration
6.A nurse manager of a med-surg unit is assigning care responsibilities
for the oncoming shift. A client is awaiting transfer back to the unit from
the PACU following thoracic surgery. To which staff member should the
nurse assign to this client?
A. Charge nurse
B. RN
C. LPN
D. AP - CORRECT ANSWERS B. RN
7.A client returning from surgery requires assessment and establishment
of a plan of care. RNs are responsible for this, especially if the client is
potentially unstable.
A nurse observes an AP reprimanding a client for not using the urinal
properly. The AP tells him she will put a diaper on him if he does not use
client with pneumonia? - CORRECT ANSWERS Yes.
2.A nurse on a med-surg unit has received change-of-shift report & will
care for 4 clients. Which of the following client's needs may the nurse
assign to an assistive personnel (AP)?
A. Feeding a client who was admitted 24 hrs ago w/aspiration
pneumonia
B. Reinforcing teaching w/a client who is learning to walk using a quad
cane
C. Reapplying a condom catheter for a client who has urinary
incontinence
D. Applying a sterile dressing to a pressure ulcer - CORRECT
ANSWERS C. Reapplying a condom catheter for a client who has
urinary incontinence
Rationale: The application of a condom catheter is a noninvasive,
routine procedure that the nurse may delegate to the AP
3.A nurse is delegating the ambulation of a client who had knee
arthroplasty 5 days ago to an AP. Which of the following information
should the nurse share with the AP? Select All.
,A. The roommate is up independently.
B. The client ambulates w/his slippers on over his antiembolic stockings
C. The client uses a front-wheeled walker when ambulating
D. The client had pain medication 30 min ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morning - CORRECT
ANSWERS B, C, D
4 An RN is making assignments for client care to a LPN at the beginning
of the shift. Which of the following assignments should the LPN
question?
A. Assisting a client who is 24hr postop to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a client who was
admitted on the previous shift
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump - CORRECT
ANSWERS D. Replacing the cartridge and tubing on a PCA pump
Rationale: The RN is responsible for the PCA pump
5.A nurse is preparing an in-service program about delegation. Which of
the following elements should she identify when presenting the 5 rights
of delegation? Select all.
, A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances - CORRECT ANSWERS B, C, E
A and D are rights of medication administration
6.A nurse manager of a med-surg unit is assigning care responsibilities
for the oncoming shift. A client is awaiting transfer back to the unit from
the PACU following thoracic surgery. To which staff member should the
nurse assign to this client?
A. Charge nurse
B. RN
C. LPN
D. AP - CORRECT ANSWERS B. RN
7.A client returning from surgery requires assessment and establishment
of a plan of care. RNs are responsible for this, especially if the client is
potentially unstable.
A nurse observes an AP reprimanding a client for not using the urinal
properly. The AP tells him she will put a diaper on him if he does not use
