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1. What can be delegated to Assistive personnel (AP)?: - ADLs - bathing - grooming -
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dressing - ambulating - feeding (w/o swallow precautions) - positioning - bed making - specimen collection - I&O -
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VS (stable clients
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2. A nurse on a med surge unit has recieved change of shift report and will care fo
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r 4 clients. Which of the following clients needs will the nurse assign to an AP
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?
A. Feeding a client who was admitted 24 hours ago with aspiration pneu
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mo-nia
B. Reinforcing teaching with a client who is learning to walk with a quad cane vz vz vz vz vz vz vz vz vz vz vz vz vz
C. Reapplying a condom catheter for a client who has urinary incontinence vz vz vz vz vz vz vz vz vz vz
D. Applying a sterile dressing to a pressure ulcer: C v z v z v z v z v z v z v z v z
3. A nurse is delegating the ambulation of a client who had knee arthroplasty 5
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zdays ago to an AP. Which of the following info should the nurse share with th
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e AP? vz
Select all: vz
A. the roommate is up independently vz vz vz vz
B. The client ambulates with his slippers on over his antiembolic stockings
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C. The client uses a front wheeled walker when ambulating
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D. The client had pain meds 30 minutes agovz vz vz vz vz vz vz
E. The client is allergic to codeine vz vz vz vz vz
F. the client ate 50 % of his breakfast this morning:
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zBC vz
D
4. An RN is making assignments for client care to an LPN at the beginning of t
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he shift. Which of the following assignments should the LPN question?
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A. Assisting a client who is 24 hr postop to use an incentive spirometer
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B. Collecting a clean catch urine specimen from a client who was admitted on t vz vz vz vz vz vz vz vz vz vz vz vz vz
he previous shift
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C. providing nasopharyngeal suctioning for a client who has pneumonia vz vz vz vz vz vz vz vz
D. Replacing the cartridge and tubing on a PCA pump: D vz vz vz vz vz vz vz vz vz
5. A nurse is preparing an inservice program about delegation. Which of the fo
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llowing elements should she identify when presenting the 5 rights of dele-
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1vz/vz46
, ATI PN comprehensive predictor
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gation. Select all: vz vz
A. Right client vz
B. Right supervision/evaluation vz
C. Right direction/communication vz
D. Right time vz
E. Right circumstances: B vz vz vz
C
E
6. A nurse manager of a med surge unit is assigning care responsibilities for th
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e oncoming shift. A client is waiting transfer back to the unit from the PAC
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U following thoracic surgery. To which staff member should the nurse assign
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the client? vz
A. Charge nurse vz
B. RN
C. LVN
D. AP: B vz
7. What is the study of conduct and character?: Ethics
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8. What are the values and beliefs that guide behavior and decision making?-
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: Morals
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9. What is the right to make ones own personal decisions, even tho those
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decisions might not be in the persons best interest: Autonomy
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10. What are positive actions to help others: Beneficience
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11. What is an agreement to keep promises: Fidelity
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12. What is fairness in care delivery and use of resources: Justice
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13. What is avoidance of harm or injury: Non-maleficence
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14. A nurse is caring for a client who decides not to have surgery despite signifi
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cant blockages in his coronary arteries. The nurse understands that this clients
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choice is an example of what principles?
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A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificience: A v z
2vz/vz46
, ATI PN comprehensive predictor
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15. A nurse offers pain meds to a client who is postop prior to ambulation. The
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nurse understands that this aspect of care delivery is an example of which of t
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he following ethical principles?
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A. Fidelity
B. Autonomy
C. Justice
D. Beneficience: D v z
16. A nurse is instructing a group of nursing students about the responsibilities inv
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olved with organ donation and procurement. When the nurse explains that a
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ll clients waiting for a kidney transplant have to meet the same qualifications, the
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students should understand that this aspect of care delivery is an example of w
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hich ethical principle
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A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence: C v z
17. A nurse questions a med prescription as too extreme and light of the clients a
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dvanced age and unstable status. The nurse understands that this action is a
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n example of which ethical principle
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A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificence: D v z
18. Which of the following situations can be identified as an ethical dilemma
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?
A. A nurse on a med surge unit demonstrates signs of chemical impairment
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B. A nurse over hears another nurse telling an older adult client that if he do
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esnt stay in bed she will restrain him
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C. A family has conflicting feelings about the initiation of enteral tube feeding
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s of their father who is terminally ill
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D. A client who is terminally ill hesitates to name her spouse on her durable p
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ower of attorney form: C
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3vz/vz46
, ATI PN comprehensive predictor
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19. Most managers can be categorized as: authoritative, democratic, and laissez faire
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4vz/vz46