Focus 2023/2024 Exam
Questions with Correct
Solutions
Denning [Date] [Course title]
,An RN has to teach the client initially but can delegate ________to an LPN. - Correct Answers:
reinforcing the teaching
An LPN can perform ______care. - Correct Answers: tracheostomy care
Can an RN delegate to an LPN to perform suctioning? - Correct Answers: yes
Can an RN delegate to an LPN to put in a urinary catheter? - Correct Answers: yes
Can an RN delegate to an AP to feed a client not on swallow precautions? - Correct Answers: yes
Is an RN allowed to delegate to an AP to collect a urine sample? - Correct Answers: yes
A nurse delegates to an AP to assist in obtaining vital signs from a postop patient who required naloxone
(narcan) for depressed respirations. Is this an appropriate task for the AP? - Correct Answers: no
An older adult client who is on fall precautions is found lying on the floor of his hospital room. Which of
the following actions is most appropriate for the nurse to take first?
A. Call the client's provider
B. Ask a staff member for assistance getting the client back in bed
C. Inspect the client for injuries
D. Ask the client why he got out of bed w/out assistance - Correct Answers: C. Inspect the client for
injuries
An RN on a med-surg unit is making assignments at the beginning of the shift. Which of the following
tasks should the nurse delegate to the LPN?
A. Obtain vitals for a client who is 2 hr postop following a cardiac cath
B. Administering a unit of PRBCs
, C. Instructing a client in the performance of wound care
D. Developing a plan of care for a newly admitted client - Correct Answers: A
A nurse is caring for an older adult client who has left the unit for a radiology procedure. The client's son
asks the nurse what med is being given to the client. Which of the following is an appropriate response
by the nurse?
A. "I am sorry, but that is information you will need to ask your mother or her doctor."
B. "Your mother is taking famotidine (Pepcid) for the ulcer & lorazepam (Ativan) for anxiety."
C. "You will need to ask the charge nurse for that info."
D. "Don't worry. We will give your mother all pertinent info before discharge." - Correct Answers: A.
A nurse works in a mental health facility that uses a case management nursing model to provide care.
The nurse should recognize that which of the following describes a case management approach to care?
A. A nurse provides total care for several clients
B. Collaboration between disciplines creates a multidisciplinary care plan for each client.
C. The focus of care is on detecting disorders at an early stage.
D. The team leader assigns care for a group of clients - Correct Answers: B
A nurse overhears a client talking with an attorney, reporting physical abuse, use of restraints & denial
of meals. What action should the nurse take?
A. Report the conversation to the nurse manager to allow for follow-up investigation.
B. Question the client about the allegations to identify staff who were allegedly involved.
C. Ignore the conversation unless the client brings it to the attention of the nurse.