Nurs 465 Questions Exam 3 Questions With
Complete Solutions Graded A+
1.A nurse of a medical-surgical unit is assigning tasks to an assistive
personnel (AP). Which of the following tasks should the nurse delegate
to the AP? Select all - ANSWER Ambulate a client who has a cane.
Transfer a client to a stretcher.
Record urinary output.
2. An RN is delegating care activities to a LPN. Which of the following
is the priority criterion the RN should consider when delegating? -
ANSWER State nurse practice act for the LPN
3. A nurse has several tasks to delegate to an AP. Which of the following
tasks should the nurse ask the AP to perform? - ANSWER Take an ABG
specimen to the lab
4.A nurse is planning to assign activities to the AP on her team. Which
of the following activities can the nurse assign to the AP? - ANSWER
Accompany a client who has depression to OT.
Check the position of a client in soft wrist restraints.
Sit with a client who has alcohol use disorder and whose last drink was 5
days ago
5. A nurse is receiving change-of-shift report at the start of the shift.
Which of the following statements by the nurse giving report indicated
,to the oncoming nurse that she should assume total care for the client,
rather than assigning tasks to an AP? - ANSWER The clients BP and
pulse have been fluctuating throughout the day
6. An RN is making nursing staff assignments for his team consisting of
himself, two LPNs, and an AP. Which of the following clients should he
assume responsibility for? - ANSWER The client who is actively dying
and requires IV pain medication
7. A nurse is planning care for four clients and is assigning tasks to an
LPN and an AP. Which of the following should the nurse assign to the
LPN? - ANSWER Reinforce teaching to a client to begin taking
enoxaprin at home following a hip arthroplasty.
8. A nurse is planning to delegate tasks to a LPN. Which of the
following entities is important for the nurse to understand when
delegating tasks to the LPN? - ANSWER The state nurse practice act
9. A nurse has received change of shift report and is delegating tasks to
the AP. The nurse should tell the AP to complete which of the following
tasks first? - ANSWER Perform blood glucose monitoring of a client
who has a prescription for short-acting insulin prior to breakfast
10. A nurse manager is providing an inservice program about delegation
to AP with staff nurses on the unit. Which of the following statements by
a staff nurse indicates an understanding of the teaching? - ANSWER The
nurse should consider the APs level of experience when making
delegation decisions
, 11. A nurse and an experienced LPN are caring for a group of clients.
Which of the following tasks should the nurse delegate to the LPN?
Select all - ANSWER Obtain vital signs from a client who is six hours
postoperative.
Administer a tap-water enema to a client who is preoperative.
Catheterizing a client who has not voided in 8 hours.
12. A nurse in a long-term care facility has assigned a task to an AP. The
AP refuses to perform the task. Which of the following is an appropriate
statement for the nurse to make? - ANSWER I need to talk to you about
the unit policies regarding client assignments.
13.An AP reports to the nurse that a client who is 3 days postoperative
following an abdominal hysterectomy has a dressing that is saturated
with blood. Which of the following tasks should the nurse delegate to
the AP? - ANSWER Obtain vitals signs
14. A nurse is assisting a newly licensed nurse with delegating tasks to
an assistive personnel on the unit. Which of the following statements by
the nurse explains the purpose of delegation? - ANSWER Delegation
permits a designated individual to meet a goal on your behalf.
15. A nurse and an AP are providing care for four clients who were
admitted to the med-surg unit on the previous shift. The nurse should
delegate meal assistance for which of the following clients to the AP? -
ANSWER A client who has a lumbrosacral spinal tumor
Complete Solutions Graded A+
1.A nurse of a medical-surgical unit is assigning tasks to an assistive
personnel (AP). Which of the following tasks should the nurse delegate
to the AP? Select all - ANSWER Ambulate a client who has a cane.
Transfer a client to a stretcher.
Record urinary output.
2. An RN is delegating care activities to a LPN. Which of the following
is the priority criterion the RN should consider when delegating? -
ANSWER State nurse practice act for the LPN
3. A nurse has several tasks to delegate to an AP. Which of the following
tasks should the nurse ask the AP to perform? - ANSWER Take an ABG
specimen to the lab
4.A nurse is planning to assign activities to the AP on her team. Which
of the following activities can the nurse assign to the AP? - ANSWER
Accompany a client who has depression to OT.
Check the position of a client in soft wrist restraints.
Sit with a client who has alcohol use disorder and whose last drink was 5
days ago
5. A nurse is receiving change-of-shift report at the start of the shift.
Which of the following statements by the nurse giving report indicated
,to the oncoming nurse that she should assume total care for the client,
rather than assigning tasks to an AP? - ANSWER The clients BP and
pulse have been fluctuating throughout the day
6. An RN is making nursing staff assignments for his team consisting of
himself, two LPNs, and an AP. Which of the following clients should he
assume responsibility for? - ANSWER The client who is actively dying
and requires IV pain medication
7. A nurse is planning care for four clients and is assigning tasks to an
LPN and an AP. Which of the following should the nurse assign to the
LPN? - ANSWER Reinforce teaching to a client to begin taking
enoxaprin at home following a hip arthroplasty.
8. A nurse is planning to delegate tasks to a LPN. Which of the
following entities is important for the nurse to understand when
delegating tasks to the LPN? - ANSWER The state nurse practice act
9. A nurse has received change of shift report and is delegating tasks to
the AP. The nurse should tell the AP to complete which of the following
tasks first? - ANSWER Perform blood glucose monitoring of a client
who has a prescription for short-acting insulin prior to breakfast
10. A nurse manager is providing an inservice program about delegation
to AP with staff nurses on the unit. Which of the following statements by
a staff nurse indicates an understanding of the teaching? - ANSWER The
nurse should consider the APs level of experience when making
delegation decisions
, 11. A nurse and an experienced LPN are caring for a group of clients.
Which of the following tasks should the nurse delegate to the LPN?
Select all - ANSWER Obtain vital signs from a client who is six hours
postoperative.
Administer a tap-water enema to a client who is preoperative.
Catheterizing a client who has not voided in 8 hours.
12. A nurse in a long-term care facility has assigned a task to an AP. The
AP refuses to perform the task. Which of the following is an appropriate
statement for the nurse to make? - ANSWER I need to talk to you about
the unit policies regarding client assignments.
13.An AP reports to the nurse that a client who is 3 days postoperative
following an abdominal hysterectomy has a dressing that is saturated
with blood. Which of the following tasks should the nurse delegate to
the AP? - ANSWER Obtain vitals signs
14. A nurse is assisting a newly licensed nurse with delegating tasks to
an assistive personnel on the unit. Which of the following statements by
the nurse explains the purpose of delegation? - ANSWER Delegation
permits a designated individual to meet a goal on your behalf.
15. A nurse and an AP are providing care for four clients who were
admitted to the med-surg unit on the previous shift. The nurse should
delegate meal assistance for which of the following clients to the AP? -
ANSWER A client who has a lumbrosacral spinal tumor
