ACTUAL EXAM | ALL 50 QUESTIONS AND
CORRECT ANSWERS (PROVENTUSS)
Can van vRN vdelegate vto vthe vLPN vto vprovide vtracheostomy vcare vto va vclient vwith
vpneumonia? v- vAnswer vYes.
Can van vRN vdelegate vto vthe vLPN vto vprovide vtracheostomy vcare vto va vclient vwith
vpneumonia? v- vAnswer vYes.
A vnurse von va vmed-surg vunit vhas vreceived vchange-of-shift vreport v& vwill vcare vfor v4
vclients. vWhich vof vthe vfollowing vclient's vneeds vmay vthe vnurse vassign vto van
vassistive vpersonnel v(AP)? v
A. vFeeding va vclient vwho vwas vadmitted v24 vhrs vago vw/aspiration vpneumonia v
B. vReinforcing vteaching vw/a vclient vwho vis vlearning vto vwalk vusing va vquad vcane
C. vReapplying va vcondom vcatheter vfor va vclient vwho vhas vurinary vincontinence
D. vApplying va vsterile vdressing vto va vpressure vulcer v- vAnswer vC. vReapplying va
vcondom vcatheter vfor va vclient vwho vhas vurinary vincontinence v
Rationale: vThe vapplication vof va vcondom vcatheter vis va vnoninvasive, vroutine
vprocedure vthat vthe vnurse vmay vdelegate vto vthe vAP
A vnurse von va vmed-surg vunit vhas vreceived vchange-of-shift vreport v& vwill vcare vfor v4
vclients. vWhich vof vthe vfollowing vclient's vneeds vmay vthe vnurse vassign vto van
vassistive vpersonnel v(AP)? v
A. vFeeding va vclient vwho vwas vadmitted v24 vhrs vago vw/aspiration vpneumonia v
B. vReinforcing vteaching vw/a vclient vwho vis vlearning vto vwalk vusing va vquad vcane
C. vReapplying va vcondom vcatheter vfor va vclient vwho vhas vurinary vincontinence
D. vApplying va vsterile vdressing vto va vpressure vulcer v- vAnswer vC. vReapplying va
vcondom vcatheter vfor va vclient vwho vhas vurinary vincontinence v
Rationale: vThe vapplication vof va vcondom vcatheter vis va vnoninvasive, vroutine
vprocedure vthat vthe vnurse vmay vdelegate vto vthe vAP
A vnurse vis vdelegating vthe vambulation vof va vclient vwho vhad vknee varthroplasty v5
vdays vago vto van vAP. vWhich vof vthe vfollowing vinformation vshould vthe vnurse vshare
vwith vthe vAP? vSelect vAll. v
,A. vThe vroommate vis vup vindependently. v
B. vThe vclient vambulates vw/his vslippers von vover vhis vantiembolic vstockings
C. vThe vclient vuses va vfront-wheeled vwalker vwhen vambulating
D. vThe vclient vhad vpain vmedication v30 vmin vago
E. vThe vclient vis vallergic vto vcodeine
F. vThe vclient vate v50% vof vhis vbreakfast vthis vmorning v- vAnswer vB, vC, vD
A vnurse vis vdelegating vthe vambulation vof va vclient vwho vhad vknee varthroplasty v5
vdays vago vto van vAP. vWhich vof vthe vfollowing vinformation vshould vthe vnurse vshare
vwith vthe vAP? vSelect vAll. v
A. vThe vroommate vis vup vindependently. v
B. vThe vclient vambulates vw/his vslippers von vover vhis vantiembolic vstockings
C. vThe vclient vuses va vfront-wheeled vwalker vwhen vambulating
D. vThe vclient vhad vpain vmedication v30 vmin vago
E. vThe vclient vis vallergic vto vcodeine
F. vThe vclient vate v50% vof vhis vbreakfast vthis vmorning v- vAnswer vB, vC, vD
An vRN vis vmaking vassignments vfor vclient vcare vto va vLPN vat vthe vbeginning vof vthe
vshift. vWhich vof vthe vfollowing vassignments vshould vthe vLPN vquestion?
A. vAssisting va vclient vwho vis v24hr vpostop vto vuse van vincentive vspirometer
B. vCollecting va vclean-catch vurine vspecimen vfrom va vclient vwho vwas vadmitted von
vthe vprevious vshift
C. vProviding vnasopharyngeal vsuctioning vfor va vclient vwho vhas vpneumonia v
D. vReplacing vthe vcartridge vand vtubing von va vPCA vpump v- vAnswer vD. vReplacing
vthe vcartridge vand vtubing von va vPCA vpump
Rationale: vThe vRN vis vresponsible vfor vthe vPCA vpump
An vRN vis vmaking vassignments vfor vclient vcare vto va vLPN vat vthe vbeginning vof vthe
vshift. vWhich vof vthe vfollowing vassignments vshould vthe vLPN vquestion?
A. vAssisting va vclient vwho vis v24hr vpostop vto vuse van vincentive vspirometer
B. vCollecting va vclean-catch vurine vspecimen vfrom va vclient vwho vwas vadmitted von
vthe vprevious vshift
C. vProviding vnasopharyngeal vsuctioning vfor va vclient vwho vhas vpneumonia v
D. vReplacing vthe vcartridge vand vtubing von va vPCA vpump v- vAnswer vD. vReplacing
vthe vcartridge vand vtubing von va vPCA vpump
Rationale: vThe vRN vis vresponsible vfor vthe vPCA vpump
A vnurse vis vpreparing van vin-service vprogram vabout vdelegation. vWhich vof vthe
vfollowing velements vshould vshe videntify vwhen vpresenting vthe v5 vrights vof
vdelegation? vSelect vall. v
,A. vRight vclient
B. vRight vsupervision/evaluation
C. vRight vdirection/communication
D. vRight vtime
E. vRight vcircumstances v- vAnswer vB, vC, vE
A vand vD vare vrights vof vmedication vadministration
A vnurse vis vpreparing van vin-service vprogram vabout vdelegation. vWhich vof vthe
vfollowing velements vshould vshe videntify vwhen vpresenting vthe v5 vrights vof
vdelegation? vSelect vall. v
A. vRight vclient
B. vRight vsupervision/evaluation
C. vRight vdirection/communication
D. vRight vtime
E. vRight vcircumstances v- vAnswer vB, vC, vE
A vand vD vare vrights vof vmedication vadministration
A vnurse vmanager vof va vmed-surg vunit vis vassigning vcare vresponsibilities vfor vthe
voncoming vshift. vA vclient vis vawaiting vtransfer vback vto vthe vunit vfrom vthe vPACU
vfollowing vthoracic vsurgery. vTo vwhich vstaff vmember vshould vthe vnurse vassign vto
vthis vclient? v
A. vCharge vnurse
B. vRN
C. vLPN
D. vAP v- vAnswer vB. vRN
A vclient vreturning vfrom vsurgery vrequires vassessment vand vestablishment vof va vplan
vof vcare. vRNs vare vresponsible vfor vthis, vespecially vif vthe vclient vis vpotentially
vunstable.
A vnurse vmanager vof va vmed-surg vunit vis vassigning vcare vresponsibilities vfor vthe
voncoming vshift. vA vclient vis vawaiting vtransfer vback vto vthe vunit vfrom vthe vPACU
vfollowing vthoracic vsurgery. vTo vwhich vstaff vmember vshould vthe vnurse vassign vto
vthis vclient? v
A. vCharge vnurse
B. vRN
C. vLPN
D. vAP v- vAnswer vB. vRN
, A vclient vreturning vfrom vsurgery vrequires vassessment vand vestablishment vof va vplan
vof vcare. vRNs vare vresponsible vfor vthis, vespecially vif vthe vclient vis vpotentially
vunstable.
A vnurse vobserves van vAP vreprimanding va vclient vfor vnot vusing vthe vurinal vproperly.
vThe vAP vtells vhim vshe vwill vput va vdiaper von vhim vif vhe vdoes vnot vuse vthe vurinal
vmore vcarefully vnext vtime. vWhich vof vthe vfollowing vtorts vis vthe vAP vcommitting? v
A. vAssault
B. vBattery
C. vFalse vimprisonment v
D. vInvasion vof vprivacy v- vAnswer vA. vAssault v
By vthreatening vthe vclient, vthe vAP vis vcommitting vassault.
A vnurse vobserves van vAP vreprimanding va vclient vfor vnot vusing vthe vurinal vproperly.
vThe vAP vtells vhim vshe vwill vput va vdiaper von vhim vif vhe vdoes vnot vuse vthe vurinal
vmore vcarefully vnext vtime. vWhich vof vthe vfollowing vtorts vis vthe vAP vcommitting? v
A. vAssault
B. vBattery
C. vFalse vimprisonment v
D. vInvasion vof vprivacy v- vAnswer vA. vAssault v
By vthreatening vthe vclient, vthe vAP vis vcommitting vassault.
An vadult vclient vwho vis vcompetent vtells vthe vnurse vthat vhe vis vthinking vabout vleaving
vthe vhospital vagainst vmedical vadvice. vThe vnurse vbelieves vthat vthis vis vnot vin vthe
vclient's vbest vinterest, vso vshe vadministers va vPRN vsedative vmed vthat vthe vclient vhas
vnot vrequested valong vw/his vusual vmeds. vWhich vof vthe vfollowing vtort vhas vthe vnurse
vcommitted? v
A. vAssault
B. vFalse vimprisonment
C. vNegligence
D. vBreach vof vconfidentiality v- vAnswer vB. vFalse vimprisonment v
The vnurse vgave vthe vmed vas va vchemical vrestraint vto vkeep vthe vclient vfrom vleaving
vthe vfacility vagainst vmedical vadvice. vThe vclient vdid vnot vconsent.
An vadult vclient vwho vis vcompetent vtells vthe vnurse vthat vhe vis vthinking vabout vleaving
vthe vhospital vagainst vmedical vadvice. vThe vnurse vbelieves vthat vthis vis vnot vin vthe
vclient's vbest vinterest, vso vshe vadministers va vPRN vsedative vmed vthat vthe vclient vhas
vnot vrequested valong vw/his vusual vmeds. vWhich vof vthe vfollowing vtort vhas vthe vnurse
vcommitted? v