Cherry & Jacob 7e: Chapter 20
Questions With Correct Answers
Chapter b20: bEffective bDelegation band bSupervision
Cherry b& bJacob: bContemporary bNursing: bIssues, bTrends, band bManagement, b7th
bEdition
MULTIPLE bCHOICE b- bcorrect banswers✔✔
1. bThe btask bof bcompleting band bsigning bthe binitial bassessment bon ba bnewly
badmitted bpatient bwho bis babout bto bundergo bminimally binvasive bprocedures bon ban
boutpatient bbasis bcan bbe bdelegated bto:
a. bthe bregistered bnurse b(RN).
b. bthe blicensed bpractical/vocational bnurse b(LPN/LVN).
c. bunlicensed bassistive bpersonnel b(UAP).
d. ball blevels bof bstaff, bbecause bthe binformation bis babout bthe bpast band bcannot
bchange. b- bcorrect banswers✔✔ANS: bA
Only bthe bRN bcan bperform band bsign bthe badmission bassessment, balthough bsome
bcomponents bsuch bas bmonitoring bvital bsigns bmay bbe bdelegated.
DIF: bComprehension bREF: bp. b357
2. bAn bRN brecently brelocated bto banother bregion bof bthe bcountry band bimmediately
bassumed bthe brole bof bcharge bnurse. bWhen bdetermining bthe bappropriate bperson bto
bwhom bto bdelegate, bthe bRN bknows bthat:
a. bthe brole bof bthe bLPN/LVN bis bthe bsame bfrom bstate bto bstate.
b. bthe bLPN/LVN bcan bbe btaught bto bperform ball bthe bduties bof ban bRN bif bapproved
bby bthe bemployer band bif badditional bon-the-job btraining bis bprovided.
c. bhe bor bshe bmust breview bthe bstate's bnurse bpractice bact bfor bLPN/LVNs, bbecause
beach bstate bdefines bthe brole band bscope bof bpractice bof bthe bLPN/LVN.
d. bThe bJoint bCommission bhas bcertified band bestablished broles bfor bthe bLPN/LVN. b-
bcorrect banswers✔✔ANS: bC
The bscope bof bpractice bof bthe bLPN/LVN bvaries bsignificantly bfrom bstate bto bstate;
bRNs bshould bknow bthe bLPN/LVN bnurse bpractice bact bin bthe bstate bin bwhich bthey
bpractice band bshould bunderstand bthe blegal bscope bof bpractice bof bthe bLPN/LVN.
DIF: bComprehension bREF: bp. b354
, 3. bWhich btask bis bmost blikely bto bbe bconsidered bin ba bstate's bpractice bact bas
bappropriate bto bdelegate bto ba bLPN/LVN bif bthe bpatient's bcondition bis bstable band
bcompetence bin bthe btask bhas bbeen bestablished?
a. bAdminister ban benema bfor ban belective bsurgery bpatient.
b. bAdminister ban bantiarrhythmic bmedication bIV bwhile binterpreting bthe bpatient's
brhythm bon bthe bcardiac bmonitor.
c. bDevelop ba bplan bof bcare bfor ba bstable bpatient badmitted bfor bobservation bafter ba
bhead binjury.
d. bTeach ba bpatient bhow bto binstill beye bdrops bfor bglaucoma. b- bcorrect
banswers✔✔ANS: bA
The bRN bwho bis bdelegating bmust bconsider bthe bfollowing: b(1) bthe bdelegatee's
bcurrent bworkload band bthe bcomplexity bof bthe btask, b(2) bwhether bthe bstaff bmember
bis bfamiliar bwith bthe bpatient bpopulation band bwith bthe btask bto bbe bperformed, band
b(3) bwhether bthe bRN bis bable bto bprovide bthe bappropriate blevel bof bsupervision. bThe
bdelegation bdecision-making btree bwould balso bsupport bdelegation bof bthis btask.
DIF: bAnalysis bREF: bpp. b357-358, bBox b20-3
4. bA bpatient bis badmitted bwith bhypotension, bshortness bof bbreath, bflushing, band
bhives. bAll blevels bof bstaff bhave bbeen btrained bto bassess bvital bsigns. bGiven bbudget
brestrictions band bproper bdelegation brules, bto bwhich bcare bprovider bwould bthe bRN
bdelegate bthe btask bof bobtaining bthe binitial bblood bpressure breading?
a. bRN
b. bLPN/LVN
c. bUnlicensed bassistive bpersonnel b(UAP)
d. bUse bthe bblood bpressure bobtained bin bthe bambulance, bbecause bit bwas bassessed
bvia belectronic bmonitoring. b- bcorrect banswers✔✔ANS: bA
The bpatient's bcondition bis bnot bstable; btherefore, bthe bskills bof ban bRN bare brequired.
DIF: bApplication bREF: bpp. b357-358, bBox b20-3
5. bA bnurse bis bdelegating bto bthe bnewly bhired bnursing bunlicensed bassistive
bpersonnel b(UAP) bthe btask bof bassisting bwith boral bhygiene, bknowing bthat bthis
bassignment b"does bnot brequire bdecisions bbased bon bthe bnursing bprocess." bThe
bnurse bis bcorrectly busing bwhich bof bthe bfive brights bof bdelegation?
a. bSupervision
b. bCommunication
c. bPerson
d. bCircumstance b- bcorrect banswers✔✔ANS: bD
Right bcircumstance binvolves bthe bdelegation bof btasks bthat bdo bnot brequire
bindependent bnursing bjudgments.
DIF: bComprehension bREF: bp. b360
Questions With Correct Answers
Chapter b20: bEffective bDelegation band bSupervision
Cherry b& bJacob: bContemporary bNursing: bIssues, bTrends, band bManagement, b7th
bEdition
MULTIPLE bCHOICE b- bcorrect banswers✔✔
1. bThe btask bof bcompleting band bsigning bthe binitial bassessment bon ba bnewly
badmitted bpatient bwho bis babout bto bundergo bminimally binvasive bprocedures bon ban
boutpatient bbasis bcan bbe bdelegated bto:
a. bthe bregistered bnurse b(RN).
b. bthe blicensed bpractical/vocational bnurse b(LPN/LVN).
c. bunlicensed bassistive bpersonnel b(UAP).
d. ball blevels bof bstaff, bbecause bthe binformation bis babout bthe bpast band bcannot
bchange. b- bcorrect banswers✔✔ANS: bA
Only bthe bRN bcan bperform band bsign bthe badmission bassessment, balthough bsome
bcomponents bsuch bas bmonitoring bvital bsigns bmay bbe bdelegated.
DIF: bComprehension bREF: bp. b357
2. bAn bRN brecently brelocated bto banother bregion bof bthe bcountry band bimmediately
bassumed bthe brole bof bcharge bnurse. bWhen bdetermining bthe bappropriate bperson bto
bwhom bto bdelegate, bthe bRN bknows bthat:
a. bthe brole bof bthe bLPN/LVN bis bthe bsame bfrom bstate bto bstate.
b. bthe bLPN/LVN bcan bbe btaught bto bperform ball bthe bduties bof ban bRN bif bapproved
bby bthe bemployer band bif badditional bon-the-job btraining bis bprovided.
c. bhe bor bshe bmust breview bthe bstate's bnurse bpractice bact bfor bLPN/LVNs, bbecause
beach bstate bdefines bthe brole band bscope bof bpractice bof bthe bLPN/LVN.
d. bThe bJoint bCommission bhas bcertified band bestablished broles bfor bthe bLPN/LVN. b-
bcorrect banswers✔✔ANS: bC
The bscope bof bpractice bof bthe bLPN/LVN bvaries bsignificantly bfrom bstate bto bstate;
bRNs bshould bknow bthe bLPN/LVN bnurse bpractice bact bin bthe bstate bin bwhich bthey
bpractice band bshould bunderstand bthe blegal bscope bof bpractice bof bthe bLPN/LVN.
DIF: bComprehension bREF: bp. b354
, 3. bWhich btask bis bmost blikely bto bbe bconsidered bin ba bstate's bpractice bact bas
bappropriate bto bdelegate bto ba bLPN/LVN bif bthe bpatient's bcondition bis bstable band
bcompetence bin bthe btask bhas bbeen bestablished?
a. bAdminister ban benema bfor ban belective bsurgery bpatient.
b. bAdminister ban bantiarrhythmic bmedication bIV bwhile binterpreting bthe bpatient's
brhythm bon bthe bcardiac bmonitor.
c. bDevelop ba bplan bof bcare bfor ba bstable bpatient badmitted bfor bobservation bafter ba
bhead binjury.
d. bTeach ba bpatient bhow bto binstill beye bdrops bfor bglaucoma. b- bcorrect
banswers✔✔ANS: bA
The bRN bwho bis bdelegating bmust bconsider bthe bfollowing: b(1) bthe bdelegatee's
bcurrent bworkload band bthe bcomplexity bof bthe btask, b(2) bwhether bthe bstaff bmember
bis bfamiliar bwith bthe bpatient bpopulation band bwith bthe btask bto bbe bperformed, band
b(3) bwhether bthe bRN bis bable bto bprovide bthe bappropriate blevel bof bsupervision. bThe
bdelegation bdecision-making btree bwould balso bsupport bdelegation bof bthis btask.
DIF: bAnalysis bREF: bpp. b357-358, bBox b20-3
4. bA bpatient bis badmitted bwith bhypotension, bshortness bof bbreath, bflushing, band
bhives. bAll blevels bof bstaff bhave bbeen btrained bto bassess bvital bsigns. bGiven bbudget
brestrictions band bproper bdelegation brules, bto bwhich bcare bprovider bwould bthe bRN
bdelegate bthe btask bof bobtaining bthe binitial bblood bpressure breading?
a. bRN
b. bLPN/LVN
c. bUnlicensed bassistive bpersonnel b(UAP)
d. bUse bthe bblood bpressure bobtained bin bthe bambulance, bbecause bit bwas bassessed
bvia belectronic bmonitoring. b- bcorrect banswers✔✔ANS: bA
The bpatient's bcondition bis bnot bstable; btherefore, bthe bskills bof ban bRN bare brequired.
DIF: bApplication bREF: bpp. b357-358, bBox b20-3
5. bA bnurse bis bdelegating bto bthe bnewly bhired bnursing bunlicensed bassistive
bpersonnel b(UAP) bthe btask bof bassisting bwith boral bhygiene, bknowing bthat bthis
bassignment b"does bnot brequire bdecisions bbased bon bthe bnursing bprocess." bThe
bnurse bis bcorrectly busing bwhich bof bthe bfive brights bof bdelegation?
a. bSupervision
b. bCommunication
c. bPerson
d. bCircumstance b- bcorrect banswers✔✔ANS: bD
Right bcircumstance binvolves bthe bdelegation bof btasks bthat bdo bnot brequire
bindependent bnursing bjudgments.
DIF: bComprehension bREF: bp. b360
