Quiz
A nurse manager is teaching about the rights of delegation to assistive personnel (AP)
and practical nurses (PN). Which of the following examples should the nurse manager
include in the teaching? - CORRECT ANSWER-Delegating a PN to insert an indwelling
urinary catheter
The insertion of an indwelling urinary catheter is a nursing responsibility. The RN must
be the one to assess the client's need for catheterization and can then delegate the
responsibility of insertion to a PN. Due to the knowledge of anatomy and sterile
technique, this task does not fall within the range of function for an AP.
A nurse is planning to discharge a client who had a stroke 1 week ago to home. The
nurse should collaborate with which of the following members of the interprofessional
team to assist the client with the preparation of nutritious meals? - CORRECT
ANSWER-Registered dietitian
The nurse should collaborate with the registered dietitian for assistance with the
preparation of nutritious meals. The registered dietitian has the specific dietary
knowledge to assist both the client and those who may be assisting the client.
A nurse is caring for an older adult client who is postoperative following abdominal
surgery. Which of the following age-related changes can result in delayed wound
healing? - CORRECT ANSWER-Decreased sebum production
The nurse should identify that older adult clients experience a decrease in sebum
production, which causes the skin to become dry and can cause an increase in
cracking. This can result in delayed wound healing.
A nurse is assessing a client who has enlarged lymph nodes. In which of the following
locations should the nurse palpate to locate the postauricular nodes? - CORRECT
ANSWER-Over the mastoid
The nurse should palpate over the mastoid or behind the ear to assess the postauricular
nodes. The detection of an enlarged or tender lymph node can indicate the presence of
an infection or a malignancy and should be reported to the provider.
A nurse is teaching a client who has COPD about how to use an incentive spirometer.
Which of the following instructions should the nurse include? - CORRECT ANSWER-
"Cough after the incentive spirometer procedure."