WITH CORRECT RESPONSES
What can be delegated to Assistive personnel (AP)?CORRECT ANSWERS✔✔- ADLs - bathing - grooming -
J J J J J J J J J J J J J J
dressing - ambulating - feeding (w/o swallow precautions) - positioning - bed making - specimen collection -
J J J J J J J J J J J J J J J J J
I&O - VS (stable clients
J J J J J
A nurse on a med surge unit has recieved change of shift report and will care for 4 clients. Which of the
J J J J J J J J J J J J J J J J J J J J J
following clients needs will the nurse assign to an AP?
J J J J J J J J J J
J A. Feeding a client who was admitted 24 hours ago with aspiration pneumonia
J J J J J J J J J J J J
B. Reinforcing teaching with a client who is learning to walk with a quad cane
J J J J J J J J J J J J J J
C. Reapplying a condom catheter for a client who has urinary incontinence
J J J J J J J J J J J
D. Applying a sterile dressing to a pressure ulcerCORRECT ANSWERS✔✔C
J J J J J J J J J
A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an AP. Which of the
J J J J J J J J J J J J J J J J J J J J J
following info should the nurse share with the AP?
J J J J J J J J J
Select all: J
A. the roommate is up independently
J J J J J
B. The client ambulates with his slippers on over his antiembolic stockings
J J J J J J J J J J J
C. The client uses a front wheeled walker when ambulating
J J J J J J J J J
D. The client had pain meds 30 minutes ago
J J J J J J J J
E. The client is allergic to codeine
J J J J J J
F. the client ate 50 % of his breakfast this morningCORRECT ANSWERS✔✔B
J J J J J J J J J J J
,C
D
An RN is making assignments for client care to an LPN at the beginning of the shift. Which of the following
J J J J J J J J J J J J J J J J J J J J
assignments should the LPN question?
J J J J J
A. Assisting a client who is 24 hr postop to use an incentive spirometer
J J J J J J J J J J J J J
B. Collecting a clean catch urine specimen from a client who was admitted on the previous shift
J J J J J J J J J J J J J J J J
C. providing nasopharyngeal suctioning for a client who has pneumonia
J J J J J J J J J
D. Replacing the cartridge and tubing on a PCA pumpCORRECT ANSWERS✔✔D
J J J J J J J J J J
A nurse is preparing an inservice program about delegation. Which of the following elements should she
J J J J J J J J J J J J J J J
identify when presenting the 5 rights of delegation. Select all:
J J J J J J J J J J
A. Right client
J J
B. Right supervision/evaluation
J J
C. Right direction/communication
J J
D. Right time
J J
E. Right circumstancesCORRECT ANSWERS✔✔B
J J J
C
E
A nurse manager of a med surge unit is assigning care responsibilities for the oncoming shift. A client is waiting
J J J J J J J J J J J J J J J J J J J
transfer back to the unit from the PACU following thoracic surgery. To which staff member should the nurse
J J J J J J J J J J J J J J J J J J
assign the client?
J J J
A. Charge nurse
J J
B. RN J
C. LVN J
D. APCORRECT ANSWERS✔✔B
J J
,What is the study of conduct and character?CORRECT ANSWERS✔✔Ethics
J J J J J J J J
What are the values and beliefs that guide behavior and decision making?CORRECT ANSWERS✔✔Morals
J J J J J J J J J J J J
What is the right to make ones own personal decisions, even tho those decisions might not be in the persons
J J J J J J J J J J J J J J J J J J J
best interestCORRECT ANSWERS✔✔Autonomy
J J J
What are positive actions to help othersCORRECT ANSWERS✔✔Beneficience
J J J J J J J
What is an agreement to keep promisesCORRECT ANSWERS✔✔Fidelity
J J J J J J J
What is fairness in care delivery and use of resourcesCORRECT ANSWERS✔✔Justice
J J J J J J J J J J
What is avoidance of harm or injuryCORRECT ANSWERS✔✔Non-maleficence
J J J J J J J
A nurse is caring for a client who decides not to have surgery despite significant blockages in his coronary
J J J J J J J J J J J J J J J J J J
arteries. The nurse understands that this clients choice is an example of what principles?
J J J J J J J J J J J J J J
A. Fidelity
J
B. Autonomy
J
C. Justice
J
D. NonmalificienceCORRECT ANSWERS✔✔A
J J
A nurse offers pain meds to a client who is postop prior to ambulation. The nurse understands that this aspect
J J J J J J J J J J J J J J J J J J J
of care delivery is an example of which of the following ethical principles?
J J J J J J J J J J J J J
A. Fidelity
J J
, B. Autonomy
J
C. Justice
J
D. BeneficienceCORRECT ANSWERS✔✔D
J J
A nurse is instructing a group of nursing students about the responsibilities involved with organ donation and
J J J J J J J J J J J J J J J J
procurement. When the nurse explains that all clients waiting for a kidney transplant have to meet the same
J J J J J J J J J J J J J J J J J J
qualifications, the students should understand that this aspect of care delivery is an example of which ethical
J J J J J J J J J J J J J J J J J
principle
J
A. Fidelity
J
B. Autonomy
J
C. Justice
J
D. NonmaleficenceCORRECT ANSWERS✔✔C
J J
A nurse questions a med prescription as too extreme and light of the clients advanced age and unstable
J J J J J J J J J J J J J J J J J
status. The nurse understands that this action is an example of which ethical principle
J J J J J J J J J J J J J J
A. Fidelity
J
B. Autonomy
J
C. Justice
J
D. NonmalificenceCORRECT ANSWERS✔✔D
J J
Which of the following situations can be identified as an ethical dilemma?
J J J J J J J J J J J
A. A nurse on a med surge unit demonstrates signs of chemical impairment
J J J J J J J J J J J J
B. A nurse over hears another nurse telling an older adult client that if he doesnt stay in bed she will restrain
J J J J J J J J J J J J J J J J J J J J J
him
J
C. A family has conflicting feelings about the initiation of enteral tube feedings of their father who is
J J J J J J J J J J J J J J J J J
terminally ill
J J
D. A client who is terminally ill hesitates to name her spouse on her durable power of attorney formCORRECT
J J J J J J J J J J J J J J J J J J
ANSWERS✔✔C
J