Can an RN delegate to the LPN to provide tracheostomy care to a client with pneumonia?
Ans: Yes.
A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients. Which of the
following client's needs may the nurse assign to an assistive personnel (AP)?
A. Feeding a client who was admitted 24 hrs ago w/aspiration pneumonia
B. Reinforcing teaching w/a client who is learning to walk using a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
,Ans: C. Reapplying a condom catheter for a client who has urinary incontinence
Rationale: The application of a condom catheter is a noninvasive, routine procedure that the nurse may
delegate to the AP
A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an AP. Which
of the following information should the nurse share with the AP? Select All.
A. The roommate is up independently.
B. The client ambulates w/his slippers on over his antiembolic stockings
C. The client uses a front-wheeled walker when ambulating
D. The client had pain medication 30 min ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morning
Ans: B, C, D
An RN is making assignments for client care to a LPN at the beginning of the shift. Which of the following
assignments should the LPN question?
A. Assisting a client who is 24hr postop to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a client who was admitted on the previous shift
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
Ans: D. Replacing the cartridge and tubing on a PCA pump
,Rationale: The RN is responsible for the PCA pump
A nurse is preparing an in-service program about delegation. Which of the following elements should
she identify when presenting the 5 rights of delegation? Select all.
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
Ans: B, C, E
A and D are rights of medication administration
A nurse manager of a med-surg unit is assigning care responsibilities for the oncoming shift. A client is
awaiting transfer back to the unit from the PACU following thoracic surgery. To which staff member
should the nurse assign to this client?
A. Charge nurse
B. RN
C. LPN
D. AP
Ans: B. RN
, A client returning from surgery requires assessment and establishment of a plan of care. RNs are
responsible for this, especially if the client is potentially unstable.
A nurse observes an AP reprimanding a client for not using the urinal properly. The AP tells him she will
put a diaper on him if he does not use the urinal more carefully next time. Which of the following torts is
the AP committing?
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy
Ans: A. Assault
By threatening the client, the AP is committing assault.
An adult client who is competent tells the nurse that he is thinking about leaving the hospital against
medical advice. The nurse believes that this is not in the client's best interest, so she administers a PRN
sedative med that the client has not requested along w/his usual meds. Which of the following tort has
the nurse committed?
A. Assault
B. False imprisonment
C. Negligence
D. Breach of confidentiality
Ans: B. False imprisonment
Ans: Yes.
A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients. Which of the
following client's needs may the nurse assign to an assistive personnel (AP)?
A. Feeding a client who was admitted 24 hrs ago w/aspiration pneumonia
B. Reinforcing teaching w/a client who is learning to walk using a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
,Ans: C. Reapplying a condom catheter for a client who has urinary incontinence
Rationale: The application of a condom catheter is a noninvasive, routine procedure that the nurse may
delegate to the AP
A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an AP. Which
of the following information should the nurse share with the AP? Select All.
A. The roommate is up independently.
B. The client ambulates w/his slippers on over his antiembolic stockings
C. The client uses a front-wheeled walker when ambulating
D. The client had pain medication 30 min ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morning
Ans: B, C, D
An RN is making assignments for client care to a LPN at the beginning of the shift. Which of the following
assignments should the LPN question?
A. Assisting a client who is 24hr postop to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a client who was admitted on the previous shift
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
Ans: D. Replacing the cartridge and tubing on a PCA pump
,Rationale: The RN is responsible for the PCA pump
A nurse is preparing an in-service program about delegation. Which of the following elements should
she identify when presenting the 5 rights of delegation? Select all.
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
Ans: B, C, E
A and D are rights of medication administration
A nurse manager of a med-surg unit is assigning care responsibilities for the oncoming shift. A client is
awaiting transfer back to the unit from the PACU following thoracic surgery. To which staff member
should the nurse assign to this client?
A. Charge nurse
B. RN
C. LPN
D. AP
Ans: B. RN
, A client returning from surgery requires assessment and establishment of a plan of care. RNs are
responsible for this, especially if the client is potentially unstable.
A nurse observes an AP reprimanding a client for not using the urinal properly. The AP tells him she will
put a diaper on him if he does not use the urinal more carefully next time. Which of the following torts is
the AP committing?
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy
Ans: A. Assault
By threatening the client, the AP is committing assault.
An adult client who is competent tells the nurse that he is thinking about leaving the hospital against
medical advice. The nurse believes that this is not in the client's best interest, so she administers a PRN
sedative med that the client has not requested along w/his usual meds. Which of the following tort has
the nurse committed?
A. Assault
B. False imprisonment
C. Negligence
D. Breach of confidentiality
Ans: B. False imprisonment
