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1. A registered nurse (RN) who passed their o Delegate tasks to unlicensed assistive per-
NCLEX-RN exam 5 months ago and is work- sonnel (UAP).
ing in a rural Emergency Department (ED).
Their unit is short staffed, and their man- · Delegating tasks to UAPs for the day is
ager has determined that they are ready a charge nurse action that should be per-
to progress to the charge nurse role, al- formed during the first hour of the shift
though they are relatively new to the nurs- to make good use of unit personnel re-
ing profession. Today is the first time they sources.
have been in the charge nurse role.The
nurse arrives on the unit at 6:30 am and
o Identify tasks needed for assignment and
places their belongings in their locker. They
delegation.
walk around the unit to see how things
are going. Soon, the night charge nurse · The charge nurse should first identify the
signals to begin shift report. They go to the tasks needed for assignment and delegation
charge nurse office to receive report. during the first hours of the shift.
o Assign clients to staff nurses according to
After receiving report from the night shift
acuity.
charge nurse, which activities should the
nurse anticipate completing during the · Making client assignments is a charge
first hour? Select all that apply. nurse action that must be performed before
or during the first hour of the shift to make
o Delegate tasks to unlicensed assistive
the best use of unit personnel resources.
personnel (UAP).
o Identify tasks needed for assignment
and delegation. o Inspect the code cart equipment and sup-
o Reconcile a client's medication prescrip- plies.
tions.
o Assign clients to staff nurses according · Inspecting the code cart is a charge nurse
to acuity. action that must be performed during the
o Inspect the code cart equipment and first hour of the shift to ensure that emer-
supplies.
, NU371 Week 2 HESI Case Study: Delegation of Nursing Management
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o Distribute breakfast trays as they arrive gency equipment is available and functional
on the unit. on the unit.
2. As the charge nurse considers the unit as- o Right supervision.
signments and tasks for the day, they think
about the evidence-based guidelines for · Supervision is directing, guiding, and eval-
delegation. Which elements are part of the uating the task performance quality of assis-
Five Rights of Delegation? Select all that tive personnel.
apply.
o Right circumstances.
o Right supervision.
o Right documentation.
· Circumstances are a very important element
o Right circumstances.
of clinical decision making. The contextual
o Right task.
elements of circumstances include policies
o Right instructions.
and procedures, area of nursing, client con-
o Right purpose.
dition, and preferred client results.
o Right task.
· The right task is one that can be safely del-
egated for a specific client, given that client's
current condition, preferred outcomes, and
availability of a competent individual to per-
form it.
o Right instructions.
· The right directions or instructions is an im-
portant part of the five rights of delegation.
The person receiving delegation needs to
know specifically what the delegator expects.
, NU371 Week 2 HESI Case Study: Delegation of Nursing Management
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3. The charge nurse checks the code cart and o Electrical cords are in good repair.
equipment for safety and function. Which
inspections are necessary to ensure that · Electrical cords must be in good repair to
the defibrillator is serviceable and ready avoid a safety hazard and for the defibrilla-
for use during an emergency? Select all tor unit to be serviceable and ready for use
that apply. during an emergency.
o Code cart seals are not broken.
o Defibrillator passes a system check.
o Electrical cords are in good repair.
o Defibrillator passes a system check.
· The defibrillator should pass a system check
o A bag valve mask resuscitator is present.
at the beginning of every shift to ensure that
o Defibrillator pads/paddles are available.
the defibrillator unit is serviceable and ready
o Suction equipment is present.
for use during an emergency.
o Defibrillator pads/paddles are available.
· Defibrillator paddles or pads are required
to deliver the electrical impulse to the client
during an emergency.
4. The charge nurse sees a staff member ar- o Ask the staff member to join them in the
riving late and walking off balance. Which nurse manager's office.
action is the most important intervention
for the charge nurse to take? · The charge nurse should get the manag-
er involved with evaluating the staff mem-
o Ask the staff member to join them in the ber's condition. The charge nurse should
nurse manager's office. also assist the manager with documenting
o Provide the staff member with a clinical evidence and confronting the staff member
assignment for the day. about the problem.
o Have the staff member perform a
Romberg test in the nurses' station.