2023–2025 NGN | Actual Exit Exam 180
Picture Questions with Verified CORRECT
ANSWERs
What can be delegated to Assistive personnel (AP)? - CORRECT ANSWER- ADLs - bathing - grooming -
dressing - ambulating - feeding (w/o swallow precautions) - positioning - bed making - specimen
collection - I&O - VS (stable clients
A nurse on a med surge unit has recieved change of shift report and will care for 4 clients. Which of the
following clients needs will the nurse assign to an AP?
A. Feeding a client who was admitted 24 hours ago with aspiration pneumonia
B. Reinforcing teaching with a client who is learning to walk with a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer - CORRECT ANSWERC
A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an AP. Which
of the following info should the nurse share with the AP?
Select all:
A. the roommate is up independently
B. The client ambulates with his slippers on over his antiembolic stockings
C. The client uses a front wheeled walker when ambulating
D. The client had pain meds 30 minutes ago
E. The client is allergic to codeine
F. the client ate 50 % of his breakfast this morning - CORRECT ANSWERB
C
D
,An RN is making assignments for client care to an LPN at the beginning of the shift. Which of the
following assignments should the LPN question?
A. Assisting a client who is 24 hr 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 - CORRECT ANSWERD
A nurse is preparing an inservice 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 - CORRECT ANSWERB
C
E
A nurse manager of a med surge unit is assigning care responsibilities for the oncoming shift. A client is
waiting transfer back to the unit from the PACU following thoracic surgery. To which staff member
should the nurse assign the client?
A. Charge nurse
B. RN
C. LVN
D. AP - CORRECT ANSWERB
What is the study of conduct and character? - CORRECT ANSWEREthics
What are the values and beliefs that guide behavior and decision making? - CORRECT ANSWERMorals
,What is the right to make ones own personal decisions, even tho those decisions might not be in the
persons best interest - CORRECT ANSWERAutonomy
What are positive actions to help others - CORRECT ANSWERBeneficience
What is an agreement to keep promises - CORRECT ANSWERFidelity
What is fairness in care delivery and use of resources - CORRECT ANSWERJustice
What is avoidance of harm or injury - CORRECT ANSWERNon-maleficence
A nurse is caring for a client who decides not to have surgery despite significant blockages in his
coronary arteries. The nurse understands that this clients choice is an example of what principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificience - CORRECT ANSWERA
A nurse offers pain meds to a client who is postop prior to ambulation. The nurse understands that this
aspect of care delivery is an example of which of the following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Beneficience - CORRECT ANSWERD
A nurse is instructing a group of nursing students about the responsibilities involved with organ
donation and procurement. When the nurse explains that all clients waiting for a kidney transplant have
to meet the same qualifications, the students should understand that this aspect of care delivery is an
example of which ethical principle
A. Fidelity
B. Autonomy
, C. Justice
D. Nonmaleficence - CORRECT ANSWERC
A nurse questions a med prescription as too extreme and light of the clients advanced age and unstable
status. The nurse understands that this action is an example of which ethical principle
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificence - CORRECT ANSWERD
Which of the following situations can be identified as an ethical dilemma?
A. A nurse on a med surge unit demonstrates signs of chemical impairment
B. A nurse over hears another nurse telling an older adult client that if he doesnt stay in bed she will
restrain him
C. A family has conflicting feelings about the initiation of enteral tube feedings of their father who is
terminally ill
D. A client who is terminally ill hesitates to name her spouse on her durable power of attorney form -
CORRECT ANSWERC
Most managers can be categorized as - CORRECT ANSWERauthoritative, democratic, and laissez faire
makes decisions of the group
motivates by coercion
communication occurs down the chain of command
Work output by the staff is usually high-good for crisis situations and bureaucratic settings - CORRECT
ANSWERAuthoritative
includes the group when decisions are made
Motivates by supporting star achievements
Communication occurs up and down the chain of command