EXAM 2025-2026 EXAM 100%
CORRECT ANSWERS
right task - answer-repetitive, requires little supervision,
and relatively noninvasive
right task: AP to assist pt with bedpan and pneumonia
wrong task: delegate AP to administer a nebilizer to a pt
with pneumonia
right circumstance - answer--assess health status and
complexity of care required by the client
-match the complexity of care demands to the skill level of
the health care team
-consider workload
right circustance: delegate to AP to measure VS on stable
pt
wrong: delegate AP to measure VS on pt who is post-op
and received naloxone to reverse respiratory depression
right person - answer--assess and verify competency of
the health care team member
>>within scope of practice and necessary competence
and training
,-continual performance reviews
right: delegate a LPN to adminster enteral to a client who
has a head injury
wrong: delegate an AP to adminster enteral feedings to a
client who has a head injury
delegation/supervision - answer-*5 rights*
1. task
2. circumstance
3. person
4. direction and communication
5. supervision and evaluation
-based on individual client needs, facility policies and job
descriptions, state NPA, professional standards
-consider the individual's education, training, and
experience
-RNs can delegate to:
>>other RNs
>>LPNs
>>APs
delegating to AP - answer--ADLs
-bathing
-grooming
-dressing
-toileting
-ambulating
,-feeding without swallowing precautions
-positioning
-bed making
-VS for stable clients
-specimen collection
-I&O
>>follow facility policies and stage practice guidelines
right direction/communication - answer--data that needs to
be collected
-method and time line for reporting (when to report
concerns/findings
right: delegate an AP to assist in room X with (something
very specific) before X amount of time
wrong: delegate an AP to assist with (something
nonspecific) in room x
right supervision/evaluation - answer--directly or indirectly
-clear directions and expectations
-monitor performance
-provide feedback
-intervene if necessary
-evaluate and identify needs for quality improvement
activities
right: delegate the ambulation of the client and provide
positive feedback to the AP after completion of task
, wrong: delegate the ambulation of a client to an AP
without supervision to determine the need for intervntion
and failing to provide feedback to the AP
*-assessment data integral to changes in client status
-recommendations for changes in the plan of care
-clarification of prescriptions*
*Qualities*:
-good communication
-assertiveness
-conflict negotiation skills
-leadership skills
-professional presence
-decision-making and critical thinking
Decision-making styles:
*decisive* - answer-the team uses a minimum amount of
data and generates one option
Decision-making styles:
*flexible* - answer-the team uses a limited amount of data
and generates several options
Decision-making styles:
*Hierarchical* - answer-the team uses a large amount of
data and generates one option
Decision-making styles: