NUR 304 Exam 1 Practice Questions – Study Guide and Exam Review Material
D.) A client who was transferred from the critical care unit 4 days ago and is ambulatory
Rationale: Factors to consider when delegating care include complexity of task, problem-solving
innovation required, unpredictability, and level of client interaction. The ambulatory client is
best to delegate because this client is likely to be stable with a low level of unpredictability. The
client who recently lost her husband would benefit from professional communication with the
RN and requires a high level of client interaction. The client receiving enteral feedings and is
immobilized represents a more complex client, who is better assigned to a licensed nurse. The
client with a leaking ostomy would benefit from problem-solving innovation and is best cared
for by the RN. - ANS ✔✔The registered nurse (RN) must delegate care of an assigned client to an
unlicensed assistive person (UAP) for the shift. Which client would be best to delegate to the
UAP?
A.) A client who would benefit from talking about the recent death of her husband
B.) A client with a urinary drainage catheter and nasogastric feedings who is on bedrest
C.) A client with an ostomy who has persistent problems with leakage
D.) A client who was transferred from the critical care unit 4 days ago and is ambulatory
C.) Client requiring assistance to the bathroom for diarrhea
,Rationale: A client requiring assistance to the bathroom is within the scope of the UA and this
client is stable at present. - ANS ✔✔The registered nurse (RN) is assigning staff to a group of
clients. What is an appropriate assignment for the unlicensed assistant (UA)?
A.) Client requiring measurement of arterial blood gases every four hours
B.) Client requiring frequent blood glucose measurements
C.) Client requiring assistance to the bathroom for diarrhea
D.) Client requiring complete blood counts for increasing anemia
A.) Include all personnel in the delegation process.
Rationale: When people are a part of the delegation process, they tend to take more pride in
doing a good job. In addition, the health care team might find something that is not clear to the
nurse who is delegating. - ANS ✔✔A charge nurse is delegating assignments on the medical-
surgical unit. Which aspect of delegation would be appropriately done by the RN?
A.) Include all personnel in the delegation process.
B.) Reprimand for even the most minor of violations.
C.) Limit the number of "check-ins" with staff.
D.) Take the duties away once they have been assigned.
D.) Retrieving the urine specimen
,Rationale: The nurse should delegate the retrieval of the urine specimen to the LPN. This task is
in the LPN's scope of practice, and constitutes appropriate use of staff. - ANS ✔✔A nurse is
caring for a group of clients. One client is scheduled for the operating room (OR) in one hour.
The second client needs information on nursing homes, and the third client needs to provide a
urine specimen. The nurse has not documented on any clients. What task would the nurse
delegate to an licensed practical nurse (LPN/LVN)?
A.) Preparing the client for the OR
B.) Documenting client care
C.) Providing nursing home information
D.) Retrieving the urine specimen
A.) A third-day-postoperative client who needs to be walked and have a blood glucose check at
bedtime
Rationale: Delegation to UAPs can include any activity that is within their role. Ambulating the
client and blood glucose monitoring are within this role. - ANS ✔✔When staffing the surgical
nursing unit, which of the following clients could the nurse delegate to an unlicensed assistive
person (UAP)?
A.) A third-day-postoperative client who needs to be walked and have a blood glucose check at
bedtime
B.) A new surgical client who has just complained of oozing from the mastectomy site
, C.) A new amputee who is stable, but needs dressings reinforced
D.) A fourth-day coronary artery bypass client who still has stable angina after surgery
A.) Intake and output
Rationale: Intake and output are tasks that fall within the scope of practice for the UA. - ANS
✔✔What is an appropriate task for the registered nurse (RN) to delegate to the unlicensed
assistant (UA)?
A.) Intake and output
B.) Irrigating a nasogastric (NG) tube
C.) Changing a burn dressing
D.) Monitoring pain status
B.) Discharging a client
Rationale: Discharging a client (and the associated teaching that is involved) is within the scope
of the RN only. - ANS ✔✔The registered nurse (RN) is working with an unlicensed assistant (UA)
for the shift. Which activity is best retained by the RN rather than delegated to the UA?
A.) Weighing a client
D.) A client who was transferred from the critical care unit 4 days ago and is ambulatory
Rationale: Factors to consider when delegating care include complexity of task, problem-solving
innovation required, unpredictability, and level of client interaction. The ambulatory client is
best to delegate because this client is likely to be stable with a low level of unpredictability. The
client who recently lost her husband would benefit from professional communication with the
RN and requires a high level of client interaction. The client receiving enteral feedings and is
immobilized represents a more complex client, who is better assigned to a licensed nurse. The
client with a leaking ostomy would benefit from problem-solving innovation and is best cared
for by the RN. - ANS ✔✔The registered nurse (RN) must delegate care of an assigned client to an
unlicensed assistive person (UAP) for the shift. Which client would be best to delegate to the
UAP?
A.) A client who would benefit from talking about the recent death of her husband
B.) A client with a urinary drainage catheter and nasogastric feedings who is on bedrest
C.) A client with an ostomy who has persistent problems with leakage
D.) A client who was transferred from the critical care unit 4 days ago and is ambulatory
C.) Client requiring assistance to the bathroom for diarrhea
,Rationale: A client requiring assistance to the bathroom is within the scope of the UA and this
client is stable at present. - ANS ✔✔The registered nurse (RN) is assigning staff to a group of
clients. What is an appropriate assignment for the unlicensed assistant (UA)?
A.) Client requiring measurement of arterial blood gases every four hours
B.) Client requiring frequent blood glucose measurements
C.) Client requiring assistance to the bathroom for diarrhea
D.) Client requiring complete blood counts for increasing anemia
A.) Include all personnel in the delegation process.
Rationale: When people are a part of the delegation process, they tend to take more pride in
doing a good job. In addition, the health care team might find something that is not clear to the
nurse who is delegating. - ANS ✔✔A charge nurse is delegating assignments on the medical-
surgical unit. Which aspect of delegation would be appropriately done by the RN?
A.) Include all personnel in the delegation process.
B.) Reprimand for even the most minor of violations.
C.) Limit the number of "check-ins" with staff.
D.) Take the duties away once they have been assigned.
D.) Retrieving the urine specimen
,Rationale: The nurse should delegate the retrieval of the urine specimen to the LPN. This task is
in the LPN's scope of practice, and constitutes appropriate use of staff. - ANS ✔✔A nurse is
caring for a group of clients. One client is scheduled for the operating room (OR) in one hour.
The second client needs information on nursing homes, and the third client needs to provide a
urine specimen. The nurse has not documented on any clients. What task would the nurse
delegate to an licensed practical nurse (LPN/LVN)?
A.) Preparing the client for the OR
B.) Documenting client care
C.) Providing nursing home information
D.) Retrieving the urine specimen
A.) A third-day-postoperative client who needs to be walked and have a blood glucose check at
bedtime
Rationale: Delegation to UAPs can include any activity that is within their role. Ambulating the
client and blood glucose monitoring are within this role. - ANS ✔✔When staffing the surgical
nursing unit, which of the following clients could the nurse delegate to an unlicensed assistive
person (UAP)?
A.) A third-day-postoperative client who needs to be walked and have a blood glucose check at
bedtime
B.) A new surgical client who has just complained of oozing from the mastectomy site
, C.) A new amputee who is stable, but needs dressings reinforced
D.) A fourth-day coronary artery bypass client who still has stable angina after surgery
A.) Intake and output
Rationale: Intake and output are tasks that fall within the scope of practice for the UA. - ANS
✔✔What is an appropriate task for the registered nurse (RN) to delegate to the unlicensed
assistant (UA)?
A.) Intake and output
B.) Irrigating a nasogastric (NG) tube
C.) Changing a burn dressing
D.) Monitoring pain status
B.) Discharging a client
Rationale: Discharging a client (and the associated teaching that is involved) is within the scope
of the RN only. - ANS ✔✔The registered nurse (RN) is working with an unlicensed assistant (UA)
for the shift. Which activity is best retained by the RN rather than delegated to the UA?
A.) Weighing a client
