Questions and Answers
1. The registered nurse is planning to delegate tasks to unlicensed assistive personnel (UAP). Which of
the following task could the registered nurse safely assigned to a UAP?
A. Monitor the I&O of a comatose toddler client with salicylate poisoning
B. Perform a complete bed bath on a 2-year-old with multiple injuries from a serious fall
C. Check the IV of a preschooler with Kawasaki disease
D. Give an outmeal bath to an infant with eczema
Answer : D
RATIONALE:
Bathing an infant with eczema can be safely delegated to an aide; this task is basic and can competently
performed by an aid.
2. A nurse manager assigned a registered nurse from telemetry unit to the pediatrics unit. There were
three patients assigned to the RN. Which of the following patients should not be assigned to the floated
nurse?
A. A 9-year-old child diagnosed with rheumatic fever
B. A young infant after pyloromyotomy
C. A 4-year-old with VSD following cardiac catheterization
D. A 5-month-old with Kawasaki disease
Answer: B
RATIONALE:
The RN floated from the telemetry unit would be least prepared to care for a young infant who has just
had GI surgery and requires a specific feeding regimen.
,3. A nurse in charge in the pediatric unit is absent. The nurse manager decided to assign the nurse in the
obstetrics unit to the pediatrics unit. Which of the following patients could the nurse manager safely
assign to the float nurse?
A. A child who had multiple injuries from a serious vehicle accident
B. A child diagnosed with Kawasaki disease and with cardiac complications
C. A child who has had a nephrectomy for Wilm’s tumor
D. A child receiving an IV chelating therapy for lead poisoning
Answer: C
RATIONALE:
RN floated from the obstetrics unit should be able to care for a client with major abdominal surgery,
because this nurse has experienced caring for clients with cesarean births.
4. The registered nurse is planning to delegate task to a certified nursing assistant. Which of the
following clients should not be assigned to a CAN?
A. A client diagnosed with diabetes and who has an infected toe
B. A client who had a CVA in the past two months
C. A client with Chronic renal failure
D. A client with chronic venous insufficiency
Answer: A
RATIONALE:
The patient is experiencing a potentially serious complication related to diabetes and needs ongoing
assessment by an RN
, 5. The nurse in the medication unit passes the medications for all the clients on the nursing unit. The
head nurse is making rounds with the physician and coordinates clients’ activities with other
departments. The nurse assistant changes the bed lines and answers call lights. A second nurse is
assigned for changing wound dressings; a licensed practitioner nurse takes vital signs and bathes the
clients. This illustrates of what method of nursing care?
A. Case management method
B. Primary nursing method
C. Team method
D. Functional method
Answer: D
RATIONALE:
It describes functional nursing. Staff is assigned to specific task rather than specific clients.
6. A registered nurse has been assigned to six clients on the 12-hour shift. The RN is responsible for
every aspect of care such as formulating the care of plan, intervention and evaluating the care during her
shift. At the end of her shift, the RN will pass this same task to the next RN in charge. This nursing care
illustrates of what kind of method?
A. Primary nursing method
B. Case method
C. Team method
D. Functional method
Answer: B
RATIONALE:
Case management. The nurse assumes total responsibility for meeting the needs of the client during her
entire duty.
1. The registered nurse is planning to delegate tasks to unlicensed assistive personnel (UAP). Which of
the following task could the registered nurse safely assigned to a UAP?
A. Monitor the I&O of a comatose toddler client with salicylate poisoning
B. Perform a complete bed bath on a 2-year-old with multiple injuries from a serious fall
C. Check the IV of a preschooler with Kawasaki disease
D. Give an outmeal bath to an infant with eczema
Answer : D
RATIONALE:
Bathing an infant with eczema can be safely delegated to an aide; this task is basic and can competently
performed by an aid.
2. A nurse manager assigned a registered nurse from telemetry unit to the pediatrics unit. There were
three patients assigned to the RN. Which of the following patients should not be assigned to the floated
nurse?
A. A 9-year-old child diagnosed with rheumatic fever
B. A young infant after pyloromyotomy
C. A 4-year-old with VSD following cardiac catheterization
D. A 5-month-old with Kawasaki disease
Answer: B
RATIONALE:
The RN floated from the telemetry unit would be least prepared to care for a young infant who has just
had GI surgery and requires a specific feeding regimen.
,3. A nurse in charge in the pediatric unit is absent. The nurse manager decided to assign the nurse in the
obstetrics unit to the pediatrics unit. Which of the following patients could the nurse manager safely
assign to the float nurse?
A. A child who had multiple injuries from a serious vehicle accident
B. A child diagnosed with Kawasaki disease and with cardiac complications
C. A child who has had a nephrectomy for Wilm’s tumor
D. A child receiving an IV chelating therapy for lead poisoning
Answer: C
RATIONALE:
RN floated from the obstetrics unit should be able to care for a client with major abdominal surgery,
because this nurse has experienced caring for clients with cesarean births.
4. The registered nurse is planning to delegate task to a certified nursing assistant. Which of the
following clients should not be assigned to a CAN?
A. A client diagnosed with diabetes and who has an infected toe
B. A client who had a CVA in the past two months
C. A client with Chronic renal failure
D. A client with chronic venous insufficiency
Answer: A
RATIONALE:
The patient is experiencing a potentially serious complication related to diabetes and needs ongoing
assessment by an RN
, 5. The nurse in the medication unit passes the medications for all the clients on the nursing unit. The
head nurse is making rounds with the physician and coordinates clients’ activities with other
departments. The nurse assistant changes the bed lines and answers call lights. A second nurse is
assigned for changing wound dressings; a licensed practitioner nurse takes vital signs and bathes the
clients. This illustrates of what method of nursing care?
A. Case management method
B. Primary nursing method
C. Team method
D. Functional method
Answer: D
RATIONALE:
It describes functional nursing. Staff is assigned to specific task rather than specific clients.
6. A registered nurse has been assigned to six clients on the 12-hour shift. The RN is responsible for
every aspect of care such as formulating the care of plan, intervention and evaluating the care during her
shift. At the end of her shift, the RN will pass this same task to the next RN in charge. This nursing care
illustrates of what kind of method?
A. Primary nursing method
B. Case method
C. Team method
D. Functional method
Answer: B
RATIONALE:
Case management. The nurse assumes total responsibility for meeting the needs of the client during her
entire duty.
