NURS 204 Leadership/management
Comprehensive Resource To Help You Ace 2026-2027
Exams Includes Frequently Tested Questions With
ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
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1. A licensed practical nurse (LPN) is working with an RN to deliver care to a group
of clients. Which of the following tasks should the LPN plan to complete?
A. Performing a dressing change for a client who is 2 days postoperative following
a total hip arthroplasty
B. Developing the initial plan of care for a newly admitted client
C. Administering the first dose of a newly prescribed IV antibiotic
D. Completing the admission assessment for a client transferring from the ICU
Correct Answer: A
Rationale: LPN/LVN scope of practice includes reinforcing established care and
performing routine, stable wound care such as dressing changes on a client who is
postoperative but stable. Initial admission assessments, plan-of-care
development, and first-dose IV medication administration typically fall within RN
scope due to the need for clinical judgment and independent assessment.
2. A nurse is providing care to a client who has COPD and is receiving
supplemental oxygen. Which of the following findings should the nurse report to
the RN immediately?
,A. Oxygen saturation of 92%
B. Speaks in short phrases
C. Respiratory rate of 18/min
D. Mild dry cough
Correct Answer: B
Rationale: A client who can only speak in short phrases is showing signs of
increased work of breathing and respiratory distress. This is a change in condition
that requires immediate RN/provider notification, whereas the other findings are
within or near expected parameters for a client with COPD.
3. A nurse is preparing to administer medication to a client. Which of the following
client identifiers should the nurse use prior to administering medication to the
client?
A. Room number and diagnosis
B. Name and date of birth
C. Phone number
D. Physician's name
Correct Answer: B
Rationale: The Joint Commission requires two patient identifiers before
medication administration — typically full name and date of birth (or medical
record number). Room number and phone number are not acceptable identifiers
because they are not unique or reliable to the individual client.
*(Note: the source material listed "phone number" — this has been corrected, as
it does not meet identification safety standards.)*
,4. A nurse is caring for a group of clients on a medical-surgical unit. Which of the
following tasks is unsafe to assign to an assistive personnel (AP)?
A. Ambulating a client who is 3 days postoperative
B. Observing a confused surgical client who has multiple tubes
C. Assisting a stable client with a bed bath
D. Collecting a stool sample for occult blood testing
Correct Answer: B
Rationale: A confused client with multiple tubes requires ongoing clinical
assessment and judgment (risk for tube dislodgement, safety monitoring) that
falls outside AP scope. APs can perform routine, non-assessment tasks like
ambulation, hygiene care, and specimen collection for stable clients.
5. A nurse is working with an assistive personnel (AP) who refuses a client
assignment. When resolving this conflict, which of the following comments is
appropriate for the nurse to make?
A. "I need to talk to you about the unit."
B. "If you don't do it, I'll report you to the manager."
C. "Fine, I'll just do it myself."
D. "You always refuse the difficult assignments."
Correct Answer: A
Rationale: Opening a private, nonjudgmental conversation ("I need to talk to
you") keeps the interaction professional and focused on problem-solving rather
than accusation. Threats, sarcasm, and generalizing statements ("you always...")
escalate conflict rather than resolve it.
, 6. A nurse is planning care for a group of clients at the beginning of the shift.
Which of the following tasks should the nurse assign to the assistive personnel
(AP)?
A. Obtaining vital signs of a client who is 12 hr postoperative following an
appendectomy
B. Assessing a new surgical dressing for drainage
C. Teaching a client how to use an incentive spirometer
D. Evaluating a client's response to pain medication
Correct Answer: A
Rationale: Vital sign collection on a stable postoperative client is a routine task
within AP scope. Assessment, teaching, and evaluation of a client's response to
treatment require nursing judgment and cannot be delegated.
7. A nurse is assisting with revising a facility emergency response plan for tornado
disasters in the community. The nurse should plan to collaborate with which of
the following agencies?
A. Federal Emergency Management Agency (FEMA)
B. Food and Drug Administration (FDA)
C. Occupational Safety and Health Administration (OSHA)
D. Centers for Disease Control and Prevention (CDC)
Correct Answer: A
Comprehensive Resource To Help You Ace 2026-2027
Exams Includes Frequently Tested Questions With
ELABORATED 100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!! Current Update!!
Instant Download Pdf!!
1. A licensed practical nurse (LPN) is working with an RN to deliver care to a group
of clients. Which of the following tasks should the LPN plan to complete?
A. Performing a dressing change for a client who is 2 days postoperative following
a total hip arthroplasty
B. Developing the initial plan of care for a newly admitted client
C. Administering the first dose of a newly prescribed IV antibiotic
D. Completing the admission assessment for a client transferring from the ICU
Correct Answer: A
Rationale: LPN/LVN scope of practice includes reinforcing established care and
performing routine, stable wound care such as dressing changes on a client who is
postoperative but stable. Initial admission assessments, plan-of-care
development, and first-dose IV medication administration typically fall within RN
scope due to the need for clinical judgment and independent assessment.
2. A nurse is providing care to a client who has COPD and is receiving
supplemental oxygen. Which of the following findings should the nurse report to
the RN immediately?
,A. Oxygen saturation of 92%
B. Speaks in short phrases
C. Respiratory rate of 18/min
D. Mild dry cough
Correct Answer: B
Rationale: A client who can only speak in short phrases is showing signs of
increased work of breathing and respiratory distress. This is a change in condition
that requires immediate RN/provider notification, whereas the other findings are
within or near expected parameters for a client with COPD.
3. A nurse is preparing to administer medication to a client. Which of the following
client identifiers should the nurse use prior to administering medication to the
client?
A. Room number and diagnosis
B. Name and date of birth
C. Phone number
D. Physician's name
Correct Answer: B
Rationale: The Joint Commission requires two patient identifiers before
medication administration — typically full name and date of birth (or medical
record number). Room number and phone number are not acceptable identifiers
because they are not unique or reliable to the individual client.
*(Note: the source material listed "phone number" — this has been corrected, as
it does not meet identification safety standards.)*
,4. A nurse is caring for a group of clients on a medical-surgical unit. Which of the
following tasks is unsafe to assign to an assistive personnel (AP)?
A. Ambulating a client who is 3 days postoperative
B. Observing a confused surgical client who has multiple tubes
C. Assisting a stable client with a bed bath
D. Collecting a stool sample for occult blood testing
Correct Answer: B
Rationale: A confused client with multiple tubes requires ongoing clinical
assessment and judgment (risk for tube dislodgement, safety monitoring) that
falls outside AP scope. APs can perform routine, non-assessment tasks like
ambulation, hygiene care, and specimen collection for stable clients.
5. A nurse is working with an assistive personnel (AP) who refuses a client
assignment. When resolving this conflict, which of the following comments is
appropriate for the nurse to make?
A. "I need to talk to you about the unit."
B. "If you don't do it, I'll report you to the manager."
C. "Fine, I'll just do it myself."
D. "You always refuse the difficult assignments."
Correct Answer: A
Rationale: Opening a private, nonjudgmental conversation ("I need to talk to
you") keeps the interaction professional and focused on problem-solving rather
than accusation. Threats, sarcasm, and generalizing statements ("you always...")
escalate conflict rather than resolve it.
, 6. A nurse is planning care for a group of clients at the beginning of the shift.
Which of the following tasks should the nurse assign to the assistive personnel
(AP)?
A. Obtaining vital signs of a client who is 12 hr postoperative following an
appendectomy
B. Assessing a new surgical dressing for drainage
C. Teaching a client how to use an incentive spirometer
D. Evaluating a client's response to pain medication
Correct Answer: A
Rationale: Vital sign collection on a stable postoperative client is a routine task
within AP scope. Assessment, teaching, and evaluation of a client's response to
treatment require nursing judgment and cannot be delegated.
7. A nurse is assisting with revising a facility emergency response plan for tornado
disasters in the community. The nurse should plan to collaborate with which of
the following agencies?
A. Federal Emergency Management Agency (FEMA)
B. Food and Drug Administration (FDA)
C. Occupational Safety and Health Administration (OSHA)
D. Centers for Disease Control and Prevention (CDC)
Correct Answer: A
