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1. A charge nurse is making assignments for the shift. Which
of the following clients should the nurse assign to the LPN?

 A. A client who requires a comprehensive admission assessment.
 B. A client who requires teaching about a new diagnosis.
 C. A client who requires medication administration and
monitoring.
 D. A client who requires discharge teaching.
Rationale: LPNs can administer medications and monitor stable
clients. Comprehensive assessments, teaching, and discharge
planning require RN-level clinical judgment .

2. A nurse is delegating a task to an AP. Which of the
following is the nurse's responsibility before delegating the
task?

 A. Assess the AP's competency.

, B. Assume the AP is competent.
 C. Delegate the task without providing instructions.
 D. Delegate the task and leave the unit.
Rationale: Before delegating, the nurse must assess the AP's
competency to ensure the task can be performed safely .

3. A nurse is caring for a client who is post-operative and has
a urinary catheter. Which of the following tasks is appropriate
for the nurse to delegate to an AP?

 A. Assessing the client's urine output.
 B. Documenting the client's urine output.
 C. Emptying the urinary catheter drainage bag.
 D. Evaluating the effectiveness of the catheter.
Rationale: Emptying a urinary catheter drainage bag is within the
AP's scope of practice. Assessment, documentation, and
evaluation require RN-level clinical judgment .

4. A nurse is caring for a client at risk for falls. Which of the
following actions should the nurse take first?

 A. Place the client in a room closest to the nurses' station.
 B. Keep the bed in the lowest position and ensure the call
light is within the client's reach.
 C. Apply wrist restraints to the client.
 D. Raise all four side rails.
Rationale: Keeping the bed in the lowest position and ensuring
the call light and personal items are within reach are the most
effective and least restrictive interventions to prevent falls .

, 5. A nurse is caring for a client who is receiving a blood
transfusion. The client develops chills, fever, and a headache.
What is the nurse's priority action?

 A. Slow the transfusion rate to 50 mL/hr.
 B. Administer an antihistamine as prescribed.
 C. Stop the transfusion and infuse normal saline.
 D. Notify the healthcare provider immediately.
Rationale: These are signs of a febrile non-hemolytic transfusion
reaction. The priority is to stop the transfusion immediately to
prevent further reaction and maintain IV access with normal
saline .

6. A nurse is caring for four clients. Which client should the
nurse assess first?

 A. A client who is 1 day post-operative and requesting pain
medication.
 B. A client with diabetes who has a blood glucose level of 55
mg/dL and is diaphoretic and confused.
 C. A client with a fever of 38.3°C (101°F).
 D. A client with a new colostomy who is asking for assistance.
Rationale: The client with a blood glucose of 55 mg/dL,
diaphoresis, and confusion is experiencing symptomatic
hypoglycemia, which is an acute, potentially life-threatening
condition requiring immediate intervention .

7. A charge nurse on a busy medical-surgical unit has an RN,
an LPN, and an AP on the shift. Which of the following client
assignments is most appropriate for the LPN?

 A. A client who is 1 hour post-operative and is unstable.

,  B. A client who is stable and requires wound care and
medication administration.
 C. A client who requires a comprehensive admission assessment.
 D. A client who requires discharge teaching.
Rationale: LPNs can provide care to stable clients, including
wound care and medication administration .

8. A nurse is caring for a client who has a new tracheostomy.
Which of the following tasks is appropriate to delegate to an
LPN?

 A. Assessing the tracheostomy site for signs of infection.
 B. Suctioning the tracheostomy.
 C. Developing the client's plan of care.
 D. Performing tracheostomy tube change.
Rationale: Suctioning a tracheostomy is within the LPN's scope of
practice for a stable client .

9. A nurse is caring for a client who has bacterial meningitis.
Which of the following actions should the nurse take?

 A. Implement seizure precautions.
 B. Place the client in high-Fowler's position.
 C. Perform range-of-motion exercises once per shift.
 D. Monitor the client for hypoglycemia.
Rationale: Clients with bacterial meningitis are at risk for seizures
and should have seizure precautions implemented .

10. A nurse is reviewing the preadmission lab test results of a
client who is to undergo hip arthroplasty in 2 days. Which
result should the nurse report to the provider?