COMPREHENSIVE PREDICTOR EXAMS |
COMPREHENSIVE QUESTION BANK WITH
ANSWERS AND RATIONALES.
1. A nurse on a med-surg unit has received change-
of-shift report and will care for 4 clients. Which of the
following clients' needs will the nurse assign to an
AP?
A. Feeding a client who was admitted 24 hours ago
with aspiration pneumonia
B. Reinforcing teaching with a client who is learning
to walk with a quad cane
C. Reapplying a condom catheter for a client who has
urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
**Correct Answer:** C
**Rationale:** Reapplying a condom catheter is a
routine task within AP scope of practice.
2. A nurse is delegating the ambulation of a client
who had knee arthroplasty 5 days ago to an AP.
Which of the following info should the nurse share
with the AP? Select all that apply.
,A. The roommate is up independently
B. The client ambulates with his slippers on over his
antiembolic stockings
C. The client uses a front-wheeled walker when
ambulating
D. The client had pain meds 30 minutes ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morning
**Correct Answer:** B, C, D
**Rationale:** Specific mobility equipment,
medication timing, and footwear are essential for
safe delegation.
3. An RN is making assignments for client care to an
LPN at the beginning of the shift. Which of the
following assignments should the LPN question?
A. Assisting a client who is 24 hr postop to use an
incentive spirometer
B. Collecting a clean catch urine specimen from a
client who was admitted on the previous shift
C. Providing nasopharyngeal suctioning for a client
who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
,**Correct Answer:** D
**Rationale:** PCA pump management
(cartridge/tubing replacement) requires RN scope of
practice.
4. A nurse is preparing an in-service program about
delegation. Which of the following elements should
she identify when presenting the 5 rights of
delegation? Select all that apply.
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
**Correct Answer:** B, C, E
**Rationale:** The 5 rights of delegation are right
task, right circumstance, right person, right
direction/communication, and right
supervision/evaluation.
5. A nurse manager of a med-surg unit is assigning
care responsibilities for the oncoming shift. A client is
waiting transfer back to the unit from the PACU
, following thoracic surgery. To which staff member
should the nurse assign the client?
A. Charge nurse
B. RN
C. LPN/LVN
D. AP
**Correct Answer:** B
**Rationale:** A postoperative thoracic surgery client
requires RN assessment and care coordination.
6. A nurse is caring for a client who decides not to
have surgery despite significant blockages in his
coronary arteries. The nurse understands that this
client's choice is an example of which principle?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence
**Correct Answer:** B
**Rationale:** Autonomy is the right to make one's
own personal decisions, even if not in the person's
best interest.