CORRECT ANSWERS | ALREADY GRADED A+ |
VERIFIED ANSWERS | LATEST VERSION
A nurse is receiving change-of-shift report at the start of the shift. Which of
the following statements by the nurse giving report indicates to the
oncoming nurse that she should assume total care for the client, rather
than assigning tasks to the assistive personnel (AP)? ---------CORRECT
ANSWER-----------------"The client's blood pressure and pulse have been
fluctuating throughout the day."
A nurse has assigned client care activities to an assistive personnel (AP).
Which of the following statements by the AP indicates a need for
assistance in establishing priorities? ---------CORRECT ANSWER-------------
----"I have my assignment and will start with room 1, then work my way to
room 10."
A nurse manager is providing an inservice program about delegation to
assistive personnel (AP) with staff nurses on the unit. Which of the
following statements by a staff nurse indicates an understanding of the
teaching? ---------CORRECT ANSWER-----------------The nurse should
consider the AP's level of experience when making delegation decisions."
A nurse checks with assistive personnel on the unit throughout the shift to
determine if they are completing tasks. The nurse is demonstrating which
of the following rights of delegation? ---------CORRECT ANSWER-------------
----Right supervision
.A nurse is assigned a group of clients at the start of the shift. Which of the
following clients should the nurse plan to care for first? ---------CORRECT
,ANSWER-----------------A client asking about his PCA pump that contains
morphine
At the beginning of the shift, an RN is preparing assignments for a licensed
practical nurse (LPN) and an assistive personnel (AP). Which of the
following tasks should the nurse assign to the LPN? ---------CORRECT
ANSWER-----------------Inserting a nasogastric tube for a client
A nurse on the pediatric unit is providing room assignments for children
who are to be admitted to the unit. The nurse should plan to place a child
who is postoperative from an appendectomy with which of the following
clients? ---------CORRECT ANSWER-----------------A child who has a new
diagnosis of type 1 diabetes mellitus
An RN from the maternal-newborn unit is being floated to a medical-
surgical unit. Which of the following clients should the charge nurse on the
medical-surgical unit plan to assign to the RN? ---------CORRECT
ANSWER-----------------A client who is one-day postoperative following a
total abdominal hysterectomy
A nurse on a pediatric unit is reviewing her client assignment following the
shift report. Which of the following clients should the nurse plan to assess
first? ---------CORRECT ANSWER-----------------An infant who has pertussis
and is receiving oxygen via nasal cannula
A nurse asks the assistive personnel (AP) to take a specimen to the
laboratory and the AP refuses. Which of the following actions should the
nurse take? ---------CORRECT ANSWER-----------------Ask the AP about her
concerns with the assignment.
,.A charge nurse is reviewing the list of tasks that have been delegated to
the assistive personnel (AP) by the staff nurse. Which of the following tasks
should the charge nurse reassign to a licensed nurse? ---------CORRECT
ANSWER-----------------Removing and cleaning the cannula of a client who
has a new tracheostomy
A nurse manager is preparing an inservice program for the nurses on the
unit about the use of a new infusion pump. Which of the following teaching
strategies is the most effective way to ensure that the staff can use the
device correctly? ---------CORRECT ANSWER-----------------Demonstrate
using the device and observe the staff returning the demonstration.
.A nurse enters a client's room and finds the client pulseless. The family
hasrequested a do-not-resuscitate (DNR) order from the provider, but he
has not written the order yet. Which of the following actions should the
nurse take? ---------CORRECT ANSWER-----------------Call the emergency
response team.
A nurse and an assistive personnel (AP) are providing care for four clients
who were admitted to the medicalsurgical unit on the previous shift. The
nurse should delegate meal assistance for which of the following clients to
the AP? ---------CORRECT ANSWER-----------------A client who has a
lumbosacral spinal tumor
.A nurse who is leading a team of nurse managers is planning to make a
major announcement. The nurse should use which of the following
nonverbal communication techniques to enhance the importance of the
announcement? ---------CORRECT ANSWER-----------------Sit in front of the
group for the meeting and then stand for the announcement.
, .A client who is terminally ill tells a nurse on the medical-surgical unit that
she feels hopeless. Which of the following statements by the nurse is
appropriate? ---------CORRECT ANSWER-----------------"Tell me what you
understand about your illness."
A nurse on a pediatric unit is caring for a child and his family. His parents
define family as a husband, wife, and child. This definition is which type of
family form? ---------CORRECT ANSWER-----------------Nuclear family
A nurse is caring for four clients on a medical-surgical unit. Which of the
following clients should the nurse assess first? ---------CORRECT
ANSWER-----------------A client who had an indwelling urinary catheter
removed 5 hr ago and has not voided
A nurse is planning care for a group of clients and can delegate care to a
licensed practical nurse (LPN) and an assistive personnel. Which of the
following tasks should the nurse assign to the LPN? ---------CORRECT
ANSWER-----------------Reinforcing teaching with a client who is learning to
self-administer insulin
A nurse is supervising a newly licensed nurse who is performing surgical
asepsis. After donning a sterile gown and gloves, which of the following
actions by the newly licensed nurse demonstrates correct aseptic
technique? ---------CORRECT ANSWER-----------------The nurse holds her
hands above her waist.
A nurse who is caring for a group of clients delegates collection of vital
signs to an assistive personnel (AP). Which of the following actions should