ACTUAL EXAM COMPLETE 200
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
1. Can an RN delegate to the LPN to provide tracheostomy care to a client with
pneumonia? ...Answer Is...Yes.
2. A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients. Which
of the following client's needs may the nurse assign to an assistive personnel (AP)?
A. Feeding a client who was admitted 24 hrs ago w/aspiration pneumonia
B. Reinforcing teaching w/a client who is learning to walk using a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer ...Answer Is...C. Reapplying a condom
catheter for a client who has urinary incontinence
3. Rationale: The application of a condom catheter is a noninvasive, routine procedure that the
nurse may delegate to the AP
4. A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an
AP. Which of the following information should the nurse share with the AP? Select All.
A. The roommate is up independently.
, B. The client ambulates w/his slippers on over his antiembolic stockings
C. The client uses a front-wheeled walker when ambulating
D. The client had pain medication 30 min ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morning ...Answer Is...B, C, D
5. An RN is making assignments for client care to a LPN at the beginning of the shift. Which of
the following assignments should the LPN question?
A. Assisting a client who is 24hr 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 ...Answer Is...D. Replacing the
cartridge and tubing on a PCA pump
6. Rationale: The RN is responsible for the PCA pump
7. 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.
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances ...Answer Is...B, C, E
8. A and D are rights of medication administration
9. A nurse manager of a med-surg unit is assigning care responsibilities for the oncoming shift. A
client is awaiting transfer back to the unit from the PACU following thoracic surgery. To which
staff member should the nurse assign to this client?
A. Charge nurse
B. RN
, C. LPN
D. AP ...Answer Is...B. RN
10. A client returning from surgery requires assessment and establishment of a plan of care. RNs
are responsible for this, especially if the client is potentially unstable.
11. A nurse observes an AP reprimanding a client for not using the urinal properly. The AP tells
him she will put a diaper on him if he does not use the urinal more carefully next time. Which
of the following torts is the AP committing?
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy ...Answer Is...A. Assault
12. By threatening the client, the AP is committing assault.
13. An adult client who is competent tells the nurse that he is thinking about leaving the hospital
against medical advice. The nurse believes that this is not in the client's best interest, so she
administers a PRN sedative med that the client has not requested along w/his usual meds.
Which of the following tort has the nurse committed?
A. Assault
B. False imprisonment
C. Negligence
D. Breach of confidentiality ...Answer Is...B. False imprisonment
14. The nurse gave the med as a chemical restraint to keep the client from leaving the facility
against medical advice. The client did not consent.
15. A client who will undergo neurosurgery the following week tells the nurse in the surgeon's
office that he will prepare his advance directives before he goes to the hospital. Which of the
following statements by the client indicates to the nurse that he understands advance
directives?