QUESTION AND ANSWERS LATEST UPDATES
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>>as C. Reapplying a condom
catheter for a client who has urinary incontinence
Rationale: The application of a condom catheter is a noninvasive, routine procedure that the
nurse may delegate to the AP
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>>as C. Reapplying a condom
catheter for a client who has urinary incontinence
,Rationale: The application of a condom catheter is a noninvasive, routine procedure that the
nurse may delegate to the AP
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>>as B, C, D
A client who had abd. surgery 24 hr ago reports a pulling sensation & pain in his surgical
incision. The nurse checks the client's surgical wound & finds the wound separated w/viscera
protruding. Which of the following interventions is appropriate? Select all.
A client who had abd. surgery 24 hr ago reports a pulling sensation & pain in his surgical
incision. The nurse checks the client's surgical wound & finds the wound separated w/viscera
protruding. Which of the following interventions is appropriate? Select all.
A. Cover the area w/saline-soaked sterile dressings
B. Apply an abdominal binder snugly around the abd.
C. Use sterile gloves to apply gentle pressure to the exposed tissues
D. Position the client supine w/his hips & knees bent
E. Offer the client a warm beverage, such as herbal tea <<ANSWER>>as A, D
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>>as D. Replacing the cartridge
and tubing on a PCA pump
Rationale: The RN is responsible for the PCA pump
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. Cover the area w/saline-soaked sterile dressings
B. Apply an abdominal binder snugly around the abd.
C. Use sterile gloves to apply gentle pressure to the exposed tissues
D. Position the client supine w/his hips & knees bent
E. Offer the client a warm beverage, such as herbal tea <<ANSWER>>as A, D
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>>as D. Replacing the cartridge
and tubing on a PCA pump
, Rationale: The RN is responsible for the PCA pump
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)?
Can an RN delegate to the LPN to provide tracheostomy care to a client with pneumonia?
<<ANSWER>>as Yes.
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>>as B, C, D
Can an RN delegate to the LPN to provide tracheostomy care to a client with pneumonia?
<<ANSWER>>as Yes.
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