Exam 2 - Leadership RN400
A charge nurse teaches a class about delegation principles to a group of staff nurses. Which of the
following information should the nurse include in the teaching?
"An assistive personnel member can delegate tasks to another AP."
"An RN should delegate a task they do not have the skill to perform."
"A delegator can delegate simple tasks to a client's family member."
"A delegator should delegate tasks that have predictable outcomes." *** "A delegator should delegate
tasks that have predictable outcomes."
A charge nurse is assigning client care for the oncoming shift. Which of the following tasks should the
nurse assign to an RN?
Changing an appliance for a client who has an established ostomy
Providing postmortem care for a client
Calling a client to evaluate their condition 24 hr. following discharge
Administering an oral medication to a client who has type 2 diabetes mellitus *** Calling a client to
evaluate their condition 24 hr. following discharge
,A charge nurse is delegating client care for the oncoming shift. Which tasks should the nurse delegate to
assistive personnel (AP)?
Obtaining a wound culture from a client who has a stage 2 pressure injury
Collecting vital signs from a client who is on contact precautions
Teaching a client who is preoperative about how to perform leg exercises
Assisting a client in choosing a meal containing low-sodium foods *** Collecting vital signs from a client
who is on contact precautions
A charge nurse is planning to delegate client care to a nurse. Which of the following actions should the
nurse plan to take first?
Assign a task to the nurse.
Determine client care requirements.
Clarify instructions with the nurse.
Evaluate client outcomes. *** Determine client care requirements.
A charge nurse is assigning client care for the oncoming nursing shift. Which tasks should the nurse
assign to a licensed practical nurse (LPN)?
Initiating a blood transfusion for a client who has anemia
,Creating a plan of care for a client who had a stroke
Providing dietary teaching to a client who has celiac disease
Administering a tube feeding for a client who has an established gastrostomy tube *** Administering a
tube feeding for a client who has an established gastrostomy tube
A registered nurse is providing care in a setting that uses modular nursing. What task should the nurse
perform during a shift?
Collaborating with another registered nurse to plan the care of all the mini-team's assigned patients
Confirming that each member of the mini-team is completing their assigned tasks
Providing every aspect of care to one-half to one-third of the mini-team's assigned patients
Providing total patient care to the most acutely ill patients that the mini-team is assigned ***
Confirming that each member of the mini-team is completing their assigned tasks
, The modular team leader should check the work of team members. Care is divided among the mini-
team members, so the RN does not provide every aspect of care to some patients, even those who are
acutely ill. Modular nursing does not usually involve collaboration between two RNs; it is more common
for each team to have only one RN.
Determine the nursing care hours per client day (NCH/PPD) if the following staffing existed for 24 hours
(unit census = 10): 12 midnight to 12 noon, one registered nurse, one licensed vocational nurse 12 noon
to 12 midnight, one registered nurse, one licensed vocational nurse, 1 unit clerk (8 hours only)
5.0 NCH/PPD
5.6 NCH/PPD
4.8 NCH/PPD
6.2 NCH/PPD *** 5.6 NCH/PPD
Fifty-six nursing hours were worked in 24 hours (unit clerks are counted in NCH/PPD), and the census
was 10 clients. Dividing the total number of nursing care hours by the census (56 divided by 10) yields an
NCH/PPD calculation of 5.6 NCH/PPD.
A manager is conducting career coaching for an employee new to the organization. When coaching this
employee, the manager should:
Encourage the nurse to share their plans with the other nurses in the organization.
Conduct the coaching in a group of no more than six to eight nurses.
Make sure not to intimidate the employee during questioning.
A charge nurse teaches a class about delegation principles to a group of staff nurses. Which of the
following information should the nurse include in the teaching?
"An assistive personnel member can delegate tasks to another AP."
"An RN should delegate a task they do not have the skill to perform."
"A delegator can delegate simple tasks to a client's family member."
"A delegator should delegate tasks that have predictable outcomes." *** "A delegator should delegate
tasks that have predictable outcomes."
A charge nurse is assigning client care for the oncoming shift. Which of the following tasks should the
nurse assign to an RN?
Changing an appliance for a client who has an established ostomy
Providing postmortem care for a client
Calling a client to evaluate their condition 24 hr. following discharge
Administering an oral medication to a client who has type 2 diabetes mellitus *** Calling a client to
evaluate their condition 24 hr. following discharge
,A charge nurse is delegating client care for the oncoming shift. Which tasks should the nurse delegate to
assistive personnel (AP)?
Obtaining a wound culture from a client who has a stage 2 pressure injury
Collecting vital signs from a client who is on contact precautions
Teaching a client who is preoperative about how to perform leg exercises
Assisting a client in choosing a meal containing low-sodium foods *** Collecting vital signs from a client
who is on contact precautions
A charge nurse is planning to delegate client care to a nurse. Which of the following actions should the
nurse plan to take first?
Assign a task to the nurse.
Determine client care requirements.
Clarify instructions with the nurse.
Evaluate client outcomes. *** Determine client care requirements.
A charge nurse is assigning client care for the oncoming nursing shift. Which tasks should the nurse
assign to a licensed practical nurse (LPN)?
Initiating a blood transfusion for a client who has anemia
,Creating a plan of care for a client who had a stroke
Providing dietary teaching to a client who has celiac disease
Administering a tube feeding for a client who has an established gastrostomy tube *** Administering a
tube feeding for a client who has an established gastrostomy tube
A registered nurse is providing care in a setting that uses modular nursing. What task should the nurse
perform during a shift?
Collaborating with another registered nurse to plan the care of all the mini-team's assigned patients
Confirming that each member of the mini-team is completing their assigned tasks
Providing every aspect of care to one-half to one-third of the mini-team's assigned patients
Providing total patient care to the most acutely ill patients that the mini-team is assigned ***
Confirming that each member of the mini-team is completing their assigned tasks
, The modular team leader should check the work of team members. Care is divided among the mini-
team members, so the RN does not provide every aspect of care to some patients, even those who are
acutely ill. Modular nursing does not usually involve collaboration between two RNs; it is more common
for each team to have only one RN.
Determine the nursing care hours per client day (NCH/PPD) if the following staffing existed for 24 hours
(unit census = 10): 12 midnight to 12 noon, one registered nurse, one licensed vocational nurse 12 noon
to 12 midnight, one registered nurse, one licensed vocational nurse, 1 unit clerk (8 hours only)
5.0 NCH/PPD
5.6 NCH/PPD
4.8 NCH/PPD
6.2 NCH/PPD *** 5.6 NCH/PPD
Fifty-six nursing hours were worked in 24 hours (unit clerks are counted in NCH/PPD), and the census
was 10 clients. Dividing the total number of nursing care hours by the census (56 divided by 10) yields an
NCH/PPD calculation of 5.6 NCH/PPD.
A manager is conducting career coaching for an employee new to the organization. When coaching this
employee, the manager should:
Encourage the nurse to share their plans with the other nurses in the organization.
Conduct the coaching in a group of no more than six to eight nurses.
Make sure not to intimidate the employee during questioning.
