ATIRNFUNDAMENTALSPROCTOREDRETAKEEXAM
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70 NGN QUESTIONS AND VERIFIED ANSWERS & RATIONALES
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WELLGRADED, BESTATI
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1. Can an RN delegate to the LPN to provide tracheostomy care to a client with
pneumonia?
Ans> 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
Ans> 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
3. 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
Ans> B, C, D
4. 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
Ans> D.Replacing the cartridge and tubing on a PCA pump
Rationale The RN is responsible for the PCA pump
, 5. 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
Ans> B, C, E
A and D are rights of medication administration
6. 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
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70 NGN QUESTIONS AND VERIFIED ANSWERS & RATIONALES
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WELLGRADED, BESTATI
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1. Can an RN delegate to the LPN to provide tracheostomy care to a client with
pneumonia?
Ans> 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
Ans> 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
3. 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
Ans> B, C, D
4. 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
Ans> D.Replacing the cartridge and tubing on a PCA pump
Rationale The RN is responsible for the PCA pump
, 5. 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
Ans> B, C, E
A and D are rights of medication administration
6. 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
