Newest Questions and Answers (Verified Answers)
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
B. RN
C. LPN
D. AP
ANS: B. RN
, 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.
7. 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
ANS: A. Assault
By threatening the client, the AP is committing assault.