NSG 441 EXAM 2 QUESTIONS & ANSWERS
which primary factor must the registered nurse assess before delegating the feeding of
a patient with dysphagia?
A. Potential for harm
B. Complexity of the task
C. Level of patient interaction
D. Amount of problem solving involved - Answer -A. Potential for harm
Rationale: Patient is at risk for aspiration.
The registered nurse (RN) is delegating nursing tasks to the LPN/LVN. Which activity
cannot be delegated by the RN to the LPN/LVN?
A. administering oral, topical, subcutaneous, and intramuscular injections
B. providing colostomy care for a patient with a well-functioning colostomy
C. obtaining and recording vital signs on four stable patients.
D. completing an admission history and assessement - Answer -D. completing an
admission history and assessment
Which patient care activities may the RN delegate to properly trained UAP? Select all
that apply.
-taking vital signs
-assisting with feeding
-transporting patients
-administering medication
-measuring blood sugar levels
-determining the scope of nursing practice - Answer -Taking vital signs
Assisting with feeding
Transporting patients
Measuring blood sugar levels
Which statement below describes the function of an ethics committee?
A. promotion of advocacy for the healthcare institution's interests
B. implementation of guidelines for ethical dilemmas in patient care
C. provision of short-term administrative decision-making assistance
D. inclusion of physicians, nurses, and clergy to deliberate potential ehtical issues -
Answer -B. implementation of guidelines for ethical dilemmas in patient care
A staff nurse facing an ethical dilemma disagrees with the nurse manager's proposed
solution. Which type of distress might the staff nurse experience?
A. autonomy distress
B. ethical distress
C. moral distress
D. role distress - Answer -C. moral distress
Rationale:
, Moral distress occurs when two ethical principles compete. If the nurse manager
interferes with the nurse's autonomy with what the manager perceives to be a better
solution, the staff nurse may experience moral distress.
How does a State Board of Nursing interrelate with the Nurse Practice Act?
A. State boards of nursing create individual practice acts.
B. State boards of nursing have the authority to grant exceptions
C. State boards of nursing cannot waive the act's provisions.
D. State boards of nursing have the authority to expand the practice outside of the
provisions. - Answer -C. State Boards of Nursing cannot waive the act's provisions
The nurse admits a 16-year-old pregnant female to the emergency room with suspected
appendicitis. The nurse must obtain consent for an exploratory laparoscopy to rule out
appendicitis. What does the nurse understand regarding this patient's situation?
A. the nurse can legally obtain consent.
B. the patient may consent to the surgery
C. the nurse should notify the patient's parents or guardians
D. the nurse must obtain consent from the patient's parents or guardian - Answer -B.
the patient may consent to the surgery
Rationale: although the patient is a minor, she is able to give valid informed consent to
the surgery because she is pregnant. The nurse cannot legally obtain consent but may
act as a witness and advocate for the patient as necessary.
Which patient is the most appropriate for the registered nurse (RN) to assign to the
licensed practical or vocational nurse (LPN/VPN)?
A. A patient experiencing chest pain
B. A patient requiring diabetic teaching
C. A patient 1-day postoperative cholecystectomy experiencing pain
D. A patient being admitted to the unit from the emergency room - Answer -C. a patient
1-day postoperative cholecystectomy experiencing pain
Rationale: The LPN can monitor the patient's pain status and provide the prescribed
pain medication
Which element of care is the registered nurse (RN) addressing when stating to the
licensed practical nurse (LPN), "You did an excellent job with the dressing change"?
A. right supervision
B. right circumstance
C. right direction
D. right task - Answer -A. right supervision
Rationale: The right supervision involves monitoring, providing feedback and evaluating
the delegatee. The right circumstance focuses on available resources, equipment, safe
environment, and supervision to complete the task correctly. The right direction provides
a clear and concise description of the task.
which primary factor must the registered nurse assess before delegating the feeding of
a patient with dysphagia?
A. Potential for harm
B. Complexity of the task
C. Level of patient interaction
D. Amount of problem solving involved - Answer -A. Potential for harm
Rationale: Patient is at risk for aspiration.
The registered nurse (RN) is delegating nursing tasks to the LPN/LVN. Which activity
cannot be delegated by the RN to the LPN/LVN?
A. administering oral, topical, subcutaneous, and intramuscular injections
B. providing colostomy care for a patient with a well-functioning colostomy
C. obtaining and recording vital signs on four stable patients.
D. completing an admission history and assessement - Answer -D. completing an
admission history and assessment
Which patient care activities may the RN delegate to properly trained UAP? Select all
that apply.
-taking vital signs
-assisting with feeding
-transporting patients
-administering medication
-measuring blood sugar levels
-determining the scope of nursing practice - Answer -Taking vital signs
Assisting with feeding
Transporting patients
Measuring blood sugar levels
Which statement below describes the function of an ethics committee?
A. promotion of advocacy for the healthcare institution's interests
B. implementation of guidelines for ethical dilemmas in patient care
C. provision of short-term administrative decision-making assistance
D. inclusion of physicians, nurses, and clergy to deliberate potential ehtical issues -
Answer -B. implementation of guidelines for ethical dilemmas in patient care
A staff nurse facing an ethical dilemma disagrees with the nurse manager's proposed
solution. Which type of distress might the staff nurse experience?
A. autonomy distress
B. ethical distress
C. moral distress
D. role distress - Answer -C. moral distress
Rationale:
, Moral distress occurs when two ethical principles compete. If the nurse manager
interferes with the nurse's autonomy with what the manager perceives to be a better
solution, the staff nurse may experience moral distress.
How does a State Board of Nursing interrelate with the Nurse Practice Act?
A. State boards of nursing create individual practice acts.
B. State boards of nursing have the authority to grant exceptions
C. State boards of nursing cannot waive the act's provisions.
D. State boards of nursing have the authority to expand the practice outside of the
provisions. - Answer -C. State Boards of Nursing cannot waive the act's provisions
The nurse admits a 16-year-old pregnant female to the emergency room with suspected
appendicitis. The nurse must obtain consent for an exploratory laparoscopy to rule out
appendicitis. What does the nurse understand regarding this patient's situation?
A. the nurse can legally obtain consent.
B. the patient may consent to the surgery
C. the nurse should notify the patient's parents or guardians
D. the nurse must obtain consent from the patient's parents or guardian - Answer -B.
the patient may consent to the surgery
Rationale: although the patient is a minor, she is able to give valid informed consent to
the surgery because she is pregnant. The nurse cannot legally obtain consent but may
act as a witness and advocate for the patient as necessary.
Which patient is the most appropriate for the registered nurse (RN) to assign to the
licensed practical or vocational nurse (LPN/VPN)?
A. A patient experiencing chest pain
B. A patient requiring diabetic teaching
C. A patient 1-day postoperative cholecystectomy experiencing pain
D. A patient being admitted to the unit from the emergency room - Answer -C. a patient
1-day postoperative cholecystectomy experiencing pain
Rationale: The LPN can monitor the patient's pain status and provide the prescribed
pain medication
Which element of care is the registered nurse (RN) addressing when stating to the
licensed practical nurse (LPN), "You did an excellent job with the dressing change"?
A. right supervision
B. right circumstance
C. right direction
D. right task - Answer -A. right supervision
Rationale: The right supervision involves monitoring, providing feedback and evaluating
the delegatee. The right circumstance focuses on available resources, equipment, safe
environment, and supervision to complete the task correctly. The right direction provides
a clear and concise description of the task.
