LEADERSHIP AND MANAGEMENT PRACTICE
1. You are caring for a patient with esophageal cancer. Which task could be delegated to a
UAP?
a. Assisting the patient with oral hygiene.
b. Observing the patient's response to feedings.
c. Facilitating expression of grief or anxiety.
d. Initiating daily weighing. - ANSWER a. Assisting the patient with oral hygiene.
2. A 56-year-old patient comes to the walk-in clinic reporting scant rectal bleeding and
intermittent diarrhea and constipation for the past several months. There is a history of
polyps and a family history of colorectal cancer. While you are trying to instruct the client
about colonoscopy, the patient becomes angry and threatens to leave. What is the priority
diagnosis?
a. Diarrhea/Constipation related to altered bowel patterns.
b. Deficient Knowledge related to the disease process and diagnostic procedure.
c. Risk for Deficient Fluid Volume related to rectal bleeding and diarrhea.
d. Anxiety related to unknown outcomes and perceived threats to body integrity. -
ANSWER d. Anxiety related to unknown outcomes and perceived threats to body
integrity.
3. When care assignments are being made for patients with alterations related to
gastrointestinal (GI) cancer, which patient would be the most appropriate to assign to an
LPN/LVN under the supervision of a team leader RN?
a. A patient with severe anemia secondary to GI bleeding.
b. A patient who needs enemas and antibiotics to control GI bacteria.
c. A patient who needs preoperative teaching for bowel resection surgery.
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,d. A patient who needs central line insertion for chemotherapy. - ANSWER b. A patient
who needs enemas and antibiotics to control GI bacteria.
4. For a patient who is experiencing side effects of radiation therapy, which task would be
the most appropriate to delegate to the UAP?
a. Helping the patient to identify patterns of fatigue.
b. Recommending participation in a walking program.
c. Reporting the amount and type of food consumed from the tray.
d. Checking the skin for redness and irritation after the treatment. - ANSWER c.
Reporting the amount and type of food consumed from the tray.
5. For a patient who is receiving chemotherapy, which laboratory result is of particular
importance that the LPN should monitor?
a. White blood cell (WBC) count.
b. Prothrombin time and partial thromboplastin time.
c. Electrolyte levels.
d. Blood urea nitrogen level. - ANSWER a. White blood cell (WBC) count.
6. When staff assignments are made for the care of patients who are receiving
chemotherapy, what is the major consideration regarding chemotherapeutic drugs?
a. During preparation, drugs may be absorbed through the skin or inhaled.
b. Many chemotherapeutic drugs are vesicants.
c. Chemotherapeutic drugs are frequently given through central venous access devices.
d. Oral and venous routes of administration are the most common. - ANSWER a.
During preparation, drugs may be absorbed through the skin or inhaled.
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, 7. A patient with lung cancer develops syndrome of inappropriate antidiuretic hormone
secretion (SIADH). After reporting symptoms of weight gain, weakness, and nausea and
vomiting to the physician, you would anticipate which initial order for the treatment of this
patient?
a. A fluid bolus.
b. Fluid restrictions.
c. Urinalysis.
d. Sodium-restricted diet. - ANSWER b. Fluid restrictions.
8. In the care of a patient with neutropenia, what tasks can be delegated to a UAP? (Select
all that apply.)
a. Taking vital signs every 4 hours.
b. Reporting temperature of more than 100.4° F (38° C).
c. Assessing for sore throat, cough, or burning with urination.
d. Gathering the supplies to prepare the room for protective isolation.
e. Reporting super-infections, such as candidiasis.
f. Practicing good hand-washing technique. - ANSWER a. Taking vital signs every 4
hours.
b. Reporting temperature of more than 100.4° F (38° C).
d. Gathering the supplies to prepare the room for protective isolation.
f. Practicing good hand-washing technique.
9. You are the charge nurse. Two hours into the shift you discover that two nurses have
switched patients because Nurse A does "not like to take care of patients with prostate
cancer." Which action should you take first?
a. Insist that they switch back to the original patient assignments and talk to each of them at
the end of the shift.
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1. You are caring for a patient with esophageal cancer. Which task could be delegated to a
UAP?
a. Assisting the patient with oral hygiene.
b. Observing the patient's response to feedings.
c. Facilitating expression of grief or anxiety.
d. Initiating daily weighing. - ANSWER a. Assisting the patient with oral hygiene.
2. A 56-year-old patient comes to the walk-in clinic reporting scant rectal bleeding and
intermittent diarrhea and constipation for the past several months. There is a history of
polyps and a family history of colorectal cancer. While you are trying to instruct the client
about colonoscopy, the patient becomes angry and threatens to leave. What is the priority
diagnosis?
a. Diarrhea/Constipation related to altered bowel patterns.
b. Deficient Knowledge related to the disease process and diagnostic procedure.
c. Risk for Deficient Fluid Volume related to rectal bleeding and diarrhea.
d. Anxiety related to unknown outcomes and perceived threats to body integrity. -
ANSWER d. Anxiety related to unknown outcomes and perceived threats to body
integrity.
3. When care assignments are being made for patients with alterations related to
gastrointestinal (GI) cancer, which patient would be the most appropriate to assign to an
LPN/LVN under the supervision of a team leader RN?
a. A patient with severe anemia secondary to GI bleeding.
b. A patient who needs enemas and antibiotics to control GI bacteria.
c. A patient who needs preoperative teaching for bowel resection surgery.
1
,d. A patient who needs central line insertion for chemotherapy. - ANSWER b. A patient
who needs enemas and antibiotics to control GI bacteria.
4. For a patient who is experiencing side effects of radiation therapy, which task would be
the most appropriate to delegate to the UAP?
a. Helping the patient to identify patterns of fatigue.
b. Recommending participation in a walking program.
c. Reporting the amount and type of food consumed from the tray.
d. Checking the skin for redness and irritation after the treatment. - ANSWER c.
Reporting the amount and type of food consumed from the tray.
5. For a patient who is receiving chemotherapy, which laboratory result is of particular
importance that the LPN should monitor?
a. White blood cell (WBC) count.
b. Prothrombin time and partial thromboplastin time.
c. Electrolyte levels.
d. Blood urea nitrogen level. - ANSWER a. White blood cell (WBC) count.
6. When staff assignments are made for the care of patients who are receiving
chemotherapy, what is the major consideration regarding chemotherapeutic drugs?
a. During preparation, drugs may be absorbed through the skin or inhaled.
b. Many chemotherapeutic drugs are vesicants.
c. Chemotherapeutic drugs are frequently given through central venous access devices.
d. Oral and venous routes of administration are the most common. - ANSWER a.
During preparation, drugs may be absorbed through the skin or inhaled.
2
, 7. A patient with lung cancer develops syndrome of inappropriate antidiuretic hormone
secretion (SIADH). After reporting symptoms of weight gain, weakness, and nausea and
vomiting to the physician, you would anticipate which initial order for the treatment of this
patient?
a. A fluid bolus.
b. Fluid restrictions.
c. Urinalysis.
d. Sodium-restricted diet. - ANSWER b. Fluid restrictions.
8. In the care of a patient with neutropenia, what tasks can be delegated to a UAP? (Select
all that apply.)
a. Taking vital signs every 4 hours.
b. Reporting temperature of more than 100.4° F (38° C).
c. Assessing for sore throat, cough, or burning with urination.
d. Gathering the supplies to prepare the room for protective isolation.
e. Reporting super-infections, such as candidiasis.
f. Practicing good hand-washing technique. - ANSWER a. Taking vital signs every 4
hours.
b. Reporting temperature of more than 100.4° F (38° C).
d. Gathering the supplies to prepare the room for protective isolation.
f. Practicing good hand-washing technique.
9. You are the charge nurse. Two hours into the shift you discover that two nurses have
switched patients because Nurse A does "not like to take care of patients with prostate
cancer." Which action should you take first?
a. Insist that they switch back to the original patient assignments and talk to each of them at
the end of the shift.
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