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 - ANSWERSB. 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.
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 - ANSWERSA. Assault
By threatening the client, the AP is committing assault.
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 - ANSWERSA. Assault
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 - ANSWERSB, C, D
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 - ANSWERSD. Replacing the
cartridge and tubing on a PCA pump
Rationale: The RN is responsible for the PCA pump
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 - ANSWERSD. Replacing the
cartridge and tubing on a PCA pump
Rationale: The RN is responsible for the PCA pump
Can an RN delegate to the LPN to provide tracheostomy care to a client with
pneumonia? - ANSWERSYes.
Can an RN delegate to the LPN to provide tracheostomy care to a client with
pneumonia? - ANSWERSYes.
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 - ANSWERSC. 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
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 - ANSWERSC. 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
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 - ANSWERSB, C, D
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 - ANSWERSB, C, E
A and D are rights of medication administration
A home health nurse is discussing the dangers of carbon monoxide poisoning w/a
client. Which of the following information should the nurse include in her counseling?
A. Carbon monoxide has a distinct odor
B. Water heaters should be inspected every 5 years
C. The lungs are damaged from carbon monoxide inhalation
D. Carbon monoxide binds w/hemoglobin in the body - ANSWERSD.
Carbon monoxide is a very dangerous gas because it binds w/hemoglobin &
ultimately reduces the oxygen supplied to the tissues in the body.
Carbon monoxide is tasteless, has no scent, and cannot be seen.
The water heaters, gas-burning furnances, and appliances should be inspected
annually
The lungs are not damaged in the process of inhalation
A home health nurse is discussing the dangers of carbon monoxide poisoning w/a
client. Which of the following information should the nurse include in her counseling?
A. Carbon monoxide has a distinct odor
B. Water heaters should be inspected every 5 years
C. The lungs are damaged from carbon monoxide inhalation
D. Carbon monoxide binds w/hemoglobin in the body - ANSWERSD.
Carbon monoxide is a very dangerous gas because it binds w/hemoglobin &
ultimately reduces the oxygen supplied to the tissues in the body.
Carbon monoxide is tasteless, has no scent, and cannot be seen.
, The water heaters, gas-burning furnances, and appliances should be inspected
annually
The lungs are not damaged in the process of inhalation
A nurse educator is presenting a module on basic first aid for newly licensed home
health nurses. The nurse educator evaluates the teaching as effective when the
newly licensed nurse states the client who has heat stroke will have which of the
following?
A. Hypotension
B. Bradycardia
C. Clammy skin
D. Bradypnea - ANSWERSA. Hypotension
Tachycardia, hot dry skin, and tachypnea are other manifestations of heat stroke
A nurse educator is presenting a module on basic first aid for newly licensed home
health nurses. The nurse educator evaluates the teaching as effective when the
newly licensed nurse states the client who has heat stroke will have which of the
following?
A. Hypotension
B. Bradycardia
C. Clammy skin
D. Bradypnea - ANSWERSA. Hypotension
Tachycardia, hot dry skin, and tachypnea are other manifestations of heat stroke
A home health nurse is discussing the dangers of food poisoning w/a client. Which of
the following info should the nurse include in her counseling? Select all.
A. Most food poisoning is caused by a virus
B. Immunocompromised individuals are at risk for complications from food poisoning
C. Clients who are especially at risk are instructed to eat or drink only pasteurized
milk, yogurt, cheese, or other dairy products
D. Healthy individuals usually recover from the illness in a few weeks
E. Handling raw & fresh food separately to avoid cross contamination may prevent
food poisoning - ANSWERSB, C, E
Most food poisoning is caused by a bacteria such as E. coli.
Healthy individuals usually recover in a few days.
A home health nurse is discussing the dangers of food poisoning w/a client. Which of
the following info should the nurse include in her counseling? Select all.
A. Most food poisoning is caused by a virus
B. Immunocompromised individuals are at risk for complications from food poisoning
C. Clients who are especially at risk are instructed to eat or drink only pasteurized
milk, yogurt, cheese, or other dairy products
D. Healthy individuals usually recover from the illness in a few weeks
E. Handling raw & fresh food separately to avoid cross contamination may prevent
food poisoning - ANSWERSB, C, E
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 - ANSWERSB. 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.
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 - ANSWERSA. Assault
By threatening the client, the AP is committing assault.
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 - ANSWERSA. Assault
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 - ANSWERSB, C, D
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 - ANSWERSD. Replacing the
cartridge and tubing on a PCA pump
Rationale: The RN is responsible for the PCA pump
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 - ANSWERSD. Replacing the
cartridge and tubing on a PCA pump
Rationale: The RN is responsible for the PCA pump
Can an RN delegate to the LPN to provide tracheostomy care to a client with
pneumonia? - ANSWERSYes.
Can an RN delegate to the LPN to provide tracheostomy care to a client with
pneumonia? - ANSWERSYes.
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 - ANSWERSC. 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
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 - ANSWERSC. 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
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 - ANSWERSB, C, D
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 - ANSWERSB, C, E
A and D are rights of medication administration
A home health nurse is discussing the dangers of carbon monoxide poisoning w/a
client. Which of the following information should the nurse include in her counseling?
A. Carbon monoxide has a distinct odor
B. Water heaters should be inspected every 5 years
C. The lungs are damaged from carbon monoxide inhalation
D. Carbon monoxide binds w/hemoglobin in the body - ANSWERSD.
Carbon monoxide is a very dangerous gas because it binds w/hemoglobin &
ultimately reduces the oxygen supplied to the tissues in the body.
Carbon monoxide is tasteless, has no scent, and cannot be seen.
The water heaters, gas-burning furnances, and appliances should be inspected
annually
The lungs are not damaged in the process of inhalation
A home health nurse is discussing the dangers of carbon monoxide poisoning w/a
client. Which of the following information should the nurse include in her counseling?
A. Carbon monoxide has a distinct odor
B. Water heaters should be inspected every 5 years
C. The lungs are damaged from carbon monoxide inhalation
D. Carbon monoxide binds w/hemoglobin in the body - ANSWERSD.
Carbon monoxide is a very dangerous gas because it binds w/hemoglobin &
ultimately reduces the oxygen supplied to the tissues in the body.
Carbon monoxide is tasteless, has no scent, and cannot be seen.
, The water heaters, gas-burning furnances, and appliances should be inspected
annually
The lungs are not damaged in the process of inhalation
A nurse educator is presenting a module on basic first aid for newly licensed home
health nurses. The nurse educator evaluates the teaching as effective when the
newly licensed nurse states the client who has heat stroke will have which of the
following?
A. Hypotension
B. Bradycardia
C. Clammy skin
D. Bradypnea - ANSWERSA. Hypotension
Tachycardia, hot dry skin, and tachypnea are other manifestations of heat stroke
A nurse educator is presenting a module on basic first aid for newly licensed home
health nurses. The nurse educator evaluates the teaching as effective when the
newly licensed nurse states the client who has heat stroke will have which of the
following?
A. Hypotension
B. Bradycardia
C. Clammy skin
D. Bradypnea - ANSWERSA. Hypotension
Tachycardia, hot dry skin, and tachypnea are other manifestations of heat stroke
A home health nurse is discussing the dangers of food poisoning w/a client. Which of
the following info should the nurse include in her counseling? Select all.
A. Most food poisoning is caused by a virus
B. Immunocompromised individuals are at risk for complications from food poisoning
C. Clients who are especially at risk are instructed to eat or drink only pasteurized
milk, yogurt, cheese, or other dairy products
D. Healthy individuals usually recover from the illness in a few weeks
E. Handling raw & fresh food separately to avoid cross contamination may prevent
food poisoning - ANSWERSB, C, E
Most food poisoning is caused by a bacteria such as E. coli.
Healthy individuals usually recover in a few days.
A home health nurse is discussing the dangers of food poisoning w/a client. Which of
the following info should the nurse include in her counseling? Select all.
A. Most food poisoning is caused by a virus
B. Immunocompromised individuals are at risk for complications from food poisoning
C. Clients who are especially at risk are instructed to eat or drink only pasteurized
milk, yogurt, cheese, or other dairy products
D. Healthy individuals usually recover from the illness in a few weeks
E. Handling raw & fresh food separately to avoid cross contamination may prevent
food poisoning - ANSWERSB, C, E
