questions and answers graded A+
Yes. - correct answer ✔✔Can an RN delegate to the LPN to provide tracheostomy care to a
client with pneumonia?
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 - correct answer ✔✔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
B, C, D - correct answer ✔✔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
D. Replacing the cartridge and tubing on a PCA pump
Rationale: The RN is responsible for the PCA pump - correct answer ✔✔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
B, C, E
A and D are rights of medication administration - correct answer ✔✔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
,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. - correct answer ✔✔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
A. Assault
By threatening the client, the AP is committing assault. - correct answer ✔✔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
B. False imprisonment
, The nurse gave the med as a chemical restraint to keep the client from leaving the facility
against medical advice. The client did not consent. - correct answer ✔✔An adult client who is
competent tells the nurse that he is thinking about leaving the hospital against medical advice.
The nurse believes that this is not in the client's best interest, so she administers a PRN sedative
med that the client has not requested along w/his usual meds. Which of the following tort has
the nurse committed?
A. Assault
B. False imprisonment
C. Negligence
D. Breach of confidentiality
C.
The client has the right to decide and specify which medical procedures he wants when a life-
threatening situation arrives - correct answer ✔✔A client who will undergo neurosurgery the
following week tells the nurse in the surgeon's office that he will prepare his advance directives
before he goes to the hospital. Which of the following statements by the client indicates to the
nurse that he understands advance directives?
A. "I'd rather have my brother make decisions for me, but I know it has to be my wife."
B. "I know they won't go ahead w/the surgery unless I prepare these forms."
C. "I plan to write that I don't want them to keep me on a breathing machine."
D. "I will get my regular doctor to approve my plan before I hand it in at the hospital."
A, B
The rest of the choices are the surgeon's responsibility, not the nurse - correct answer ✔✔A
client is about to undergo an elective surgical procedure. Which of the following actions are
appropriate for the nurse who is providing preop care regarding informed consent? Select all.
A. Make sure the surgeon obtained the client's consent