## Nursing Leadership,
Delegation, and Prioritization
(Part 3)
### Question 1
The charge nurse is making patient assignments for the medical-surgical unit. Which patient should be
assigned to the most experienced registered nurse?
A. A patient with diabetes mellitus requiring insulin administration
B. A patient with a newly placed tracheostomy requiring frequent suctioning
C. A patient with a urinary tract infection requiring oral antibiotics
D. A patient with chronic hypertension requiring blood pressure monitoring
💫RATIONALE✔️✔️: The patient with a newly placed tracheostomy requiring frequent suctioning
requires the most experienced nurse due to the complexity of care, need for close monitoring, and
potential for airway compromise. Tracheostomy management requires advanced assessment skills and
knowledge of potential complications. Patients with diabetes, UTIs, and hypertension are less complex
and can be assigned to less experienced nurses.
,💫ANSWER✔️✔️: B. A patient with a newly placed tracheostomy requiring frequent suctioning
---
### Question 2
The nurse manager is implementing a new evidence-based practice protocol for preventing catheter-
associated urinary tract infections (CAUTIs). Which approach is most likely to promote successful
adoption of the new protocol?
A. Distributing written copies of the protocol to all staff members
B. Involving staff nurses in the development and implementation process
C. Requiring staff to attend a mandatory training session
D. Posting the protocol on the unit's bulletin board
💫RATIONALE✔️✔️: Involving staff nurses in the development and implementation of evidence-
based practice changes promotes buy-in, ownership, and sustainability. Staff engagement leads to
better understanding, acceptance, and adherence to new protocols. A participatory approach is more
effective than top-down implementation.
💫ANSWER✔️✔️: B. Involving staff nurses in the development and implementation process
---
### Question 3
, The RN is delegating tasks to the licensed practical nurse (LPN) and unlicensed assistive personnel (UAP).
Which task should the RN delegate to the UAP?
A. Administering oral medications to stable patients
B. Performing a sterile dressing change
C. Assisting a patient with bathing and hygiene
D. Performing a comprehensive admission assessment
💫RATIONALE✔️✔️: Assisting with bathing and hygiene is within the scope of practice for UAP.
Administering oral medications and performing sterile dressing changes are tasks for licensed nursing
personnel. Comprehensive admission assessments are the responsibility of the RN. The RN should
provide clear instructions and supervision for delegated tasks.
💫ANSWER✔️✔️: C. Assisting a patient with bathing and hygiene
---
### Question 4
The nurse is caring for multiple patients and must prioritize care. Which patient should the nurse assess
first?
A. A patient who is 2 days post-operative and reports pain rated 6 on a 0-10 scale
B. A patient with a history of chronic obstructive pulmonary disease who has an oxygen saturation of
88%
C. A patient who requests a glass of water
D. A patient who needs assistance with ambulation to the bathroom
Delegation, and Prioritization
(Part 3)
### Question 1
The charge nurse is making patient assignments for the medical-surgical unit. Which patient should be
assigned to the most experienced registered nurse?
A. A patient with diabetes mellitus requiring insulin administration
B. A patient with a newly placed tracheostomy requiring frequent suctioning
C. A patient with a urinary tract infection requiring oral antibiotics
D. A patient with chronic hypertension requiring blood pressure monitoring
💫RATIONALE✔️✔️: The patient with a newly placed tracheostomy requiring frequent suctioning
requires the most experienced nurse due to the complexity of care, need for close monitoring, and
potential for airway compromise. Tracheostomy management requires advanced assessment skills and
knowledge of potential complications. Patients with diabetes, UTIs, and hypertension are less complex
and can be assigned to less experienced nurses.
,💫ANSWER✔️✔️: B. A patient with a newly placed tracheostomy requiring frequent suctioning
---
### Question 2
The nurse manager is implementing a new evidence-based practice protocol for preventing catheter-
associated urinary tract infections (CAUTIs). Which approach is most likely to promote successful
adoption of the new protocol?
A. Distributing written copies of the protocol to all staff members
B. Involving staff nurses in the development and implementation process
C. Requiring staff to attend a mandatory training session
D. Posting the protocol on the unit's bulletin board
💫RATIONALE✔️✔️: Involving staff nurses in the development and implementation of evidence-
based practice changes promotes buy-in, ownership, and sustainability. Staff engagement leads to
better understanding, acceptance, and adherence to new protocols. A participatory approach is more
effective than top-down implementation.
💫ANSWER✔️✔️: B. Involving staff nurses in the development and implementation process
---
### Question 3
, The RN is delegating tasks to the licensed practical nurse (LPN) and unlicensed assistive personnel (UAP).
Which task should the RN delegate to the UAP?
A. Administering oral medications to stable patients
B. Performing a sterile dressing change
C. Assisting a patient with bathing and hygiene
D. Performing a comprehensive admission assessment
💫RATIONALE✔️✔️: Assisting with bathing and hygiene is within the scope of practice for UAP.
Administering oral medications and performing sterile dressing changes are tasks for licensed nursing
personnel. Comprehensive admission assessments are the responsibility of the RN. The RN should
provide clear instructions and supervision for delegated tasks.
💫ANSWER✔️✔️: C. Assisting a patient with bathing and hygiene
---
### Question 4
The nurse is caring for multiple patients and must prioritize care. Which patient should the nurse assess
first?
A. A patient who is 2 days post-operative and reports pain rated 6 on a 0-10 scale
B. A patient with a history of chronic obstructive pulmonary disease who has an oxygen saturation of
88%
C. A patient who requests a glass of water
D. A patient who needs assistance with ambulation to the bathroom
