Leadership – Delegation Exam Solution Questions And Answers 2022/2023

Leadership – Delegation Exam Solution Questions And Answers 2022/2023 The charge nurse is making assignments for a 30-bed cardiac unit staffed with three registered nurses (RNs), three licensed practical nurses (LPNs), and three unlicensed assistive personnel (UAPs). Which assignment is most appropriate by the charge nurse? 1. Assign an RN to perform all sterile procedures. 2. Assign an LPN to give all IV medications. 3. Assign an UAP to complete the a.m. care. 4. Assign an LPN to write the care plans. - ANS-3. Assign an UAP to complete the a.m. care. - The primary cardiac nurse is delegating tasks to the unlicensed assistive personnel (UAP). Which delegation task warrants intervention by the charge nurse of the cardiac unit? 1. The UAP is instructed to bathe the client who is on telemetry. 2. The UAP is requested to obtain a bedside glucometer reading. 3. The UAP is asked to assist with a portable chest x-ray. 4. The UAP is told to feed a client who is dysphagic. - ANS-4. The UAP is told to feed a client who is dysphagic. The nurse and the UAP enter the client's room and discover that the client is unresponsive. Which action, according to the American Heart Association (AHA) guidelines, should the nurse assign to the UAP first? 1. Ask the UAP to check whether the client is asleep. 2. Tell the UAP to perform cardiac compressions. 3. Instruct the UAP to get the crash cart. 4. Request the UAP to put the client in a recumbent position. - ANS-3. Instruct the UAP to get the crash cart. The cardiac clinic nurse has told the female unlicensed assistive personnel (UAP) twice to change the sharps container in the examination room, but it has not been changed. Which action should the nurse implement first? 1. Tell the UAP to change it immediately. 2. Ask the UAP why the sharps container has not been changed. 3. Change the sharps container as per clinic policy. 4. Document the situation and place a copy of the documentation in the employee file. - ANS-3. Change the sharps container as per clinic policy. The client on telemetry is showing ventricular tachycardia. Which action should the telemetry nurse delegate to the unlicensed assistive personnel (UAP)? 1. Have the UAP call the operator and announce the code. 2. Tell the UAP to answer the other call lights on the unit. 3. Send the UAP to the room to start rescue breaths. 4. Ask the family to step out of the room during the code. - ANS-2. Tell the UAP to answer the other call lights on the unit The intensive care unit nurse and a UAP are caring for a client who has had a coronary artery bypass graft (CABG). Which nursing task should the nurse assign to the UAP? 1. Monitor the client's arterial blood gases. 2. Re-infuse the client's blood using the cell saver. 3. Assist the client to take a sponge bath. 4. Change the client's saturated leg dressing. - ANS-3. Assist the client to take a sponge bath The clinic nurse is making assignments to the staff. Which assignment/delegation is most appropriate? 1. Request the LPN to escort the client to the examination room. 2. Ask the unlicensed assistive personnel (UAP) to prepare the room for the next client. 3. Instruct the RN to administer the tetanus shot to the client. 4. Tell the clinic secretary to call in a new prescription for a client. - ANS-2. Ask the unlicensed assistive personnel (UAP) to prepare the room for the next client Which action by the unlicensed assistive personnel (UAP) indicates to the nurse the UAP understands the correct procedure for applying compression stockings to the client recovering from a pulmonary embolus? 1. The UAP instructs the client to sit in the chair when applying the stockings. 2. The UAP cannot insert one finger under the proximal end of the stocking. 3. The UAP ensures the toe opening is placed on the top side of the feet. 4. The UAP checked to make sure the client's toes were warm after putting the stockings on. - ANS-4. The UAP checked to make sure the client's toes were warm after putting the stockings on. The nurse observes an LPN crushing nifedipine (Procardia XL) before administering the medication to a client with arterial hypertension who has difficulty swallowing pills. Which intervention should the nurse implement first? 1. Tell the LPN to take the client's blood pressure. 2. Take no action since this is appropriate behaviour. 3. Show the LPN where to find pudding for the client. 4. Tell the LPN this medication cannot be crushed. - ANS-4. Tell the LPN this medication cannot be crushed The nurse is caring for clients on a vascular unit. Which nursing task is most appropriate to delegate to an unlicensed assistive personnel (UAP)? 1. Tell the UAP to obtain the glucometer reading of the client who is dizzy and lightheaded. 2. Request the UAP to elevate the feet of the client with chronic venous insufficiency...