Nursing Delegation, Roles and Responsibilities, and
Clinical Decision-Making (Management)
1.a nurse enters the room of a client and finds the client lying on the
floor. which of the following actions should the nurse take?
a. call the provider
b. ask a staff member for assistance getting the client back in bed
c. inspect the client for injuries
d. instruct the client to ask for help if they need to get out of bed: c. inspect
the client for injuries
2.an RN on the med-sub unit is making assignments at the beginning of the
shift. which of the following tasks should the nurse delegate to the PN?
a. obtain vital signs for a client who is 2 hr post procedure following a
cardiac catheterization
b. administer a unit of packed red blood cells to a client who has cancer
c. instruct a client who is scheduled for discharge in the performance of
wound care
d. develop a plan of care for a newly admitted client who has pneumonia: a.
obtain vital signs for a client who is 2 hr post procedure following a
cardiac catheter- ization
- considered stable
3.a PN ending their shift reports to the RN that a newly hired AP has not
calculated the intake and output for several clients. which of the
following actions should the RN take?
a. complete an incident report
b. delegate the task to the PN
c. ask the PN if they need assistance
d. notify the nurse manager: c. ask the PN if they need assistance
- find out if the AP knows about performing the task and provide educatio
if indicated
4.a nurse manager is developing an orientation plan for newly licensed
nurs- es. which of the following information should the manager include in
the plan? (select all that apply)
a. skill proficiency
1/
100
,b. assignment to a preceptor
c. budgetary principles
d. computerized charting
e. socialization into unit cultures
f. facility policies and procedures: a. skill proficiency
b.assignment to a preceptor
d.computerized charting
e. socialization into unit cultures
f.facility policies and procedures
- budgetary principles: administrative skill
5.a nurse manager is providing information about the audit process to
mem- bers of the nursing team. which of the following information should
the nurse manager include? (select all that apply)
a. a structure audit evaluates the setting and resources available to
provide care
b. an outcome audit evaluates the results of the nursing care provided
c. a root cause analysis is indicated when a sentinel event occurs
d. retrospective audits are conducted while the client is receiving care
e. after data collection is completed, it is compared to a benchmark: a.
a structure audit evaluates the setting and resources available to
provide care
b.an outcome audit evaluates the results of the nursing care provided
c. a root cause analysis is indicated when a sentinel event occurs
e. after data collection is completed, it is compared to a benchmark
- concurrent audits are conducted while client is receiving care
6.a nurse is participating in a quality improvement study of a procedure fre-
quently performed on the unit. which of the following information will
provide data regarding the efficacy of the procedure?
a. frequency with which procedure is performed
b. client satisfaction with performance of procedure
c. incidence of complications related to procedure
d. accurate documentation of how procedure was performed: c. incidence
of complications related to procedure
7.a case manager is discussing critical pathways with a group of newly
hired nurses. which of the following statements indicates understanding?
2/
100
,a. "the time to fill out the pathways often increases the cost of care"
b. "the pathway shows an estimate of the number of days the client will
be hospitalized"
c. "deviance from the pathway is a sign of improved care quality"
d. "the pathway includes information about the client's history": b. "the
pathway shows an estimate of the number of days the client will be
hospitalized"
- often reduce cost of care (streamlines care services)
- deviances from the pathway require documentation of explanation
(usually means client is not progressing at the expected rate)
- critical pathway: projection of TREATMENTS the patient will receive
based on diagnosis
8.a nurse who has just assumed the role of unit manager is examining the
skills necessary for interprofessional collaboration. which of the following
actions supports the nurse's interprofessional collaboration? (select all
that apply)
a. use aggressive communication when addressing the team
b. recognize the knowledge and skills of each member of the team
c. ensure that a nurse is assigned to serve as the group facilitator for all
inter professional meetings
d. encourage the client and family to participate in the team meeting
e. support team member requests for referral: b. recognize the knowledge
and skills of each member of the team
d.encourage the client and family to participate in the team meeting
e. support team member requests for referral
- a nurse can serve as the facilitator, however this role can be
assumed by any member of the team
- nurse should use assertive skulls when communicating
9.a nurse is caring for a client who has chest pain. the client says, "I am
going home immediately." which of the following actions should the nurse
take? (select all that apply)
a. notify the client's family of their intent to leave the facility
b. document the client's intent to leave the facility against medical
advice (AMA)
c. explain to the client the risks involved if they choose to leave
d. ask the client to sign a form relinquishing responsibility of the facility
3/
100
, e. prevent the client from leaving the facility until the provider arrives:
b. document the client's intent to leave the facility against medical
advice (AMA)
c. explain to the client the risks involved if they choose to leave
4/
100
Clinical Decision-Making (Management)
1.a nurse enters the room of a client and finds the client lying on the
floor. which of the following actions should the nurse take?
a. call the provider
b. ask a staff member for assistance getting the client back in bed
c. inspect the client for injuries
d. instruct the client to ask for help if they need to get out of bed: c. inspect
the client for injuries
2.an RN on the med-sub unit is making assignments at the beginning of the
shift. which of the following tasks should the nurse delegate to the PN?
a. obtain vital signs for a client who is 2 hr post procedure following a
cardiac catheterization
b. administer a unit of packed red blood cells to a client who has cancer
c. instruct a client who is scheduled for discharge in the performance of
wound care
d. develop a plan of care for a newly admitted client who has pneumonia: a.
obtain vital signs for a client who is 2 hr post procedure following a
cardiac catheter- ization
- considered stable
3.a PN ending their shift reports to the RN that a newly hired AP has not
calculated the intake and output for several clients. which of the
following actions should the RN take?
a. complete an incident report
b. delegate the task to the PN
c. ask the PN if they need assistance
d. notify the nurse manager: c. ask the PN if they need assistance
- find out if the AP knows about performing the task and provide educatio
if indicated
4.a nurse manager is developing an orientation plan for newly licensed
nurs- es. which of the following information should the manager include in
the plan? (select all that apply)
a. skill proficiency
1/
100
,b. assignment to a preceptor
c. budgetary principles
d. computerized charting
e. socialization into unit cultures
f. facility policies and procedures: a. skill proficiency
b.assignment to a preceptor
d.computerized charting
e. socialization into unit cultures
f.facility policies and procedures
- budgetary principles: administrative skill
5.a nurse manager is providing information about the audit process to
mem- bers of the nursing team. which of the following information should
the nurse manager include? (select all that apply)
a. a structure audit evaluates the setting and resources available to
provide care
b. an outcome audit evaluates the results of the nursing care provided
c. a root cause analysis is indicated when a sentinel event occurs
d. retrospective audits are conducted while the client is receiving care
e. after data collection is completed, it is compared to a benchmark: a.
a structure audit evaluates the setting and resources available to
provide care
b.an outcome audit evaluates the results of the nursing care provided
c. a root cause analysis is indicated when a sentinel event occurs
e. after data collection is completed, it is compared to a benchmark
- concurrent audits are conducted while client is receiving care
6.a nurse is participating in a quality improvement study of a procedure fre-
quently performed on the unit. which of the following information will
provide data regarding the efficacy of the procedure?
a. frequency with which procedure is performed
b. client satisfaction with performance of procedure
c. incidence of complications related to procedure
d. accurate documentation of how procedure was performed: c. incidence
of complications related to procedure
7.a case manager is discussing critical pathways with a group of newly
hired nurses. which of the following statements indicates understanding?
2/
100
,a. "the time to fill out the pathways often increases the cost of care"
b. "the pathway shows an estimate of the number of days the client will
be hospitalized"
c. "deviance from the pathway is a sign of improved care quality"
d. "the pathway includes information about the client's history": b. "the
pathway shows an estimate of the number of days the client will be
hospitalized"
- often reduce cost of care (streamlines care services)
- deviances from the pathway require documentation of explanation
(usually means client is not progressing at the expected rate)
- critical pathway: projection of TREATMENTS the patient will receive
based on diagnosis
8.a nurse who has just assumed the role of unit manager is examining the
skills necessary for interprofessional collaboration. which of the following
actions supports the nurse's interprofessional collaboration? (select all
that apply)
a. use aggressive communication when addressing the team
b. recognize the knowledge and skills of each member of the team
c. ensure that a nurse is assigned to serve as the group facilitator for all
inter professional meetings
d. encourage the client and family to participate in the team meeting
e. support team member requests for referral: b. recognize the knowledge
and skills of each member of the team
d.encourage the client and family to participate in the team meeting
e. support team member requests for referral
- a nurse can serve as the facilitator, however this role can be
assumed by any member of the team
- nurse should use assertive skulls when communicating
9.a nurse is caring for a client who has chest pain. the client says, "I am
going home immediately." which of the following actions should the nurse
take? (select all that apply)
a. notify the client's family of their intent to leave the facility
b. document the client's intent to leave the facility against medical
advice (AMA)
c. explain to the client the risks involved if they choose to leave
d. ask the client to sign a form relinquishing responsibility of the facility
3/
100
, e. prevent the client from leaving the facility until the provider arrives:
b. document the client's intent to leave the facility against medical
advice (AMA)
c. explain to the client the risks involved if they choose to leave
4/
100
