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Nurs 450 Exam Questions and Answers
Delegation Ans: Transferring the authority to perform a selected
nursing task in a selected situation to anther team member while
maintaining accountability
Assignment Ans: Transferring the author, accountability, and
responsibility to another member of health care team
The NCSBN 5 rights of Delegation (National Council of State Boards
of Nursing)RN Ans: 1. Right task (consider credentials, nurse
practice act, and agency policy)
2. Right circumstances (consider patient's condition and degree of
supervision required)
3. Right person (consider skills and abilities of individual)
4. Right communication (specific instructions)
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5. Monitoring and evaluation of patient and staff member
performance)
RN Scope of practice Ans: -Care of complex or unstable patients
or care with uncertain outcomes
-initiate the nursing process (develop plan of care)
-client education
-blood products
-IV push
LPN Scope of Practice Ans: -care of stable client
-gather data (technically cannot assess)
-contribute to care plan
-reinforce teaching
-perform skills with predictable outcomes
-administer medications (no IVP, chemo, or blood products)
UAP scope of practice (Unlicensed Assistive Personnel) Ans: -
stable client
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-obtain vital signs
-record I & O
-hygiene care
-positioning and ambulation
-feeding
The RN CANNOT delegation what you can EAT: Ans: -E:
evaluation
-A: Assessment
-T: Teaching
Clinical Judgement Ans: -Interpretation or conclusion about a
patient's needs, concerns, or health problems, and/or the decision
to take action (or not), use or modify standard approaches, or
improvise new ones as deemed appropriate by the patient's
response
-Nursing process is framework but does not describe how
decisions are made
-influenced by knowledge and attitudes
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-not task oriented- differentiates professional from technical
-compares assessments to: known normals, patient baseline, and
pattern recognition
Situated Clinical Reasoning Ans: -failure to recognize acute
confusion in elderly was attributed to :
--attitudes and knowledge about normal aging
--lack of awareness of significance of confusion
--inadequate knowledge of patient states
Role of Reflection Ans: 1. Reflection in action:
-adjusting to patient responses
--reflecting on what happened to patient and adjusting your care
2. Reflection on action
-what you learn from a clinical experience
-development of clinical judgement
--when you go home and reflect on what happened during the day
© 2025 All rights reserved
Nurs 450 Exam Questions and Answers
Delegation Ans: Transferring the authority to perform a selected
nursing task in a selected situation to anther team member while
maintaining accountability
Assignment Ans: Transferring the author, accountability, and
responsibility to another member of health care team
The NCSBN 5 rights of Delegation (National Council of State Boards
of Nursing)RN Ans: 1. Right task (consider credentials, nurse
practice act, and agency policy)
2. Right circumstances (consider patient's condition and degree of
supervision required)
3. Right person (consider skills and abilities of individual)
4. Right communication (specific instructions)
© 2025 All rights reserved
, 2 | Page
5. Monitoring and evaluation of patient and staff member
performance)
RN Scope of practice Ans: -Care of complex or unstable patients
or care with uncertain outcomes
-initiate the nursing process (develop plan of care)
-client education
-blood products
-IV push
LPN Scope of Practice Ans: -care of stable client
-gather data (technically cannot assess)
-contribute to care plan
-reinforce teaching
-perform skills with predictable outcomes
-administer medications (no IVP, chemo, or blood products)
UAP scope of practice (Unlicensed Assistive Personnel) Ans: -
stable client
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-obtain vital signs
-record I & O
-hygiene care
-positioning and ambulation
-feeding
The RN CANNOT delegation what you can EAT: Ans: -E:
evaluation
-A: Assessment
-T: Teaching
Clinical Judgement Ans: -Interpretation or conclusion about a
patient's needs, concerns, or health problems, and/or the decision
to take action (or not), use or modify standard approaches, or
improvise new ones as deemed appropriate by the patient's
response
-Nursing process is framework but does not describe how
decisions are made
-influenced by knowledge and attitudes
© 2025 All rights reserved
, 4 | Page
-not task oriented- differentiates professional from technical
-compares assessments to: known normals, patient baseline, and
pattern recognition
Situated Clinical Reasoning Ans: -failure to recognize acute
confusion in elderly was attributed to :
--attitudes and knowledge about normal aging
--lack of awareness of significance of confusion
--inadequate knowledge of patient states
Role of Reflection Ans: 1. Reflection in action:
-adjusting to patient responses
--reflecting on what happened to patient and adjusting your care
2. Reflection on action
-what you learn from a clinical experience
-development of clinical judgement
--when you go home and reflect on what happened during the day
© 2025 All rights reserved
