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ONE – 4 Questions and Answers 2025
WhatAcan be delegated to Assistive personnel (AP)? - CORRECT ANSWERS-- ADLs -
bathing - grooming - dressing - ambulating - feeding (w/o swallow precautions) -
positioning - bed making - specimen collection - I&O - VS (stable clients
A nurse on a med surge unit has recieved change of shift report and will care for 4
clients. Which of the following clients needs will the nurse assign to an AP?
A. Feeding a client who was admitted 24 hours ago with aspiration pneumonia
B. Reinforcing teaching with a clientAwho is learning to walkAwith a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer - CORRECT ANSWERS-C
A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago t
o an AP. Which of the following info should the nurse share with the AP?
Select all:
A. the roommate is up independently
B. The client ambulates with his slippers on over his antiembolic stockings
C. The client uses a front wheeled walker when ambulating
D. The client had pain meds 30 minutes ago
E. The client is allergic to codeine
F. the client ate 50 % of his breakfast this morning - CORRECT ANSWERS-B
C
D
An RN is making assignments for client care to an LPN at the beginning of the shift. Whi
ch of the following assignments should the LPN question?
A. Assisting a client who is 24 hr postop to use an incentive spirometer
B. Collecting a clean catch urine specimen from a client who was admitted on the previo
us shift
C. providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump - CORRECT ANSWERS-D
A nurse is preparing an inservice program aboutAdelegation. Which of the following elem
ents 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 - CORRECT ANSWERS-B
C
E
A nurse manager of a med surge unitAis assigning care responsibilities for the oncoming
shift. A client is waiting transfer back to the unit from the PACU following thoracic surge
ry. To which staff member should the nurse assign the client?
A. Charge nurse
,B. RN
C. LVN
D. AP - CORRECT ANSWERS-B
WhatAis the study of conduct and character? - CORRECT ANSWERS-Ethics
WhatAare the values and beliefs that guide behavior and decision making? -
CORRECT ANSWERS-Morals
WhatAis the right to make ones own personal decisions, even tho those decisions might
not be in the persons bestAinterest - CORRECT ANSWERS-Autonomy
WhatAare positive actions to help others - CORRECT ANSWERS-Beneficience
WhatAis an agreement to keep promises - CORRECT ANSWERS-Fidelity
What is fairness in care delivery and use of resources - CORRECT ANSWERS-Justice
WhatAis avoidance of harm or injury - CORRECT ANSWERS-Non-maleficence
A nurse is caring for a clientAwho decides not to have surgery despite significant blockag
es in his coronary arteries. The nurse understands that this clients choice is an example
of what principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificience - CORRECT ANSWERS-A
A nurse offers pain meds to a clientAwho is postop prior to ambulation. The nurse under
stands that this aspect of care delivery is an example of which of the following ethical pri
nciples?
A. Fidelity
B. Autonomy
C. Justice
D. Beneficience - CORRECT ANSWERS-D
A nurse is instructing a group of nursing students about the responsibilities involved with
organ donation and procurement. When the nurse explains that all clients waiting for a
kidney transplant have to meet the same qualifications, the students should understand
that this aspect of care delivery is an example of which ethical principle
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence - CORRECT ANSWERS-C
A nurse questions a med prescription as too extreme and light of the clients advanced a
ge and unstable status. The nurse understands thatAthis action is an example of which e
thical principle
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificence - CORRECT ANSWERS-D
Which of the following situations can be identified as an ethical dilemma?
A. A nurse on a med surge unit demonstrates signs of chemical impairment
B. A nurse over hears another nurse telling an older adult client that if he doesnt stay in
bed she will restrain him
, C. A family has conflicting feelings about the initiation of enteral tube feedings of their fa
ther who is terminally ill
D. A client who is terminally ill hesitates to name her spouse on her durable power of att
orney form - CORRECT ANSWERS-C
Most managers can be categorized as - CORRECT ANSWERS-
authoritative, democratic, and laissez faire
makes decisions of the group
motivates by coercion
communication occurs down the chain of command
Work output by the staff is usually high-
good for crisis situations and bureaucratic settings - CORRECT ANSWERS-
Authoritative
includes the group when decisions are made
Motivates by supporting star achievements
Communication occurs up and down the chain of command
Work output by staff is usually of good quality-
good when cooperation and collaboration is necessary - CORRECT ANSWERS-
Democratic
makes very few decisions and does little planning
motivation is largely the responsibility of individuals staff members
Communication occurs up and down the chain of command and between group membe
rs
Work output is low unless an informal leader evolves from the group
*the use of any of these styles may be appropriate depending on the situation -
CORRECT ANSWERS-Laissez faire
The nurse should consider the hierarchy of human needs when prioritizing interventions
, which are? - CORRECT ANSWERS-- Physiological needs first (oxygen, shelter, food)
- Safety & security needs (physical safety)
- Love and belonging
- Self esteem
- Self actualization
The ABC framework identifies, in order, the three basic needs for sustaining life -
CORRECT ANSWERS-Airway
Breathing
Circulation
Nurses must follow what code of standards in delegating and assigning tasks -
CORRECT ANSWERS-ANA codes of standards
WhatAvalues would a nurse possess to be a client advocate? - CORRECT ANSWERS--
caring
- autonomy
- respect
- empowerment
WhatAdo the nurse need to keep in mind aboutAthe client when being their advocate? -
CORRECT ANSWERS-Client's religion & culture
When should planning discharge process begin?
a. at time of admission
ONE – 4 Questions and Answers 2025
WhatAcan be delegated to Assistive personnel (AP)? - CORRECT ANSWERS-- ADLs -
bathing - grooming - dressing - ambulating - feeding (w/o swallow precautions) -
positioning - bed making - specimen collection - I&O - VS (stable clients
A nurse on a med surge unit has recieved change of shift report and will care for 4
clients. Which of the following clients needs will the nurse assign to an AP?
A. Feeding a client who was admitted 24 hours ago with aspiration pneumonia
B. Reinforcing teaching with a clientAwho is learning to walkAwith a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer - CORRECT ANSWERS-C
A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago t
o an AP. Which of the following info should the nurse share with the AP?
Select all:
A. the roommate is up independently
B. The client ambulates with his slippers on over his antiembolic stockings
C. The client uses a front wheeled walker when ambulating
D. The client had pain meds 30 minutes ago
E. The client is allergic to codeine
F. the client ate 50 % of his breakfast this morning - CORRECT ANSWERS-B
C
D
An RN is making assignments for client care to an LPN at the beginning of the shift. Whi
ch of the following assignments should the LPN question?
A. Assisting a client who is 24 hr postop to use an incentive spirometer
B. Collecting a clean catch urine specimen from a client who was admitted on the previo
us shift
C. providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump - CORRECT ANSWERS-D
A nurse is preparing an inservice program aboutAdelegation. Which of the following elem
ents 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 - CORRECT ANSWERS-B
C
E
A nurse manager of a med surge unitAis assigning care responsibilities for the oncoming
shift. A client is waiting transfer back to the unit from the PACU following thoracic surge
ry. To which staff member should the nurse assign the client?
A. Charge nurse
,B. RN
C. LVN
D. AP - CORRECT ANSWERS-B
WhatAis the study of conduct and character? - CORRECT ANSWERS-Ethics
WhatAare the values and beliefs that guide behavior and decision making? -
CORRECT ANSWERS-Morals
WhatAis the right to make ones own personal decisions, even tho those decisions might
not be in the persons bestAinterest - CORRECT ANSWERS-Autonomy
WhatAare positive actions to help others - CORRECT ANSWERS-Beneficience
WhatAis an agreement to keep promises - CORRECT ANSWERS-Fidelity
What is fairness in care delivery and use of resources - CORRECT ANSWERS-Justice
WhatAis avoidance of harm or injury - CORRECT ANSWERS-Non-maleficence
A nurse is caring for a clientAwho decides not to have surgery despite significant blockag
es in his coronary arteries. The nurse understands that this clients choice is an example
of what principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificience - CORRECT ANSWERS-A
A nurse offers pain meds to a clientAwho is postop prior to ambulation. The nurse under
stands that this aspect of care delivery is an example of which of the following ethical pri
nciples?
A. Fidelity
B. Autonomy
C. Justice
D. Beneficience - CORRECT ANSWERS-D
A nurse is instructing a group of nursing students about the responsibilities involved with
organ donation and procurement. When the nurse explains that all clients waiting for a
kidney transplant have to meet the same qualifications, the students should understand
that this aspect of care delivery is an example of which ethical principle
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence - CORRECT ANSWERS-C
A nurse questions a med prescription as too extreme and light of the clients advanced a
ge and unstable status. The nurse understands thatAthis action is an example of which e
thical principle
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificence - CORRECT ANSWERS-D
Which of the following situations can be identified as an ethical dilemma?
A. A nurse on a med surge unit demonstrates signs of chemical impairment
B. A nurse over hears another nurse telling an older adult client that if he doesnt stay in
bed she will restrain him
, C. A family has conflicting feelings about the initiation of enteral tube feedings of their fa
ther who is terminally ill
D. A client who is terminally ill hesitates to name her spouse on her durable power of att
orney form - CORRECT ANSWERS-C
Most managers can be categorized as - CORRECT ANSWERS-
authoritative, democratic, and laissez faire
makes decisions of the group
motivates by coercion
communication occurs down the chain of command
Work output by the staff is usually high-
good for crisis situations and bureaucratic settings - CORRECT ANSWERS-
Authoritative
includes the group when decisions are made
Motivates by supporting star achievements
Communication occurs up and down the chain of command
Work output by staff is usually of good quality-
good when cooperation and collaboration is necessary - CORRECT ANSWERS-
Democratic
makes very few decisions and does little planning
motivation is largely the responsibility of individuals staff members
Communication occurs up and down the chain of command and between group membe
rs
Work output is low unless an informal leader evolves from the group
*the use of any of these styles may be appropriate depending on the situation -
CORRECT ANSWERS-Laissez faire
The nurse should consider the hierarchy of human needs when prioritizing interventions
, which are? - CORRECT ANSWERS-- Physiological needs first (oxygen, shelter, food)
- Safety & security needs (physical safety)
- Love and belonging
- Self esteem
- Self actualization
The ABC framework identifies, in order, the three basic needs for sustaining life -
CORRECT ANSWERS-Airway
Breathing
Circulation
Nurses must follow what code of standards in delegating and assigning tasks -
CORRECT ANSWERS-ANA codes of standards
WhatAvalues would a nurse possess to be a client advocate? - CORRECT ANSWERS--
caring
- autonomy
- respect
- empowerment
WhatAdo the nurse need to keep in mind aboutAthe client when being their advocate? -
CORRECT ANSWERS-Client's religion & culture
When should planning discharge process begin?
a. at time of admission
