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1. A Registered Nurse (RN) is planning the care workload for a medical-surgical unit. Which statement best defines the concept of delegation in nursing practice? A. The transfer of authority, responsibility, and accountability for a task to another peer. B. The transfer of the performance of an activity from one individual to another, while the delegating RN retains accountability for the outcome. C. The division of labor among staff members where everyone is responsible for their own patie...

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1. Advanced practice registered nurses include: A. Only nurse practitioners B. Nurse practitioners, clinical nurse specialists, certified registered nurse anesthetists and certified nurse-midwives C. CNAs and LPNs D. Only school nurses Correct Answer: B. Nurse practitioners, clinical nurse specialists, certified registered nurse anesthetists and certified nurse-midwives Rationale: APRNs have graduate education and expanded scope. State law defines their authority. 2. An RN asked to per...

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Delegation & Prioritization - 2026 Clinical Decision Making: Midterm Exam (Units 1-7) - Questions with Correct Answers 3 Exam (elaborations) Delegation & Prioritization - 2026 Clinical Decision Making: Practice Test 1 (Units 1-7) - Questions with Correct Answers 4 Exam (elaborations) Delegation & Prioritization - 2026 Clinical Decision Making: Exam

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Delegation & Prioritization - 2026 Clinical Decision Making: Exam 3 - Questions with Correct Answers 4 Exam (elaborations) Delegation & Prioritization - 2026 Clinical Decision Making: Exam 2 - Questions with Correct Answers 5 Exam (elaborations) Delegation & Prioritization - 2026 Clinical Decision Making: Exam 1 - Questions with Correct Answers

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1. Accountability for the overall nursing care of a patient during a shift rests with: A. The assistive personnel B. The unit clerk C. The patient D. The registered nurse assigned to that patient Correct Answer: D. The registered nurse assigned to that patient Rationale: Others may perform tasks. The RN coordinates and evaluates care. 2. Employer responsibilities in delegation include: A. Identifying a nurse leader responsible for delegation, establishing policies, providing training an...

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1. Clinical decision-making in nursing involves: A. Guessing B. Choosing among alternatives based on assessment data, knowledge and priorities C. Following routine without thought D. Waiting for orders always Correct Answer: B. Choosing among alternatives based on assessment data, knowledge and priorities Rationale: Decisions are made continually. Clinical judgment underpins them. 2. Delegation differs from a handoff because: A. They are identical B. Handoff transfers responsibility an...

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1. Before delegating, the licensed nurse must consider: A. Only staff preference B. Only the time of day C. Patient needs and stability, the delegatee's competence, the nurse's ability to supervise, staffing, acuity, state law and policy D. Only patient preference Correct Answer: C. Patient needs and stability, the delegatee's competence, the nurse's ability to supervise, staffing, acuity, state law and policy Rationale: If delegation is not appropriate, the nurse performs th...

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1. Setting realistic goals for a shift involves: A. Planning every minute rigidly B. Avoiding planning C. Identifying essential tasks and time frames while allowing flexibility for changes D. Delegating everything Correct Answer: C. Identifying essential tasks and time frames while allowing flexibility for changes Rationale: Flexibility is needed for emergencies. Goals keep work focused. 2. Daily, weekly or monthly non-time-critical medications per ISMP may be given within: A. 10 minute...

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1. Task-oriented delegation differs from patient-centered delegation in that patient-centered delegation: A. Considers the whole patient's needs and condition when deciding what to delegate B. Focuses only on tasks C. Ignores patient condition D. Delegates everything Correct Answer: A. Considers the whole patient's needs and condition when deciding what to delegate Rationale: The same task may be safe for one patient but not another. Context matters. 2. Underdelegation occurs when...

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1. The purpose of the 2019 National Guidelines for Nursing Delegation is to: A. Replace state law B. Eliminate assistive personnel C. Increase workloads D. Provide consistent guidance across practice settings for safe delegation Correct Answer: D. Provide consistent guidance across practice settings for safe delegation Rationale: The guidelines apply to all levels of nursing. State law still governs. 2. During a cardiac arrest, assistive personnel trained in CPR may: A. Lead the resuscit...

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