Nursing concepts

Question 1

An RN is leading a team that includes an LPN and a UAP. Which task should the RN assign to the UAP?

Accepted Answer

Turn and reposition a bedbound patient with stage II pressure ulcers

Question 2

After a change of shift, you are assigned to care for the following patients. Which patient should you assess first?

Accepted Answer

50y with asthma who complains of SOB after using a bronchodilator.

Question 3

When is it okay to delegate? (SATA)

Accepted Answer

Task is w/in worker's job description, and you're able to teach & supervise, When pt is stable and you planned to monitor

Question 4

A nurse is caring for a group of patients. Which task can be delegated to an experienced UAP?

Accepted Answer

Measure and document a patient’s vital signs

Question 5

A coworker posted a pic of a pt to social media after removing client identifiers. What action should the nurse take?

Accepted Answer

Report the situation to the nurse manager.

Question 6

The nurse plans care for a client in the post-anesthesia care unit. Which of the following should the nurse assess 1st?

Accepted Answer

Respiratory status

Question 7

What can an RN delegate to a LPN?

Accepted Answer

Gather/monitor data for RN and all things UAP can, Stable pts w/ predictable outcomes and chronic but stable, Routine procedures like Bld glucose, foley, EKG, suctioning, Trach care

Question 8

What can an RN delegate to a CNA/UAP (SATA)?

Accepted Answer

ADLs (Bathe, clean, toilet, position change, feeding - no swallowing issue), Stable patients or 24 postop ONLY, Vital signs

Question 9

You're acting as a preceptor for a new RN. You would assign the new RN to provide care to which pts? (SATA)

Accepted Answer

A. A 38-year old with moderate persistent asthma awaiting discharge., A 63-year old with a tracheostomy needing tracheostomy care every shift.

Question 10

A nurse from med surg was asked to float on ortho floor & has no prior experience. Which client should she be assigned?

Accepted Answer

Pt who had total hip replacement 2 days ago & needs bld glucose monitoring

Question 11

Nurse's pt who has been diagnosed w/ a terminal illness & wishes to stop life sup, but family doesn't. The nurse should:

Accepted Answer

Respecting the pat's autonomy and assist in exploring all resources

Question 12

Nurse notices moral distress among staff d2 repeat exposure to ethical troub sits. What would be most eff. in reduce it?

Accepted Answer

Leading regular interdisciplinary moral case review meetings

Question 13

What priorities are first? (SATA)

Accepted Answer

ABCs, Vital sign concerns, Lab Values that are life threatening

Question 14

You are working with a float nurse - an experienced LPN. Which task is appropriate for the RN to delegate?

Accepted Answer

Administer routine subcutaneous heparin to a post-op patient

Question 15

What are the 5 rights of delegation?

Accepted Answer

Right task, situation, worker, communication and teaching/evaluation

Question 16

You are the charge nurse on a med-surg unit. Which pt is most appropriate to assign to an experienced LPN?

Accepted Answer

70y w/ pneumonia, 12 hours post-admission & requires freq respiratory asses

Question 17

A nurse working in an ED receives a client after a radiological accident. Which task is the utmost priority to do first?

Accepted Answer

Decontaminate the open wound on the client's thigh.

Question 18

What are the elements of informed consent?

Accepted Answer

Pertinent, understandable information, Capacity to decide, Voluntary decision

Question 19

Pt w/ COPD has a diagnosis of Ineffective Breathing Patt.. Which is an appropriate action to delegate to experience LPN?

Accepted Answer

Observe how well the patient performs pursed-lip breathing.

Question 20

An RN is making assignments for the day. Which task is most appropriate to assign to an experienced LPN?

Accepted Answer

Administering scheduled oral meds to a patient with a stable GI bleed

Question 21

What priorities are second in nursing?

Accepted Answer

Changes in mental statu, Untreated medical problems

Nursing concepts

Questions 21

Nursing concepts

Questions 21