Study 101 Unit-4/ Quiz-1 – Flashcards

The registered nurse (RN) must delegate care of an assigned client to an unlicensed assistive person (UAP) for the shift. Which client would be best to delegate to the UAP?

Which task would not be appropriate for the registered nurse (RN) to delegate to a licensed practical nurse (LPN) or unlicensed assistive personnel (UAP)?

The charge nurse on the night shift reports that the narcotic count is incorrect. The nurse has spoken to the responsible staff nurse and believes that substance abuse by the nurse is the cause. If substance abuse proves to be the cause of the incorrect count, what is the most appropriate next step?

A quarterly audit is now due to evaluate implementation of an electronic medical record system on the nursing unit. As the unit representative who supervised the adaptation of this documentation system, how can the nurse best determine if nursing staff have accepted this change?

The nurse on the hospital quality improvement team has been asked to evaluate nursing care on the nurse's assigned unit. After deciding to ask the nursing staff for assistance in this effort, what would be most appropriate for the nurse to initially ask the staff to do?

An RN is about to make first rounds after receiving an intershift report at 3 p.m. In what order should the RN see the following clients? Place the options in order. All options must be used.

A client is experiencing respiratory distress. Respirations are 32 breaths/min and shallow. The client is positioned in an orthopneic position, with a heart rate of 118/min and a blood pressure of 90/40 mm Hg. The client is pale and confused. Which task should the nurse delegate to the charge nurse?

A nurse is assisting a client in room 1 with lunch. The charge nurse calls the nurse and states the client in room 3 is reporting pain and requests pain medication. What is the nurse's best and first action?

After receiving the intershift report, the registered nurse (RN) has many tasks to complete during the next 12 hours. Which tasks would the nurse delegate to an unlicensed assistant person (UAP)? Select all that apply.

The registered nurse (RN) is assigned to five clients for the shift. Which tasks are best delegated to the licensed practical/vocational nurse (LPN/LVN)? Select all that apply.

The delivery of care system on a medical floor is team nursing. On wing A, there is a registered nurse (RN), licensed practical/vocational nurse (LPN/LVN), and an unlicensed assistant person (UAP) to care for eight clients. Which tasks would be best delegated to the LPN?

A nurse is delegating care of clients to the certified nursing assistant (CNA) and licensed practical nurse (LPN). Which tasks should the nurse give the CNA and LPN?

A nurse is preparing for the shift, and makes a list of delegated tasks for the unlicensed assistive person (UAP). Which task should the nurse delegate to the UAP?

A registered nurse (RN) who is the charge nurse for the shift is making assignments for the day. Which client should be assigned to the licensed practical nurse (LPN)?

The staff nurse who is in charge of the medical-surgical unit for the shift is receiving four admissions. The emergency department is sending a client with hypertension and an exacerbation of heart failure, and a client who has pneumonia and a history of diabetes mellitus. The post-anesthesia care unit (PACU) is transferring a client who had a total abdominal hysterectomy and a client who underwent hip replacement. If the staff consists of two RNs (one on orientation) and two LPNs, what assignment would be appropriate?

An obstetric nurse is floated to a medical unit to care for a group of acutely ill clients. The charge nurse should assign which group of clients to the float nurse?

A nurse plans to delegate some responsibilities of client care to a licensed practical nurse (LPN). Which task should the nurse delegate to the LPN?

A nurse has delegated a venipuncture to an unlicensed assistant (UA) who has been off orientation for five days. The UA reports, "This client has a large, raised red area where the needle was inserted." The nurse's subsequent assessment reveals a hematoma in the venipuncture area. What elements of delegation have been breached? Select all that apply.

Upon calling the health care provider regarding a client with "heartburn," diaphoresis, and irregular pulse, the nurse receives stat orders for the following: electrocardiogram, cardiac panel, morphine 2 mg IV push, nitroglycerin 0.4 mg sublingual, and aspirin 325 mg p.o. chew and swallow. Which tasks should the nurse delegate? Select all that apply.

A registered nurse (RN) working on the medical unit arrives at work 15 minutes late. The nurse is assigned five clients, and an admission is on the way. Place in order of priority how the nurse should complete the following activities at the beginning of the work shift. Place the options in order. All options must be used.

A nurse is preparing for a busy day on a medical nursing unit. Prioritize the tasks and place the options in order. All options must be used.