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NURS 1115B Exam 1 questions well answered
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NURS 1115B Exam 1 questions well answered
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NURS 1115B Exam 1 questions wellanswered
1. You are making the patient assignment for the next shift . On your unit there are three LPNs , two
RNs , and two nursing assistants . Which patients will you assign to the LPNs ? ( Select all that apply) .
A. A 68 - year - old male patient who is expected to be discharged home with IV antibiotic therapy.
B. A 25 - year - old female patient newly admitted with diabetic ketoacidosis .
C. A 75 - year - old male patient with dementia who has an ileostomy and to scheduled tube feedings .
D. A 65 - year - old female patient who has an order to remove the Foley catheter . - correct answer
✔✔C,D
2. As the registered nurse , which tasks below should you NOT delegate to the LPN ? Select all that
apply )
A. Performing an assessment on a new admission
B. Collecting a urine sample from an indwelling Foley catheter
C. Developing a plan of care for a patient who is admitted with Guillain Barre Syndrome .
D. Educating a patient about how to monitor for side effects associated with Warfarin .
E. Auscultating lung and bowel sounds .
F. Starting a blood transfusion
G. Administering IV Morphine 2 mg for pain .
H. Providing wound care to a stage 3 pressure injury . - correct answer ✔✔A, C, D, F, G
3. On your unit there are two RNs : one is a new RN while the other is an experienced RN . In addition ,
there are three LPNs and two nursing assistants . Which tasks delegated to one of the nursing assistants
by the new RN needs to be re - evaluated ? ( Select all that apply )
A. Apply hydrocortisone cream to eczema on skin after giving the patient a bath.
B. Assist the patient with administering a Fleet Enema.
C. Empty an ostomy bag.
D. Collect and record patient's blood pressure, heart rate, temperature,oxygen saturation, respirations,
and pain rating.
,E. Assist a patient with ambulating - correct answer ✔✔A, B
4. When delegating you know that as an RN you must follow the 5 Rights of
Delegation to make sure you are delegating properly. Select all the 5 Rights
of Delegation. (Select all that apply)
A. Right Credentials
B. Right Direction/Communication
C. Right Supervision/Evaluation
D. Right Experience
E. Right Task
F. Right Person
G. Right Patient
H. Right Circumstance
I. Right Time
J. Right Order - correct answer ✔✔E, F, H, B, C
5. An RN delegates to the LPN to administer a scheduled tube feeding to a
patient. The RN has now transferred full accountability to the LPN for the
task getting done, and the RN is no longer accountable for the task.
A. True
B. False - correct answer ✔✔B
6. An RN has a critical patient that needs constant monitoring. However, the
RN also has other patient in need of care. Which tasks below could the RN
delegate to the LPN to help continue the process of patient care? (Select all
that apply)
A. Admitting and assessing the new admission
B. Completing the discharge teaching to a patient going home
C. Updating and evaluating the patient's plan of care.
,D. Administering subcutaneous Heparin
E. Obtaining a routine 12-lead EKG
F. Collecting a stool specimen
G. Flushing a central line with normal saline. - correct answer ✔✔D, E, F
7. Which patients below are best assigned to the LPN? (Select all that apply)
A. A 30-year-old male patient with an active GI bleed that requires multiple
blood transfusions.
B. A 78-year-old female with osteoporosis who needs assistance
performing range of motion exercises and ambulating with a walker.
C. A 29-year-old male patient who is post-op day 6 from a colostomy
placement that is on a clear liquid diet.
D. A 55-year-old male patient who reports chest pain and has ST segment
elevation on his EKG - correct answer ✔✔B, C
8. Select all the task you could delegate to a nursing assistant as the RN.
A. Wound dressing change
B. IV flush
C. Collecting vital signs
D. Weighing a patient
E. Mouth care
F. Suctioning a patient
G. Applying oxygen to a patient
H. Connecting a patient to their IV fluids
I. Assisting a patient with a bath
J. Applying denture paste to dentures - correct answer ✔✔C, D, E, I, J
9. A nurse from medical-surgical unit is asked to work on the orthopedic unit.
The medical-surgical nurse has no orthopedic nursing experience. Which
, client should be assigned to the medical-surgical nurse?
A. A client with a cast for a fractured femur and who has numbness and
discoloration of the toes.
B. A client with balanced skeletal traction and who needs assistance with
morning care.
C. A client who had an above-the-knee amputation yesterday and has a
temperature of 101.4 F.
D. A client who had a total hip replacement 2 days ago and needs blood
glucose monitoring. - correct answer ✔✔D
10.A nurse preceptor is working with a new nurse and notes that the new
nurse is reluctant to delegate tasks to member of the care team. The nurse
preceptor recognizes that this reluctance most likely is due to
A. Role modeling behaviors of the preceptor.
B. The philosophy of the new nurse's school of nursing.
C. The orientation provided to the new nurse.
D. Lack of trust in the team members. - correct answer ✔✔D
11.The measurement and documentation of vital signs is expected for clients
in a long-term facility. Which staff type would it be a priority to delegate
these tasks to?
A. Practical Nurse (LPN)
B. Registered Nurse (RN)
C. Unlicensed assistive personnel (UAP)
D. Volunteer - correct answer ✔✔C
12. A client has had a tracheostomy for 2 weeks after a motor vehicle accident.
Which task could the RN safely delegate to the unlicensed assistive
personnel (UAP)?
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