NR 465 Final Exam Questions And
Correct Answers
Delegation - CORRECT ANSWER- · Reassigning of responsibility for the performance
of a job from one person to another
o Direct- usually is verbal direction, RN decides which staff member can perform a
specific task
o Indirect- contained in approved listing of tasks established by an institution; permitted
tasks mat vary from institution to institution (ex: vital signs, blood sugar checks as an
aid)
Delegation vs. Supervision - CORRECT ANSWER- - Supervision is usually more direct
than delegation
- Requires directly overseeing the work and performance of others and includes
checking in with individuals during the day
- May entail delegation of tasks and activities (nursing manager performs both)
Vicarious Liability, Respondent Superior - CORRECT ANSWER- · Healthcare
organizations are responsible for the acts of its employees
· Failure to delegate/supervise within acceptable standards may be considered
malpractice
Considerations for Delegation - CORRECT ANSWER- · Predictability of outcome= if
patient's response to an activity cannot be known with some certainty it should not be
delegation
· Potential for harm= how much risk is involved to the patient due to this task
· Complexity of task= the greater the complexity of this task the less likely it should be
delegated
· Need for assessment/problem solving= if the problem involves a high degree of
problem solving it should be done by the RN
· Level of patient interaction= don't delegate activities that will interfere with the
nurse/patient relationship
· Cannot delegate= nursing process (think ADPIE), education, tasks that require clinical
judgement/assessment
Understanding the Role of the LPN - CORRECT ANSWER- · Care for stable patients
· Collection of patient data and report to RN
· Reinforcement of RN education
· Medication administration (must be IV certified in OH, can only administer certain IV
drugs)
· Basic dressing changes
, · Administration of enteral feeds
LPNs and IV medications - CORRECT ANSWER- · An LPN cannot administer or
maintain blood or blood components, solutions for total parenteral nutrition, cancer
therapeutic medications, medications administered through any other line that does not
run through a peripheral vein including a central venous line and arterial line, and an IV
piggyback infusion
· An LPN is not able to discontinue medication running through any other line that does
run through the peripheral vein
· And LPN cannot begin or stop a peripherally inserted central catheter· An LPN cannot
program or set any function of a patient-controlled analgesic (PCA) pump
Priority Setting - CORRECT ANSWER- · A complex step in the decision-making
process
· Used to rank patient needs, determine order of nursing activities, and manage
resources
· "Critical thinking" supplies the logic within this process
What is priority? - CORRECT ANSWER- · Something that is more important than
anything else at a given time
· Could be related to a patient, team, or organization
· These are principles that assist in arranging activities based on urgency, importance,
significance, or preference
Principles of Prioritization- systemic before local - CORRECT ANSWER- o Something
affecting the whole body vs. something affecting a specific area of the body
Principles of Prioritization- acute before chronic - CORRECT ANSWER- o Something
that develops very suddenly vs. something that is chronic and life-long
Principles of Prioritization- actual before potential problems - CORRECT ANSWER- o
Somebody who is having chest pain with EKG changes vs. somebody who is having
chest pain without EKG changes
Principles of Prioritization- trending vs. transient - CORRECT ANSWER- o Dropping BP
vs. BP that is all over the place (drops then bounces back)
Principles of Prioritization- listen carefully (do not assume) - CORRECT ANSWER- o If
a patient says they are going to die today, then pay attention because patients often
have a sense of feeling
Principles of Prioritization- recognize medical emergencies vs. expected patient findings
- CORRECT ANSWER- o An actual medical emergency vs. someone with a lot of
problems an it is expected for them to present that way
Correct Answers
Delegation - CORRECT ANSWER- · Reassigning of responsibility for the performance
of a job from one person to another
o Direct- usually is verbal direction, RN decides which staff member can perform a
specific task
o Indirect- contained in approved listing of tasks established by an institution; permitted
tasks mat vary from institution to institution (ex: vital signs, blood sugar checks as an
aid)
Delegation vs. Supervision - CORRECT ANSWER- - Supervision is usually more direct
than delegation
- Requires directly overseeing the work and performance of others and includes
checking in with individuals during the day
- May entail delegation of tasks and activities (nursing manager performs both)
Vicarious Liability, Respondent Superior - CORRECT ANSWER- · Healthcare
organizations are responsible for the acts of its employees
· Failure to delegate/supervise within acceptable standards may be considered
malpractice
Considerations for Delegation - CORRECT ANSWER- · Predictability of outcome= if
patient's response to an activity cannot be known with some certainty it should not be
delegation
· Potential for harm= how much risk is involved to the patient due to this task
· Complexity of task= the greater the complexity of this task the less likely it should be
delegated
· Need for assessment/problem solving= if the problem involves a high degree of
problem solving it should be done by the RN
· Level of patient interaction= don't delegate activities that will interfere with the
nurse/patient relationship
· Cannot delegate= nursing process (think ADPIE), education, tasks that require clinical
judgement/assessment
Understanding the Role of the LPN - CORRECT ANSWER- · Care for stable patients
· Collection of patient data and report to RN
· Reinforcement of RN education
· Medication administration (must be IV certified in OH, can only administer certain IV
drugs)
· Basic dressing changes
, · Administration of enteral feeds
LPNs and IV medications - CORRECT ANSWER- · An LPN cannot administer or
maintain blood or blood components, solutions for total parenteral nutrition, cancer
therapeutic medications, medications administered through any other line that does not
run through a peripheral vein including a central venous line and arterial line, and an IV
piggyback infusion
· An LPN is not able to discontinue medication running through any other line that does
run through the peripheral vein
· And LPN cannot begin or stop a peripherally inserted central catheter· An LPN cannot
program or set any function of a patient-controlled analgesic (PCA) pump
Priority Setting - CORRECT ANSWER- · A complex step in the decision-making
process
· Used to rank patient needs, determine order of nursing activities, and manage
resources
· "Critical thinking" supplies the logic within this process
What is priority? - CORRECT ANSWER- · Something that is more important than
anything else at a given time
· Could be related to a patient, team, or organization
· These are principles that assist in arranging activities based on urgency, importance,
significance, or preference
Principles of Prioritization- systemic before local - CORRECT ANSWER- o Something
affecting the whole body vs. something affecting a specific area of the body
Principles of Prioritization- acute before chronic - CORRECT ANSWER- o Something
that develops very suddenly vs. something that is chronic and life-long
Principles of Prioritization- actual before potential problems - CORRECT ANSWER- o
Somebody who is having chest pain with EKG changes vs. somebody who is having
chest pain without EKG changes
Principles of Prioritization- trending vs. transient - CORRECT ANSWER- o Dropping BP
vs. BP that is all over the place (drops then bounces back)
Principles of Prioritization- listen carefully (do not assume) - CORRECT ANSWER- o If
a patient says they are going to die today, then pay attention because patients often
have a sense of feeling
Principles of Prioritization- recognize medical emergencies vs. expected patient findings
- CORRECT ANSWER- o An actual medical emergency vs. someone with a lot of
problems an it is expected for them to present that way
