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NR 465 Final Exam Questions And Correct Answers

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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

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NR 465
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NR 465

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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

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Institution
NR 465
Course
NR 465

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Uploaded on
August 30, 2024
Number of pages
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Written in
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