RN 2.0-Elsevier Adaptive Quizzing-HESI
Prep with all correct answers 100%
RN 2.0-Elsevier Adaptive Quizzing-HESI
Prep with all correct answers 100%
Which process involves transferring responsibility to multiple players, usually with
varying degrees of education and experience, while retaining the ultimate accountability
for providing the client care?
a. Leadership
b. Delegation
c. Supervision
d. Assignment - CORRECT ANSWER B. Delegation
*Delegation is a process of sharing the responsibility of client care. It involves the
transfer of responsibility for the performance of an activity from one individual to
another, with the delegator retaining accountability for the outcome.* Leadership is the
use of individual traits and abilities in relationship with others, the ability to interpret the
context where a situation is emerging, and entering that situation in the absence of a
script or defined plan that could have been projected. Supervision is defined as the
active process of directing, guiding, and influencing the outcome of an individual's
performance of an activity. Assignment is the transfer of both the accountability and the
responsibility from one person to another.
The registered nurse (RN) is caring for a client who underwent a hysterectomy. Which
tasks can be delegated to the unlicensed assistive personnel (UAP) to provide quality
care to the client? Select all that apply.
a. Recording vital signs
b. Assisting the client with bathing
c. Administering oral medications
d. Preparing the care plan for the client
e. Administering intravenous antibiotics - CORRECT ANSWER a. Recording vital signs
b. Assisting the client with bathing
*The tasks within the scope of unlicensed assistive personnel (UAP) include recording
vital signs and providing basic hygiene, such as assisting the client with activities of
daily life such as bathing.* Administering oral medications is under the scope of licensed
practical nurse (LPN) or licensed vocational nurse (LVN), but not the UAP. Depending
on the state, administering intravenous antibiotics can be performed by either the RN or
an LPN/LVN. Preparing the care plan for the client should be performed by the
registered nurse only.
What is the ultimate goal of delegation?
a. To deliver patient care as a team
b. To maximize patient care outcomes
,RN 2.0-Elsevier Adaptive Quizzing-HESI
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c. To improve the working ability of the nurse
d. To maintain open lines of communication between delegator and the delegate -
CORRECT ANSWER b. To maximize patient care outcomes
*The ultimate goal of the delegation is to maximize patient care outcomes.* Delegation
helps to deliver patient care as a team and improves the working ability of the nurse but
these are not the ultimate goals of delegation. Maintaining open lines of communication
between delegator and the delegatee creates a productive work environment in
delivering patient care.
Which member of the health care team is accountable for initial assessment and
ongoing evaluation of client care?
a. Registered nurse
b. Licensed practical nurse
c. Primary health care provider
d. Unlicensed nursing personnel - CORRECT ANSWER a. Registered nurse
*The registered nurse is accountable for the initial assessment and ongoing evaluation
of the client.* A licensed practical nurse is not accountable for initial assessment and
ongoing evaluation of the client. The primary health care provider is accountable for
diagnosing the problem and reviewing the client responses. An unlicensed nursing
personnel performs the tasks delegated by the registered nurse or other delegators.
Which description by the nurse is a correct explanation of delegation?
a. The transfer of responsibility for the performance of an activity
b. The person's responsibility and accountability for individual actions or omissions
c. The active process of directing, guiding, and influencing the outcome of an individual
d. The transfer of both the accountability and responsibility from one person to another -
CORRECT ANSWER a. The transfer of responsibility for the performance of an activity
*Delegation is the transfer of responsibility for the performance of an activity.* Personal
liability defines each person's responsibility and accountability for individual actions or
omissions. Supervision is defined as the active process of directing, guiding, and
influencing the outcome of an individual. Assignment is the transfer of both the
accountability and the responsibility from one person to another.
The registered nurse is delegating to four unlicensed nursing personnel (UNP) who are
performing various delegated client care activities. Which UNP needs more education
and monitoring?
a. UNP A--Client Diabetes--Activity: Measuring blood glucose levels immediately after a
meal
b. UNP B--Client: Hypothyroidism--Activity: Producing accurate account of the client's
condition
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c. UNP C--Client: Hypertension--Activity: Documenting the blood pressure levels of the
client
d. UNP D--Client: Headache--Activity: Asking the client to sleep in dark room -
CORRECT ANSWER a. UNP A--Client Diabetes--Activity: Measuring blood glucose
levels immediately after a meal
*The registered nurse has to carefully select the eligible staff to complete a given task in
a productive manner. The registered nurse has to educate, guide, and monitor the
unlicensed nurse (UNP) who measures the blood glucose levels immediately after
meals. The food takes time to be digested and absorbed into the blood, therefore, the
blood glucose levels should be checked an hour after a meal. The registered nurse
should provide motivational feedback about the working performance to the respective
UNP.* A registered nurse should be accountable for the delegated task; UNP B should
be responsible for providing proper client care. UNP C should document the blood
pressure and other information related to client care for future accountability. UNP D
may provide simple, straight forward information to the client.
While organizing a community health care program for polio vaccinations, the registered
nurse delegates the task of administering vaccines to the members of the health care
team. Who among the health care team is most suitable to carry out the task?
a. Technician
b. Patient care associate
c. Certified nursing aide
d. Licensed practical nurse - CORRECT ANSWER d. Licensed practical nurse
*The licensed practical nurse can be delegated the task of administering oral
medications or vaccines.* Technicians, patient care associates, and certified nursing
aides are unlicensed assistive personnel who are not appropriate for delegation of tasks
such as administering medication or vaccines as per the delegation rights. The scope of
practice for unlicensed assistive personnel providing client care is limited to providing
basic care, comfort, and hygiene.
8. Which professionals in a healthcare organization can be delegators?
a. Assistants
b. Technicians
c. Registered nurses
d. Client care associates - CORRECT ANSWER c. Registered nurses
*Registered nurses are professionals in a healthcare organization who can be
delegators. The registered nurses allocate a portion of work related to client care to
other individuals.* Assistants, technicians, and client care associates in a healthcare
organization can be delegatees.
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A healthcare team is caring for a client with dental pain. Which task is most suitable to
be delegated to unlicensed assistive personnel (UAP) to provide effective client care?
a. Administering analgesics
b. Administering intravenous antibiotics
c. Administering nerve block anesthesia
d. Administering mouth wash for oral hygiene - CORRECT ANSWER d. Administering
mouth wash for oral hygiene
*The UAP scope of practice includes administering mouth wash to the client.*
Instructing the UAP to administer medications such as antibiotics and anesthetics is
inappropriate because the UAP is not eligible to do so and may not have the knowledge
to administer medications. Administering nerve block anesthesia should be performed
by the anesthesiologist.
Which team member is most accountable when delegating a task to the healthcare
team?
a. Certified technician
b. Registered nurse (RN)
c. Licensed practical nurse (LPN)
d. Unlicensed assistive personnel (UAP) - CORRECT ANSWER b. Registered nurse
(RN)
*The registered nurse (RN) on the healthcare team is most accountable when
delegating a task to the team. *The certified technician on the healthcare team is
responsible for the assigned task. Similarly, the LPN and UAP are also responsible for
the assigned task.
Which component of delegation is retained while the delegator is delegating the client's
care task to the nursing aide?
a. Authority
b. Supervision
c. Responsibility
d. Accountability - CORRECT ANSWER d. Accountability
*Accountability is retained by the delegator while delegating a client's care task to the
nursing aide.* Every individual on the healthcare team has authority for the delegated
task. The nursing aide is just responsible for the delegated task, so the delegator retains
the accountability. Supervision is a right of delegation.
What entity outlined the principles of delegation for registered nurses?
a. Nurse Practice Act
b. Multilevel nursing model
c. American Nurses Association (ANA)
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