Can an RN delegate to the LPN to provide tracheostomy care to a client with pneumonia? - ANSWER Yes. A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients. Which of the following client's needs may the nurse assign to an assistive personnel (AP)? A. Feeding a clie...
,ATI RN Fundamentals
Proctored Exam 2024
Updated
Can an RN delegate to the LPN to provide tracheostomy care to a client
with pneumonia? - Answer Yes.
A nurse on a med-surg unit has received change-of-shift report & will care
for 4 clients. Which of the following client's needs may the nurse assign to
an assistive personnel (AP)?
A. Feeding a client who was admitted 24 hrs ago w/aspiration pneumonia
B. Reinforcing teaching w/a client who is learning to walk using a quad
cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer - Answer C. Reapplying a
condom catheter for a client who has urinary incontinence
Rationale: The application of a condom catheter is a noninvasive, routine
procedure that the nurse may delegate to the AP
A nurse is delegating the ambulation of a client who had knee arthroplasty
5 days ago to an AP. Which of the following information should the nurse
share with the AP? Select All.
A. The roommate is up independently.
B. The client ambulates w/his slippers on over his antiembolic stockings
,C. The client uses a front-wheeled walker when ambulating
D. The client had pain medication 30 min ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morning - Answer B, C, D
An RN is making assignments for client care to a LPN at the beginning of
the shift. Which of the following assignments should the LPN question?
A. Assisting a client who is 24hr postop to use an incentive spirometer
B. Collecting a clean-catch urine specimen from a client who was admitted
on the previous shift
C. Providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump - Answer D.
Replacing the cartridge and tubing on a PCA pump
Rationale: The RN is responsible for the PCA pump
A nurse is preparing an in-service program about delegation. Which of the
following elements should she identify when presenting the 5 rights of
delegation? Select all.
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances - Answer B, C, E
A and D are rights of medication administration
A nurse manager of a med-surg unit is assigning care responsibilities for
the oncoming shift. A client is awaiting transfer back to the unit from the
PACU following thoracic surgery. To which staff member should the nurse
assign to this client?
, A. Charge nurse
B. RN
C. LPN
D. AP - Answer B. RN
A client returning from surgery requires assessment and establishment of
a plan of care. RNs are responsible for this, especially if the client is
potentially unstable.
A nurse observes an AP reprimanding a client for not using the urinal
properly. The AP tells him she will put a diaper on him if he does not use
the urinal more carefully next time. Which of the following torts is the AP
committing?
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy - Answer A. Assault
By threatening the client, the AP is committing assault.
An adult client who is competent tells the nurse that he is thinking about
leaving the hospital against medical advice. The nurse believes that this is
not in the client's best interest, so she administers a PRN sedative med
that the client has not requested along w/his usual meds. Which of the
following tort has the nurse committed?
A. Assault
B. False imprisonment
C. Negligence
D. Breach of confidentiality - Answer B. False imprisonment
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