.A charge nurse delegates to a licensed practical nurse (LPN) the task of changing a client's
dressing. Several hours later the client reportsthe dressing has not been changed. Which of the
following actions should the charge nurse take? - ANS - Verify the LPN knows how to do a
dressing change
\.A charge nurse is delegating tasks to nursing personnel on a 10-bed medical-surgical nursing
unit. Which of the following assignments is an example of overdelegation? - ANS - . Assigning
the most efficient AP to perform glucometer monitoring for each client
\.A charge nurse is reviewing the list of tasks that have been delegated to the assistive
personnel (AP) by the staff nurse. Which of the following tasks should the charge nurse reassign
to a licensed nurse? - ANS - Removing and cleaning the cannula of a client who has a new
tracheostomy
\.A client who fell and broke his hip while being assisted to the bathroom by a nurse states he
plans to sue the nurse. The nurse should know that, in a legal proceeding, the standard that will
be used to determine if the nurse was negligent is which of the following? - ANS - Another staff
nurse provides testimony about how a reasonable, prudent nurse would have handled the
situation
\.A client who is terminally ill tells a nurse on the medical-surgical unit that she feels hopeless.
Which of the following statements by the nurse is appropriate? - ANS - "Tell me what you
understand about your illness."
\.A nurse enters a client's room and finds the client pulseless. The family hasrequested a
do-not-resuscitate (DNR) order from the provider, but he has not written the order yet. Which of
the following actions should the nurse take? - ANS - Call the emergency response team.
\.A nurse in an acute care setting is planning care for a group of clients at the beginning of the
shift. Which of the following tasks should the nurse assign to the assistive personnel (AP)? -
ANS - Monitoring vital signs of a client who had an appendectomy 12 hr ago
\.A nurse is assigned a group of clients at the start of the shift. Which of the following clients
should the nurse plan to care for first? - ANS - A client asking about his PCA pump that contains
morphine
\.A nurse is obtaining informed consent from a client who is preoperative. Which of the following
actions should the nurse take? (Select all that apply.) - ANS - -Validate the signature is authentic
-Verify that the client understands the surgical procedure
-Confirm that the consent is voluntary is correct.
\.A nurse is planning to assign care activities to the assistive personnel (AP) on her team. Which
of the following activities can the nurse assign to the AP? (Select all that apply.) - ANS -
-Accompany a client who has depression to occupational therapy.
-Check the position of a client in soft wrist restraints.
-Sit with a client who has alcohol use disorder and whose last drink was five days ago.
\.A nurse who is leading a team of nurse managers is planning to make a major announcement.
The nurse should use which of the following nonverbal communication techniques to enhance
, the importance of the announcement? - ANS - Sit in front of the group for the meeting and then
stand for the announcement.
\0.A nurse is teaching a class on torts. The nurse should instruct the class that administering an
antibiotic medication to a competent client after the client has refused it is an example of which
of the following torts? - ANS - Battery
\A charge nurse has access to the facility's electronic client records. It is appropriate for the
charge nurse to share her personal password with whom? - ANS - No one
\A charge nurse has assigned a group of clients to a licensed practical nurse (LPN). The charge
nurse receives reports from her assigned clients about the LPN's lack of care. Which of the
following actions should the charge nurse take? - ANS - Talk with the clients who have reported
the LPN's lack of care.
\A charge nurse is delegating care for a group of clients. Which of the following tasks should the
charge nurse assign to a licensed practical nurse? - ANS - Perform a sterile dressing change for
a client who has an abdominal wound
\A charge nurse is making assignments for nursing personnel who will be caring for clients
during the oncoming shift. Which of the following factors should the charge nurse consider? -
ANS - The physiologic status of the clients on the unit
\A charge nurse is observing a conflict between two nurses who both insist that the charge
nurse favors the other making assignments. Which of the following conflict-resolution strategies
should the charge nurse use? - ANS - Encourage collaboration between the two nurses when
making the assignments.
\A charge nurse is planning to conduct a performance appraisal of a staff member on her unit.
Which of the following actions should the nurse take? - ANS - Provide the staff member with a
copy of the appraisal form in advance.
\A charge nurse is working with an assistive personnel (AP) who provides excellent care to
clients and is an effective team member. Which of the following actions should the nurse take
first to recognize the AP's contributions to client care? - ANS - Give positive feedback directly to
the AP
\A coworker puts an arm around a nurse and says, "I bet you are a great lover." Which of the
following is an appropriate response by the nurse? - ANS - "Speaking to me like that makes me
uncomfortable."
\A nurse and an assistive personnel (AP) are providing care for four clients who were admitted
to the medicalsurgical unit on the previous shift. The nurse should delegate meal assistance for
which of the following clients to the AP? - ANS - A client who has a lumbosacral spinal tumor
\A nurse and an experienced licensed practical nurse (LPN) are caring for a group of clients.
Which of the following tasks should the nurse delegate to the LPN? (Select all that apply. - ANS
- -Obtain vitalsigns from a client who is 6 hr postoperative.
-Administer a tap-water enema to a client who is preoperative.
-Catheterize a client who has not voided in 8 hr.
\A nurse asks the assistive personnel (AP) to take a specimen to the laboratory and the AP
refuses. Which of the following actions should the nurse take? - ANS - Ask the AP about her
concerns with the assignment.
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