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BIOL 101Prioritzation and Delegation Practice Questions with answers latest update 2022
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BIOL 101Prioritzation and Delegation Practice Questions with answers latest update 2022
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Prioritization and Delegation Practice Questions1. The charge nurse assigns two RNs to provide care as a team for laboring patients. What are the supervisory needs of
each of these?
a) Because they have equal status, each RN is responsible for supervising the other RN.
b) Supervision is not necessary because each RN is responsible and accountable for his/her own practice.
c) RNs cannot delegate to other RNs, so supervision is not possible in this situation.
d) The charge nurse who made the assignment is responsible for supervising each of the RNs.
2. In determining the competencies of staff to whom the registered nurse may delegate, the RN should review the
annual staff competencies required by:
a) Licensing bodies such as the American Nurses Association
b) American Association of Critical Care Nurses
c) Accrediting agencies such as the Joint Commission
d) Third party payers such as Medicaid and private insurers
3. Which of the following would have the highest priority when one is determining to whom to delegate a task?
a) How many times the person has performed the task
b) Whether the employee wants to perform the task
c) The amount of time needed to complete the task
d) The credentials of the person to whom the task is being delegated
4. An experienced LPN, under the supervision of the team leader RN, is providing nursing care for a patient with a
respiratory problem. Which actions are appropriate to the scope of practice of an experienced LPN? (Select all that
apply.)
a) Perform trach care
b) Administer medications via metered-dose inhaler (MDI)
c) Complete in-depth admission assessment
d) Initiate the nursing care plan
e) Reinforce teaching for using MDI’s
5. The charge nurse is making assignments for a 30-bed cardiac unit staffed with three registered nurses (RNs),
three licensed practical nurses (LPNs), and three unlicensed assistive personnel (UAPs). Which assignment is
most appropriate by the charge nurse?
a) Assign an RN to perform all sterile procedures.
b) Assign an LPN to give all IV medications.
c) Assign an UAP to complete the a.m. care.
d) Assign an LPN to write the care plans.
6. The nurse is assigned to the following clients. Which client should be assessed first?
a) A client admitted to the hospital for observation who has absent bowel sounds.
b) A 24-hour postoperative client who had a wedge resection of the lung and has a closed chest tube
drainage system.
c) A client with CHF who has a 4 lb weight gain since yesterday and is experiencing shortness of breath.
d) A client who is undergoing surgery for a hysterectomy on the following day.
7. The unlicensed assistive personnel (UAP) tells the nurse the client has a blood pressure of 78/46 and a pulse of
116 using a vital signs machine. Which intervention should the nurse implement first?
a) Notify the healthcare provider immediately.
b) Have the UAP recheck the client’s vital signs manually.
c) Place the client in Trendelenburg position.
d) Assess the client’s cardiovascular status.
8. The patient's spouse is frustrated and tells the nurse, "Everyone is telling me something different as to when my
wife is going to be able to go home. I don't know who to believe." Which statement is the nurse's best response?
a) “I see can see you are frustrated. Would you like to talk about how you feel?”
b) “I will contact the case manager and have her talk to you as soon as possible.”
c) “Don’t worry. Your wife won’t go home until both you and she are ready.”
, d) “Your wife’s healthcare provider should be able to give you all that information.”
9. The clinic nurse is caring for a 10-year-old boy with a diagnosis of type 2 diabetes being managed with
therapeutic lifestyle change. Which problem is priority?
a) Altered nutrition-excessive intake
b) Risk for low self-esteem
c) Hypoglycemia
d) Risk for loss of body part
10. The overhead page has just announced a Code Red, actual fire, on a unit two floors below the unit where the nurse
is working. Which action should the nurse implement first?
a) Turn off oxygen supply to the rooms.
b) Evacuate the patients to a lower floor.
c) Close all of the doors to the patient’s rooms.
d) Make a list of patients ready for discharge.
11. The nurse has received the shift report. Which client should the nurse assess first?
a) The client with a deep vein thrombosis who is complaining of dyspnea and coughing.
b) The client diagnosed with Buerger’s disease who has intermittent claudication.
c) The client diagnosed with an aortic aneurysm who has an audible bruit.
d) The client with acute arterial ischemia who has bilateral palpable pedal pulses.
12. The client is admitted with a stroke. The nurse notes the client has difficulty swallowing and requires assistance with
bathing, toileting, and feeding. The delegation is appropriate if the RN delegates the tasks of bathing and toileting to
which staff member?
a) The nursing assistive personnel (NAP, AP, UAP)
b) The LPN
c) The RN
d) The float nurse
13. After receiving night shift’s report, the nurse plans assignments for the day. Which client should the nurse see first?
a) A 25-year-old who requires a metered-dose inhaler.
b) A 30-year-old with a short arm cast on the left arm.
c) A 40-year-old diagnosed with hypothyroidism requiring TSH level.
d) A 17-year-old who took 10 methylphenidate and has a blood pressure of 160/100.
14. The clinic nurse is making assignments to the staff. Which assignment/delegation is most appropriate?
a) Request the LPN to escort the client to the examination room.
b) Ask the unlicensed assistive personnel (UAP) to prepare the room for the next client.
c) Instruct the RN to administer the tetanus shot to the client.
d) Tell the clinic secretary to call in a new prescription for a client.
15. A 52-year-old man is receiving IV cimetidine. After 20 minutes, the patient complains of a headache and dizziness.
Which of the following actions should the nurse take first?
a) Stop the infusion.
b) Call the physician.
c) Reposition the patient.
d) Call the pharmacist.
16. Children from a school bus accident are transferred to the hospital. The nurse triages in the ED. Which child
should the nurse see first?
a) An 8-year-old with a superficial burn to the arm.
b) A 7-year-old with burns on 10% of the total body surface area.
c) A 6-year-old with small lacerations to the arms and legs.
d) A 5-year-old reporting elbow pain.
17. The nurse enters the room and the client is beginning to have a tonic-clonic seizure. Which action should the nurse
implement first?
a) Identify the first area that began seizing.
, b) Pad the siding of the client’s bed rails.
c) Provide the client with privacy during the seizure.
d) Note the time the client’s seizure began.
18. The UAP tells the nurse the client with thyroid cancer who is terminally ill is having deep-rapid breathing, but
then doesn’t breathe for about a minute. Which intervention should the nurse implement first?
a) Explain the client is having Cheyne-Stokes respirations.
b) Go to the client’s room immediately and assess the client.
c) Notify the hospital chaplain to come to the client’s room.
d) Contact the client’s family that the client’s death is near.
19. Which task would be most appropriate for the nurse on the GI unit to delegate to the UAP?
a) Request the UAP to draw the serum liver function test.
b) Ask the UAP to remove the nasogastric tube.
c) Tell the UAP to empty the client’s colostomy bag.
d) Instruct the UAP to assist the unit secretary to transcribe HCP orders.
20. The charge nurse is making client assignments for a neuro-medical floor. Which client should be assigned to the most
experienced nurse?
a) The elderly client who is experiencing a stroke in evolution.
b) The client diagnosed with a transient ischemic attack 48 hours ago.
c) The client diagnosed with Guillain-Barré syndrome who complains of leg pain.
d) The client with Alzheimer’s disease who is wandering in the halls.
21. The client is diagnosed with end-stage congestive heart failure. The home health nurse finds the client lying in bed,
short of breath, unable to talk, and with buccal cyanosis. Which intervention should the nurse implement first?
a) Assist the client to a sitting position.
b) Assess the client’s vital signs.
c) Call 911 for the paramedics.
d) Auscultate the client’s lung sounds.
22. The charge nurse has one nurse, one LPN, and two nursing assistants on the unit. The charge nurse must delegate
responsibilities. Which is the best choice of assignment?
a) The nursing assistive personnel should perform suctioning.
b) The LPN should change wound dressings.
c) The nursing assistive personnel should administer IV medications.
d) The nurse should perform bed baths and morning hygiene.
23. The nurse is seeing clients in the medical-surgical unit. Which client will the nurse see first?
a) A client diagnosed with heart failure who received 800 mL of IV fluids in 2 hours.
b) A client diagnosed with lung cancer with a blood calcium level of 12.5 mg/dL.
c) A client diagnosed with hypertension requiring a 0900 dose of captopril.
d) A client postoperative after a laminectomy requiring supervision when ambulating.
24. An RN from the psychiatric unit is reassigned to the pediatric unit. Which client assignment is most appropriate for
this nurse?
a) A child diagnosed with type 1 diabetes admitted with a blood glucose of 370 mg/dL reporting thirst
and frequent urination.
b) A child diagnosed with hemophilia requiring discharge instructions about appropriate and safe sports.
c) A child experiencing separation anxiety who wants to stay home with parent instead of going
to school.
d) A child with a newly diagnosed brain tumor reporting headaches and left-sided weakness.
25. The nurse is caring for the following clients on a medical unit. Which client should the nurse assess first?
a) The client with acute glomerulonephritis who has oliguria and periorbital edema.
b) The client with renal calculi who is complaining of flank pain rated as a 5 on a scale of 1 to 10.
c) The client with nephrotic syndrome who has proteinuria and hypoalbuminemia.
d) The client with benign prostatic hypertrophy who has blood oozing from the IV site.
, Patient may be going into DIC which is a potentially life-threatening complication & requires immediate
intervention.
26. Which of the following tasks is appropriate for the nurse to delegate to an experienced nursing assistive personnel?
a) Obtain a 24-hour diet recall from a client recently admitted with anorexia nervosa.
b) Obtain a clean-catch urine specimen from a client suspected of having a urinary tract infection.
c) Observe the amount and characteristics of the returns from a continuous bladder irrigation for a client after
a transurethral resection.
d) Observe a client newly diagnosed with diabetes mellitus practice injection techniques using an orange.
27. The nurse cares for clients on the medical surgical unit. Which client should the nurse see first?
a) A newly admitted client diagnosed with appendicitis.
b) A client who is confused and is restless and yelling.
c) A newly admitted client diagnosed with a head injury.
d) The client diagnosed with heart failure.
28. At 1000, the client diagnosed with type 1 diabetes is complaining of being jittery, having a headache, and being
dizzy. Which intervention should the nurse implement first?
a) Provide the client with the lunch meal.
b) Request the laboratory to draw a serum glucose level.
c) Determine the last time the client received insulin.
d) Give the client glucose tablets.
29. Which task is most appropriate for the charge nurse to assign to the LPN?
a) Tell the LPN to change the client’s subclavian dressing.
b) Request the LPN to obtain the client’s daily weight.
c) Assign the LPN to care for the client in myxedema coma.
d) Ask the LPN to complete discharge teaching to the client.
30. The nurse and LPN are caring for a client diagnosed with a stroke. Which intervention should be assigned to the LPN?
a) Feed the client who is being allowed to eat for the first time.
b) Administer the client’s anticoagulant subcutaneously.
c) Check the client’s neurological signs and limb movement.
d) Teach the client to turn the head and tuck the chin to swallow.
31. The nurse just received the a.m. shift report. Which client should the nurse assess first?
a) The client who is 6 hours post-op vein ligation who has absent pedal pulses.
b) The client diagnosed with deep vein thrombosis who is complaining of calf pain.
c) The client with Raynaud’s disease who has throbbing and tingling in the extremities.
d) The client with Buerger’s disease who has intermittent claudication of the feet and arms.
32. The nurse is seeing patients in the psychiatric clinic. Which of the following patients should the nurse see first?
a) A 15-year-old male brought in by police after threatening to jump off a bridge and has access to a gun.
b) A 20-year-old female who lost 2 lbs this week and only eats two meals a day.
c) A 45-year-old male with a history of depression who states he is out of Prozac.
d) A 75-year-old male whose wife passed away two weeks ago and is experiencing insomnia and irritability.
33. Which nursing problem is the highest priority for the client diagnosed with gastroenteritis from staphylococcal
food poisoning?
a) Alteration in bowel elimination.
b) Nutrition altered: less than body requirements.
c) Fluid and electrolyte imbalance.
d) Oral mucous membrane, altered.
34. Which priority intervention should the nurse implement when teaching the client with type 2 diabetes
about glucometer checks?
a) Instruct the client to keep a written record of the glucometer readings.
b) Have the client demonstrate how to correctly perform the glucometer reading.
c) Recommend the client check the glucometer reading in the morning.
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