DELEGATION SHORT QUIZ 1

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Q1. The nurse plans staff assignments. Which clients are appropriate to assign to the LPN/LVN? (Select all that apply.)
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1 point

1. A client who is 48 hours post-operative and requires heparin 5,000 units SQ every 8 hours.

2. A client who fell yesterday in the long-term care facility and sustained an orbital fracture.

3. A client who sustained a gunshot injury and has a chest tube to water-seal drainage.

4. A client who was admitted with a bowel obstruction and is now passing soft, formed stools.

5. A client who is 1 day post-laminectomy and is receiving morphine sulfate via a PCA pump.

Required

Q2. You are initiating a nursing care plan for a patient with pneumonia. Which intervention for cough enhancement should you delegate to a nursing assistant? *

1 point

A. Teaching the patient about the importance of adequate fluid intake and hydration.

B. Assisting the patient to a sitting position with neck flexed, shoulders relaxed, and knees flexed.

C. Reminding the patient to use an incentive spirometer every 1 to 2 hours while awake.

D. Encouraging the patient to take a deep breath, hold it for 2 seconds, then cough two or three times in succession

Q3. You are assigned to provide nursing care for a patient receiving mechanical ventilation. Which action should you delegate to an experienced nursing assistant?
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1 point

A. Assessing the patient's respiratory status every 4 hours

B. Taking vital signs and pulse oximetry readings every 4 hours

C. Checking the ventilator settings to make sure they are as prescribed

D. Observing whether the patient's tube needs suctioning every 2 hours

Q4. The patient with COPD has a nursing diagnosis of Ineffective Breathing Pattern. Which is an appropriate action to delegate to the experienced LPN under your supervision?
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1 point

A. Observe how well the patient performs pursed-lip breathing.

B. Plan a nursing care regimen that gradually increases activity intolerance.

C. Assist the patient with basic activities of daily living.

D. Consult with the physical therapy department about reconditioning exercises.

Q5. A patient with sleep apnea has a nursing diagnosis of Sleep Deprivation related to disrupted sleep cycle. Which action should you delegate to the nursing assistant? *

1 point

A. Discuss weight-loss strategies such as diet and exercise with the patient.

B. Teach the patient how to set up the BiPAP machine before sleeping.

C. Remind the patient to sleep on his side instead of his back.

D. Administer modafinil (Provigil) to promote daytime wakefulness.

Q6. A charge nurse is delegating several client care tasks. Which of the following tasks should the nurse delegate to another Registered Nurse (RN)?
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1 point

A. Collecting a urine specimen from a client who has diabetes mellitus to test for ketones

B. Obtaining a wound drainage specimen from a client who has a wound that is red and painful

C. Obtaining a stool specimen for an occult blood test from a client who requires screening for colon cancer

D. Obtaining an expectorated sputum sample from a client who is being evaluated for tuberculosis

Q7. The nurse is caring for a client in the emergency department. The client needs vital signs, a urine sample, triage, an assessment, and pain medication. Which interventions can the nurse delegate to the nursing assistant?

Select all that apply.
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1 point

1. Obtain vital signs

2. Collect urine sample

3. Perform triage

4. Administer medications

5. Perform an assessment

Required

Q8. A staff nurse asks an assistive personnel (AP) to ambulate a client and the AP refuses. Which of the following actions should the nurse take?
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1 point

A. Ambulate the client.

B. Dismiss the AP.

C. Complete an incident report.

D. Ask the AP about her concerns with the assignment.

Q9. A charge nurse is delegating tasks to nursing personnel on a ten-bed dementia care unit. Which of the following assignments is an example of overdelegation?
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1 point

A. Assigning two assistive personnel (AP) to ambulate each client on the unit

B. Assigning a newly licensed nurse to perform a wet-to-dry dressing change

C. Assigning one AP to feed each client on the unit

D. Assigning an experienced RN to perform a central line dressing change

Q10. A nurse is presenting an in-service about delegation to a group of newly licensed nurses. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching?
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1 point

A. "Delegation ensures the client receives appropriate resources."

B. "Delegation permits a designated individual to meet a goal on your behalf."

C. "Delegation promotes client discharge teaching by unlicensed personnel."

D. "Delegation shifts accountability to the individual performing the task."

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