Q & A, Verified and 100% Correct Answers)
Exam
What can be delegated to Assis ve personnel (AP)? - ANSWER - ADLs - bathing - grooming
- dressing - ambula ng - feeding (w/o swallow precau ons) - posi oning - bed making -
specimen collec on - I&O - VS (stable clients
A nurse on a med surge unit has recieved change of shi report and will care for 4 clients.
Which of the following clients needs will the nurse assign to an AP?
A. Feeding a client who was admi ed 24 hours ago with aspira on pneumonia
B. Reinforcing teaching with a client who is learning to walk with a quad cane
C. Reapplying a condom catheter for a client who has urinary incon nence
D. Applying a sterile dressing to a pressure ulcer - ANSWER C
A nurse is delega ng the ambula on of a client who had knee arthroplasty 5 days ago to an AP.
Which of the following info should the nurse share with the AP?
Select all:
A. the roommate is up independently
B. The client ambulates with his slippers on over his an embolic stockings
C. The client uses a front wheeled walker when ambula ng
D. The client had pain meds 30 minutes 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 an LPN at the beginning of the shi . Which of the
following assignments should the LPN ques on?
A. Assis ng a client who is 24 hr postop to use an incen ve spirometer
B. Collec ng a clean catch urine specimen from a client who was admi ed on the previous shi
C. providing nasopharyngeal suc oning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump - ANSWER D
A nurse is preparing an inservice program about delega on. Which of the following elements
should she iden fy when presen ng the 5 rights of delega on. Select all:
A. Right client
B. Right supervision/evalua on
C. Right direc on/communica on
D. Right me
E. Right circumstances - ANSWER B
C
E
A nurse manager of a med surge unit is assigning care responsibili es for the oncoming shi . A
client is wai ng transfer back to the unit from the PACU following thoracic surgery. To which
staff member should the nurse assign the client?
A. Charge nurse
B. RN
C. LVN
D. AP - ANSWER B
,What is the study of conduct and character? - ANSWER Ethics
What are the values and beliefs that guide behavior and decision making? -
ANSWER Morals
What is the right to make ones own personal decisions, even tho those decisions might not be
in the persons best interest - ANSWER Autonomy
What are posi ve ac ons to help others - ANSWER Beneficience
What is an agreement to keep promises - ANSWER Fidelity
What is fairness in care delivery and use of resources - ANSWER Jus ce
What is avoidance of harm or injury - ANSWER Non-maleficence
A nurse is caring for a client who decides not to have surgery despite significant blockages in his
coronary arteries. The nurse understands that this clients choice is an example of what
principles?
A. Fidelity
B. Autonomy
C. Jus ce
D. Nonmalificience - ANSWER A
A nurse offers pain meds to a client who is postop prior to ambula on. The nurse understands
that this aspect of care delivery is an example of which of the following ethical principles?
, A. Fidelity
B. Autonomy
C. Jus ce
D. Beneficience - ANSWER D
A nurse is instruc ng a group of nursing students about the responsibili es involved with organ
dona on and procurement. When the nurse explains that all clients wai ng for a kidney
transplant have to meet the same qualifica ons, the students should understand that this
aspect of care delivery is an example of which ethical principle
A. Fidelity
B. Autonomy
C. Jus ce
D. Nonmaleficence - ANSWER C
A nurse ques ons a med prescrip on as too extreme and light of the clients advanced age and
unstable status. The nurse understands that this ac on is an example of which ethical principle
A. Fidelity
B. Autonomy
C. Jus ce
D. Nonmalificence - ANSWER D
Which of the following situa ons can be iden fied as an ethical dilemma?
A. A nurse on a med surge unit demonstrates signs of chemical impairment
B. A nurse over hears another nurse telling an older adult client that if he doesnt stay in bed she
will restrain him
C. A family has conflic ng feelings about the ini a on of enteral tube feedings of their father
who is terminally ill