NURS 420 FA II EXAM QUESTIONS AND
ANSWERS GRADED A+ 2025/2026
A nurse is receiving a change-of-shift report at the start of the shift. Which of the following
statements by the nurse giving report indicates to the oncoming nurse that she should assume
total care for the client rather than assigning tasks to the assistive personnel (ap)? - ANS "The
client's blood pressure and pules have been fluctuating throughout the day"
a nurse is planning to assign tasks for a group of clients. Which of the following tasks should the
nurse plan to assign to assistive personnel (AP)? SATA - ANS Ambulate an older adult client
who has hypertension.
Weighing a client who has heart failure.
When planning delegation of a task to assistive personnel (AP), a nurse considers the five rights
of delegation. Which of the following should the nurse consider when using one of the five
rights of delegation? - ANS The AP has the knowledge and skill to perform the task.
A nurse is caring for a client who has active pulmonary tuberculosis (TB). The client requires
airborne precautions and is receiving multidrug therapy. Which of the following precautions
should the nurse take to transport the client safely to the radiology department for a chest x-
ray? - ANS Have the client wear a mask.
An older adult client is scheduled to have an elective surgical procedure and informs the nurse
that she wants to be designated as a "do not resuscitate" (DNR) case. Which if the following
responses should the nurse provide? - ANS "Your provider needs to talk with you concerning
your request."
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,A nurse is triaging clients in the emergency department. Which of the following clients should
the nurse ask the provider to care for first? - ANS A school-age child who has acute
epiglottitis, is drooling, and has absence of spontaneous cough.
A nurse is caring for a client who is postoperative following a laminectomy.
Nurses Notes
Select 3 findings that require immediate follow-up. - ANS Incision site
Lung sounds
Pain level
A nurse manager is providing an inservice program about delegation to assistive personnel (ap)
with staff nurses on the unit. Which of the following statements by a staff nurse indicates an
understanding of the teaching? - ANS "The nurse should consider the AP's level of experience
when making delegation decisions."
A nurse assumes a variety of roles while working with clients. Which of the following describes
the nursing role of protecting the client and supporting the client's decisions? - ANS Advocate
A nurse is supervising a licensed practical nurse (PN) who is providing care to a client who is
postoperative. Which of the following statements by the client requires the nurse to follow up
with the PN? - ANS "I have not received any of my medications today."
A nurse is giving a presentation about client confidentiality to a group of newly licensed nurses.
Which of the following actions is an example of a violation of confidentiality. - ANS Reporting
laboratory findings to a member of the client's family.
A charge nurse hears a provider speaking to a staff nurse in anger concering incorrect supplies
that are available to perform a procedure. Which of the following statements by the charge
nurse is appropriate? - ANS "It must be very frustrating when you dont have want you need
to perform the procedure."
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, 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? SATA - ANS Obtaining
vital signs from a client who is 6 hr postoperative
Administering a tap-water enema to a client who is preoperative
Caracterizing a client who has not voided in 8 hr is correct.
A nurse has assigned client care activities to an assistive personnel (AP). Which of the following
statements by the AP indicates a need for assistance in establishing priorities? - ANS " I have
my assignment and will start with room 1, then work my way to room 10."
A nurse manager is preparing an inservice program for the nurses on the unit about the use of a
new infusion pump. Which of the following teaching strategies is the most effective way to
ensure that the staff can use the device correctly? - ANS Demonstrate using the device and
observe the staff returning the demonstration.
An RN is delegating care activities to a licensed practical nurse (LPN). Which of the following is
the priority criterion the RN should consider when delegating? - ANS State Nurse Practice Act
for the LPN.
A nurse is caring for four postoperative clients. The nurse can delegate obtaining vital signs to an
assistive personnel (AP) for which of the following clients? - ANS A client who is 3 days
postoperative following gastric bypass surgery.
A nurse is caring for a group of clients. The nurse demonstrates adherence to the ethical
principle of fidelity by doing which of the following? - ANS Keeping an appointment with a
client.
A nurse is reviewing information about the Health Insurance Portability and Accountability Act
(HIPPA) with a newly licensed nurse. Which of the following statements by the newly licensed
nurse indicates a need for further teaching? - ANS "Information about a client can be
disclosed to family members at any time."
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
ANSWERS GRADED A+ 2025/2026
A nurse is receiving a change-of-shift report at the start of the shift. Which of the following
statements by the nurse giving report indicates to the oncoming nurse that she should assume
total care for the client rather than assigning tasks to the assistive personnel (ap)? - ANS "The
client's blood pressure and pules have been fluctuating throughout the day"
a nurse is planning to assign tasks for a group of clients. Which of the following tasks should the
nurse plan to assign to assistive personnel (AP)? SATA - ANS Ambulate an older adult client
who has hypertension.
Weighing a client who has heart failure.
When planning delegation of a task to assistive personnel (AP), a nurse considers the five rights
of delegation. Which of the following should the nurse consider when using one of the five
rights of delegation? - ANS The AP has the knowledge and skill to perform the task.
A nurse is caring for a client who has active pulmonary tuberculosis (TB). The client requires
airborne precautions and is receiving multidrug therapy. Which of the following precautions
should the nurse take to transport the client safely to the radiology department for a chest x-
ray? - ANS Have the client wear a mask.
An older adult client is scheduled to have an elective surgical procedure and informs the nurse
that she wants to be designated as a "do not resuscitate" (DNR) case. Which if the following
responses should the nurse provide? - ANS "Your provider needs to talk with you concerning
your request."
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,A nurse is triaging clients in the emergency department. Which of the following clients should
the nurse ask the provider to care for first? - ANS A school-age child who has acute
epiglottitis, is drooling, and has absence of spontaneous cough.
A nurse is caring for a client who is postoperative following a laminectomy.
Nurses Notes
Select 3 findings that require immediate follow-up. - ANS Incision site
Lung sounds
Pain level
A nurse manager is providing an inservice program about delegation to assistive personnel (ap)
with staff nurses on the unit. Which of the following statements by a staff nurse indicates an
understanding of the teaching? - ANS "The nurse should consider the AP's level of experience
when making delegation decisions."
A nurse assumes a variety of roles while working with clients. Which of the following describes
the nursing role of protecting the client and supporting the client's decisions? - ANS Advocate
A nurse is supervising a licensed practical nurse (PN) who is providing care to a client who is
postoperative. Which of the following statements by the client requires the nurse to follow up
with the PN? - ANS "I have not received any of my medications today."
A nurse is giving a presentation about client confidentiality to a group of newly licensed nurses.
Which of the following actions is an example of a violation of confidentiality. - ANS Reporting
laboratory findings to a member of the client's family.
A charge nurse hears a provider speaking to a staff nurse in anger concering incorrect supplies
that are available to perform a procedure. Which of the following statements by the charge
nurse is appropriate? - ANS "It must be very frustrating when you dont have want you need
to perform the procedure."
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, 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? SATA - ANS Obtaining
vital signs from a client who is 6 hr postoperative
Administering a tap-water enema to a client who is preoperative
Caracterizing a client who has not voided in 8 hr is correct.
A nurse has assigned client care activities to an assistive personnel (AP). Which of the following
statements by the AP indicates a need for assistance in establishing priorities? - ANS " I have
my assignment and will start with room 1, then work my way to room 10."
A nurse manager is preparing an inservice program for the nurses on the unit about the use of a
new infusion pump. Which of the following teaching strategies is the most effective way to
ensure that the staff can use the device correctly? - ANS Demonstrate using the device and
observe the staff returning the demonstration.
An RN is delegating care activities to a licensed practical nurse (LPN). Which of the following is
the priority criterion the RN should consider when delegating? - ANS State Nurse Practice Act
for the LPN.
A nurse is caring for four postoperative clients. The nurse can delegate obtaining vital signs to an
assistive personnel (AP) for which of the following clients? - ANS A client who is 3 days
postoperative following gastric bypass surgery.
A nurse is caring for a group of clients. The nurse demonstrates adherence to the ethical
principle of fidelity by doing which of the following? - ANS Keeping an appointment with a
client.
A nurse is reviewing information about the Health Insurance Portability and Accountability Act
(HIPPA) with a newly licensed nurse. Which of the following statements by the newly licensed
nurse indicates a need for further teaching? - ANS "Information about a client can be
disclosed to family members at any time."
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
