COMPREHENSIVE STUDY GUIDE 70
QUESTIONS WITH CORRECT ANSWERS
AND DETAILED RATIONALES
⩥ An LPN can perform ______care. Answer: tracheostomy care
⩥ Can an RN delegate to an LPN to perform suctioning? Answer: yes
⩥ Can an RN delegate to an LPN to put in a urinary catheter? Answer:
yes
⩥ Can an RN delegate to an AP to feed a client not on swallow
precautions? Answer: yes
⩥ Is an RN allowed to delegate to an AP to collect a urine sample?
Answer: yes
⩥ A nurse delegates to an AP to assist in obtaining vital signs from a
postop patient who required naloxone (narcan) for depressed
respirations. Is this an appropriate task for the AP? Answer: no
,⩥ An older adult client who is on fall precautions is found lying on the
floor of his hospital room. Which of the following actions is most
appropriate for the nurse to take first?
A. Call the client's provider
B. Ask a staff member for assistance getting the client back in bed
C. Inspect the client for injuries
D. Ask the client why he got out of bed w/out assistance Answer: C.
Inspect the client for injuries
⩥ An RN on a med-surg unit is making assignments at the beginning of
the shift. Which of the following tasks should the nurse delegate to the
LPN?
A. Obtain vitals for a client who is 2 hr postop following a cardiac cath
B. Administering a unit of PRBCs
C. Instructing a client in the performance of wound care
D. Developing a plan of care for a newly admitted client Answer: A
⩥ A nurse is caring for an older adult client who has left the unit for a
radiology procedure. The client's son asks the nurse what med is being
given to the client. Which of the following is an appropriate response by
the nurse?
, A. "I am sorry, but that is information you will need to ask your mother
or her doctor."
B. "Your mother is taking famotidine (Pepcid) for the ulcer & lorazepam
(Ativan) for anxiety."
C. "You will need to ask the charge nurse for that info."
D. "Don't worry. We will Answer: A.
⩥ A nurse works in a mental health facility that uses a case management
nursing model to provide care. The nurse should recognize that which of
the following describes a case management approach to care?
A. A nurse provides total care for several clients
B. Collaboration between disciplines creates a multidisciplinary care
plan for each client.
C. The focus of care is on detecting disorders at an early stage.
D. The team leader assigns care for a group of clients Answer: B
⩥ A nurse overhears a client talking with an attorney, reporting physical
abuse, use of restraints & denial of meals. What action should the nurse
take?