NSG 3130| Fundamental Concepts & Skills For Nursing Practice II Exam 1 (Galen College Of
Nursing)Newest /NSG 3130| Fundamental Concepts & Skills For Nursing Practice II Exam 1
Preparation
Question 1
Which of the following is the most important general rule for an RN to follow when delegating
tasks to other nursing staff?
A) Assume the staff member knows how to perform the task if they have the title.
B) Delegate any task as long as the RN is too busy to do it.
C) Be familiar with the State Board rules and regulations regarding delegation.
D) Delegate assessment tasks to the LPN to save time.
E) Only delegate tasks to UAPs and never to other RNs.
Correct Answer: C) Be familiar with the State Board rules and regulations regarding
delegation.
Rationale: The Nurse Practice Act and State Board regulations provide the legal framework
for what can and cannot be delegated. Following facility policy and knowing state law is the
first priority for safe delegation.
Question 2
If an RN is unsure whether a UAP has the skills to perform a delegated task, such as recording a
patient's meal intake, what is the best action for the RN to take?
A) Delegate it anyway and check the chart later.
B) Ask the UAP, "Do you know how to do this?"
C) Validate the skill by saying, "Please show me how you would do this."
D) Perform the task themselves without saying anything.
E) Ask the Charge Nurse to supervise the UAP.
Correct Answer: C) Validate the skill by saying, "Please show me how you would do this."
Rationale: Validation of skills is essential for patient safety. Asking for a demonstration
ensures the RN that the UAP possesses the actual competency required for the task, rather
than just assuming based on a verbal "yes."
Question 3
Which of the following tasks is appropriate for an RN to delegate to a Unlicensed Assistive
Personnel (UAP)?
A) Administering a PRN pain medication.
B) Performing an initial admission assessment.
C) Setting bed alarms and taking vital signs.
D) Teaching a patient how to use an incentive spirometer.
E) Changing a sterile central line dressing.
Correct Answer: C) Setting bed alarms and taking vital signs.
Rationale: UAPs are trained for routine, non-invasive tasks such as vital signs, ADLs, and
, 2
safety measures like bed alarms. They cannot perform assessments, teaching, or medication
administration.
Question 4
A UAP is assigned to check on a patient who recently received pain medication. Which
instruction from the RN to the UAP is correct?
A) "Assess the patient's pain level on a scale of 1-10."
B) "Tell the patient they cannot have more meds for four hours."
C) "Ask the patient 'Are you still having pain?' and report the findings to me."
D) "Check the patient's surgical site for any signs of infection."
E) "Evaluate if the medication was effective."
Correct Answer: C) "Ask the patient 'Are you still having pain?' and report the findings to
me."
Rationale: While a UAP cannot "assess" or "evaluate" (nursing process), they can "check
status" and gather data to report back to the RN, who will then perform the formal
assessment.
Question 5
Which task can be safely delegated to a Licensed Vocational/Practical Nurse (LVN/LPN)?
A) Developing the initial plan of care for a new admission.
B) Administering a scheduled PO (oral) medication.
C) Performing the first assessment of a patient returning from surgery.
D) Titrating an IV cardiac drip.
E) Providing complex discharge education to a patient with a new diagnosis.
Correct Answer: B) Administering a scheduled PO (oral) medication.
Rationale: LVNs/LPNs are trained to provide medications via PO, IM, and SQ routes. They
generally cannot give IV medications or perform initial assessments and plan of care
development.
Question 6
Which of the following patients is most appropriate for the RN to assign to an LPN?
A) A patient who just arrived from the PACU after major heart surgery.
B) A patient with a complex, unstable airway.
C) A stable patient with a routine dressing change and PO meds.
D) A patient whose condition is rapidly deteriorating.
E) A patient who requires intensive education on a new insulin pump.
Correct Answer: C) A stable patient with a routine dressing change and PO meds.
Rationale: LPNs are best suited for stable patients with predictable outcomes. Unstable
patients or those requiring complex assessments and teaching must be managed by the RN.
, 3
Question 7
The RN is preparing to delegate tasks for the shift. Which of these can the RN delegate to a
UAP?
A) Emptying a urinary catheter drainage bag.
B) Changing the drainage system for a chest tube.
C) Administering a saline enema.
D) Providing post-mortem care.
E) Checking a pre-operative checklist.
Correct Answer: A) Emptying a urinary catheter drainage bag.
Rationale: UAPs can empty drainage devices (catheters, JP drains) and record the output.
They typically do not care for chest tubes, and post-mortem care/pre-op checklists involve
assessment components reserved for the RN.
Question 8
Which of the following activities is a "must" for the RN and cannot be delegated to an LPN or
UAP?
A) Recording vital signs on a stable patient.
B) Feeding a patient who has no swallowing precautions.
C) Evaluating the patient's response to a new nursing intervention.
D) Ambulating a patient in the hallway.
E) Stocking the patient's room with supplies.
Correct Answer: C) Evaluating the patient's response to a new nursing intervention.
Rationale: The nursing process (Assessment, Diagnosis, Planning, Implementation, and
Evaluation) is the core responsibility of the RN. Evaluation requires clinical judgment that
cannot be delegated.
Question 9
The RN is transferring a patient to a long-term care facility. Why must the RN complete the
transfer documentation rather than delegating it to an LPN?
A) The RN is the only one who knows the patient.
B) Transferring requires a final assessment of the patient's status.
C) LPNs are not allowed to use the computer for transfers.
D) Facility policy usually forbids LPNs from talking to other facilities.
E) The RN is the only one who can sign off on the patient's personal belongings.
Correct Answer: B) Transferring requires a final assessment of the patient's status.
Rationale: Transfers (on or off the unit) require an assessment to ensure the patient is stable
for move and to provide an accurate handoff of the clinical status, which is an RN-only
task.
Question 10
A Charge Nurse delegates a task to an RN that the RN has never performed before. What is the
, 4
RN's first step?
A) Perform the task anyway to show they are a team player.
B) Look it up on YouTube and try to figure it out.
C) Report to the charge nurse that they do not have the knowledge or skill set for the task.
D) Ask a UAP to show them how to do it.
E) Delegate the task to an LPN who has done it before.
Correct Answer: C) Report to the charge nurse that they do not have the knowledge or skill
set for the task.
Rationale: Safety is paramount. If an RN does not have the competency for a task, they
must advocate for the patient by informing the supervisor so that appropriate training or
reassignment can occur.
Question 11
Which of the following is a requirement for high-quality nursing documentation?
A) Factual and objective language.
B) Inclusion of the nurse's personal opinions about the patient's family.
C) Use of common hospital slang to save time.
D) Bias-filled descriptions of "difficult" patients.
E) Charting for the whole shift at the very end of the day only.
Correct Answer: A) Factual and objective language.
Rationale: Documentation must be timely, accurate, complete, and factual. It is a legal
record, so subjective opinions, bias, and slang must be avoided.
Question 12
A nurse wants to see how a patient they cared for yesterday is doing today. Can the nurse access
the patient's chart?
A) Yes, because they were the primary nurse yesterday.
B) Yes, if they have a work-related reason to learn from the outcome.
C) No, this is a HIPAA violation as they are no longer providing care.
D) Yes, as long as they don't tell anyone else.
E) No, unless the patient gives them written permission.
Correct Answer: C) No, this is a HIPAA violation as they are no longer providing care.
Rationale: Under HIPAA, you may only access the charts of patients for whom you are
currently providing care or have an active professional need to know. Looking up "old"
patients out of curiosity is a violation.
Question 13
Which statement regarding medication documentation is correct?
A) You can document medications that your colleague gave if they are too busy.
B) You must only document medications that you personally administered.
C) You should document all medications at the start of the shift before giving them.
Nursing)Newest /NSG 3130| Fundamental Concepts & Skills For Nursing Practice II Exam 1
Preparation
Question 1
Which of the following is the most important general rule for an RN to follow when delegating
tasks to other nursing staff?
A) Assume the staff member knows how to perform the task if they have the title.
B) Delegate any task as long as the RN is too busy to do it.
C) Be familiar with the State Board rules and regulations regarding delegation.
D) Delegate assessment tasks to the LPN to save time.
E) Only delegate tasks to UAPs and never to other RNs.
Correct Answer: C) Be familiar with the State Board rules and regulations regarding
delegation.
Rationale: The Nurse Practice Act and State Board regulations provide the legal framework
for what can and cannot be delegated. Following facility policy and knowing state law is the
first priority for safe delegation.
Question 2
If an RN is unsure whether a UAP has the skills to perform a delegated task, such as recording a
patient's meal intake, what is the best action for the RN to take?
A) Delegate it anyway and check the chart later.
B) Ask the UAP, "Do you know how to do this?"
C) Validate the skill by saying, "Please show me how you would do this."
D) Perform the task themselves without saying anything.
E) Ask the Charge Nurse to supervise the UAP.
Correct Answer: C) Validate the skill by saying, "Please show me how you would do this."
Rationale: Validation of skills is essential for patient safety. Asking for a demonstration
ensures the RN that the UAP possesses the actual competency required for the task, rather
than just assuming based on a verbal "yes."
Question 3
Which of the following tasks is appropriate for an RN to delegate to a Unlicensed Assistive
Personnel (UAP)?
A) Administering a PRN pain medication.
B) Performing an initial admission assessment.
C) Setting bed alarms and taking vital signs.
D) Teaching a patient how to use an incentive spirometer.
E) Changing a sterile central line dressing.
Correct Answer: C) Setting bed alarms and taking vital signs.
Rationale: UAPs are trained for routine, non-invasive tasks such as vital signs, ADLs, and
, 2
safety measures like bed alarms. They cannot perform assessments, teaching, or medication
administration.
Question 4
A UAP is assigned to check on a patient who recently received pain medication. Which
instruction from the RN to the UAP is correct?
A) "Assess the patient's pain level on a scale of 1-10."
B) "Tell the patient they cannot have more meds for four hours."
C) "Ask the patient 'Are you still having pain?' and report the findings to me."
D) "Check the patient's surgical site for any signs of infection."
E) "Evaluate if the medication was effective."
Correct Answer: C) "Ask the patient 'Are you still having pain?' and report the findings to
me."
Rationale: While a UAP cannot "assess" or "evaluate" (nursing process), they can "check
status" and gather data to report back to the RN, who will then perform the formal
assessment.
Question 5
Which task can be safely delegated to a Licensed Vocational/Practical Nurse (LVN/LPN)?
A) Developing the initial plan of care for a new admission.
B) Administering a scheduled PO (oral) medication.
C) Performing the first assessment of a patient returning from surgery.
D) Titrating an IV cardiac drip.
E) Providing complex discharge education to a patient with a new diagnosis.
Correct Answer: B) Administering a scheduled PO (oral) medication.
Rationale: LVNs/LPNs are trained to provide medications via PO, IM, and SQ routes. They
generally cannot give IV medications or perform initial assessments and plan of care
development.
Question 6
Which of the following patients is most appropriate for the RN to assign to an LPN?
A) A patient who just arrived from the PACU after major heart surgery.
B) A patient with a complex, unstable airway.
C) A stable patient with a routine dressing change and PO meds.
D) A patient whose condition is rapidly deteriorating.
E) A patient who requires intensive education on a new insulin pump.
Correct Answer: C) A stable patient with a routine dressing change and PO meds.
Rationale: LPNs are best suited for stable patients with predictable outcomes. Unstable
patients or those requiring complex assessments and teaching must be managed by the RN.
, 3
Question 7
The RN is preparing to delegate tasks for the shift. Which of these can the RN delegate to a
UAP?
A) Emptying a urinary catheter drainage bag.
B) Changing the drainage system for a chest tube.
C) Administering a saline enema.
D) Providing post-mortem care.
E) Checking a pre-operative checklist.
Correct Answer: A) Emptying a urinary catheter drainage bag.
Rationale: UAPs can empty drainage devices (catheters, JP drains) and record the output.
They typically do not care for chest tubes, and post-mortem care/pre-op checklists involve
assessment components reserved for the RN.
Question 8
Which of the following activities is a "must" for the RN and cannot be delegated to an LPN or
UAP?
A) Recording vital signs on a stable patient.
B) Feeding a patient who has no swallowing precautions.
C) Evaluating the patient's response to a new nursing intervention.
D) Ambulating a patient in the hallway.
E) Stocking the patient's room with supplies.
Correct Answer: C) Evaluating the patient's response to a new nursing intervention.
Rationale: The nursing process (Assessment, Diagnosis, Planning, Implementation, and
Evaluation) is the core responsibility of the RN. Evaluation requires clinical judgment that
cannot be delegated.
Question 9
The RN is transferring a patient to a long-term care facility. Why must the RN complete the
transfer documentation rather than delegating it to an LPN?
A) The RN is the only one who knows the patient.
B) Transferring requires a final assessment of the patient's status.
C) LPNs are not allowed to use the computer for transfers.
D) Facility policy usually forbids LPNs from talking to other facilities.
E) The RN is the only one who can sign off on the patient's personal belongings.
Correct Answer: B) Transferring requires a final assessment of the patient's status.
Rationale: Transfers (on or off the unit) require an assessment to ensure the patient is stable
for move and to provide an accurate handoff of the clinical status, which is an RN-only
task.
Question 10
A Charge Nurse delegates a task to an RN that the RN has never performed before. What is the
, 4
RN's first step?
A) Perform the task anyway to show they are a team player.
B) Look it up on YouTube and try to figure it out.
C) Report to the charge nurse that they do not have the knowledge or skill set for the task.
D) Ask a UAP to show them how to do it.
E) Delegate the task to an LPN who has done it before.
Correct Answer: C) Report to the charge nurse that they do not have the knowledge or skill
set for the task.
Rationale: Safety is paramount. If an RN does not have the competency for a task, they
must advocate for the patient by informing the supervisor so that appropriate training or
reassignment can occur.
Question 11
Which of the following is a requirement for high-quality nursing documentation?
A) Factual and objective language.
B) Inclusion of the nurse's personal opinions about the patient's family.
C) Use of common hospital slang to save time.
D) Bias-filled descriptions of "difficult" patients.
E) Charting for the whole shift at the very end of the day only.
Correct Answer: A) Factual and objective language.
Rationale: Documentation must be timely, accurate, complete, and factual. It is a legal
record, so subjective opinions, bias, and slang must be avoided.
Question 12
A nurse wants to see how a patient they cared for yesterday is doing today. Can the nurse access
the patient's chart?
A) Yes, because they were the primary nurse yesterday.
B) Yes, if they have a work-related reason to learn from the outcome.
C) No, this is a HIPAA violation as they are no longer providing care.
D) Yes, as long as they don't tell anyone else.
E) No, unless the patient gives them written permission.
Correct Answer: C) No, this is a HIPAA violation as they are no longer providing care.
Rationale: Under HIPAA, you may only access the charts of patients for whom you are
currently providing care or have an active professional need to know. Looking up "old"
patients out of curiosity is a violation.
Question 13
Which statement regarding medication documentation is correct?
A) You can document medications that your colleague gave if they are too busy.
B) You must only document medications that you personally administered.
C) You should document all medications at the start of the shift before giving them.
