EXAM QUESTIONS AND VERIFIED
ANSWERS
Which of the following situations can be identified 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 conflicting feelings about the
initiation of enteral tube feedings of their father who
is terminally ill
D.A client who is terminally ill hesitates to name her
spouse on her durable power of attorney form -
CORRECT ANSWER -C
What can be delegated to Assistive personnel (AP)? -
CORRECT ANSWER -- ADLs - bathing - grooming -
dressing - ambulating - feeding (w/o swallow
,precautions) - positioning - bed making - specimen
collection - I&O - VS (stable clients
A nurse on a med surge unit has recieved change of
shift 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 admitted 24 hours ago
with aspiration 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 incontinence D. Applying a sterile dressing
to a pressure ulcer - CORRECT ANSWER -C
A nurse is delegating the ambulation 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
antiembolic stockings
C. The client uses a front wheeled walker when
ambulating
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 -
CORRECT ANSWER -B
C
D
An RN is making assignments for client care to an
LPN at the beginning of the shift. Which of the
following assignments should the LPN question?
A. Assisting a client who is 24 hr postop to use an
incentive spirometer
B. Collecting a clean catch urine specimen from a
client who was admitted on the previous shift
C. providing nasopharyngeal suctioning for a client
who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump -
CORRECT ANSWER -D
, A nurse is preparing an inservice program about
delegation. Which of the following elements should
she identify when presenting the 5 rights of
delegation. Select all:
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances - CORRECT ANSWER -B
C
E
A nurse manager of a med surge unit is assigning
care responsibilities for the oncoming shift. A client is
waiting 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 - CORRECT ANSWER -B