NUR 217 (Trends/Issues - Test 3) NCLEX Style
Practice Questions RATED A+
The nurse delegates vital signs and daily weights of assigned clients to the
unlicensed assistive personnel (UAP) on duty. Which is the reason for the nurse
to assess each client throughout the shift?
A) The UAP cannot report to the next shift.
B) The UAP is not trustworthy.
C) The nurse maintains the authority to care for the clients.
D) The nurse remains accountable for the clients' care. - ANSWER D
(The nurse remains accountable for the clients' care)
A postoperative client is transferred to the medical-surgical unit from the
intensive care unit (ICU). The client asks the assigned nurse why unlicensed
assistive personnel (UAP) help with range-of-motion exercises. Which is the best
response by the nurse?
A) "Your condition has improved, so I delegated that part of your care to the
UAP."
B) "You do not need me to ambulate you."
C) "The charge nurse made the decision to have the UAP assist you when
walking."
D) "I assigned all of your care to the UAP." - ANSWER A
("Your condition has improved, so I delegated that part of your care to the
UAP.")
The nurse is working on a medical-surgical unit that is short staffed due to a
callout. The manager of the unit was unable to replace the nurse, so the extra
clients were assigned to the remaining nurses. The manager was able to get the
help of unlicensed assistive personnel (UAP) from the house pool to help on the
unit. Which action by the nurses would ensure effective care for the client?
A) Delegate vital signs and weights to the UAP.
B) Explain to the manager that care may be compromised if another nurse does
not work the shift.
C) Tell the clients their care will be sparse.
D) Assign care of invasive lines to the UAP. - ANSWER A
(Delegate vital signs and weights to the UAP.)
,The nurse is caring for several medical-surgical clients. The nurse has
delegated skin care of an incontinent client to new unlicensed assistive
personnel (UAP) on the unit. Which action by the nurse will improve
effectiveness of the client care provided?
A) Ask the client if the care was appropriate.
B) Ask the UAP if the care was given.
C) Demonstrate the appropriate care needed and have the UAP give a return
demonstration.
D) Closely observe the UAP each time the care is given. - ANSWER C
(Demonstrate the appropriate care needed and have the UAP give a return
demonstration.)
The nurse is working on a unit with unlicensed assistive personnel (UAP). One
nurse refuses to use the UAP and is consistently leaving nursing tasks for the
next shift that have yet to be completed. Which is the most likely reason the
nurse is not using the UAP to assist with client care?
A) Avoidance of responsibility
B) Overdependence on others
C) The belief that no one else can perform a task as well as the nurse can
D) The state nurse practice act - ANSWER C
(The belief that no one else can perform a task as well as the nurse can)
The nurse delegated to an unlicensed assistive personnel (UAP) the task of
assisting a client with a simple dressing change. The client was formerly able to
do the procedure, but because of painful arthritis is now unable to perform the
redressing. The UAP has done this procedure before. Which must the nurse
emphasize to the UAP?
A) Report to the nurse immediately anything unusual, such as bleeding or
infection.
B) The nurse should demonstrate the steps of the procedure.
C) Make the client do most of the procedure and report the expected output.
D) The UAP should do health teaching while performing the procedure. -
ANSWER A
(Report to the nurse immediately anything unusual, such as bleeding or
infection.)
A nurse-supervisor is encouraging nurses to delegate responsibilities whenever
possible. Which criteria are used to determine tasks that can be delegated?
(Select all that apply)
, A) Does the delegate have the appropriate skills to perform the task safely?
B) How busy are you?
C) Is the client frequently complaining?
D) Does the task require client education?
E) Is the task unpleasant? - ANSWER A & D
(Does the delegate have the appropriate skills to perform the task safely?)
(Does the task require client education?)
An experienced delegator is mentoring a newly appointed nurse in the hospital.
The new nurse states, "I am hesitant to delegate tasks to unlicensed assistive
personnel (UAP) because I am afraid they will not be done correctly." Which
response by the experienced delegator is appropriate?
A) Tell her not to delegate any tasks unless she is completely confident.
B) Tell her to clearly identify the task and expectations and then to monitor the
delegate's progress.
C) Tell her that delegation often results in a decrease in job satisfaction.
D) Tell her that her job responsibility requires that she do everything herself. -
ANSWER B
(Tell her to clearly identify the task and expectations and then to monitor the
delegate's progress.)
A staff nurse at a hospital calls a long-term care facility that has just received
transfer of care for a client. The hospital nurse reports the physician's
medication orders to a nurse at the receiving facility. The hospital nurse does
not have prescribing privileges. What is the responsibility of the nurse at the
receiving facility in order to reduce the fear of liability?
A) Withhold medications until the facility's physician can assess the new client
B) Administer medications to the client immediately
C) Verify the order with the prescribing physician
D) Submit the medication order to the on-site pharmacy as soon as possible -
ANSWER C
(Verify the order with the prescribing physician)
A nursing supervisor has been told to ensure that the hospital's new electronic
records system is properly implemented on the nursing unit. Which actions by
the supervisor are the best use of exercising the managerial role? Select all that
apply.
Practice Questions RATED A+
The nurse delegates vital signs and daily weights of assigned clients to the
unlicensed assistive personnel (UAP) on duty. Which is the reason for the nurse
to assess each client throughout the shift?
A) The UAP cannot report to the next shift.
B) The UAP is not trustworthy.
C) The nurse maintains the authority to care for the clients.
D) The nurse remains accountable for the clients' care. - ANSWER D
(The nurse remains accountable for the clients' care)
A postoperative client is transferred to the medical-surgical unit from the
intensive care unit (ICU). The client asks the assigned nurse why unlicensed
assistive personnel (UAP) help with range-of-motion exercises. Which is the best
response by the nurse?
A) "Your condition has improved, so I delegated that part of your care to the
UAP."
B) "You do not need me to ambulate you."
C) "The charge nurse made the decision to have the UAP assist you when
walking."
D) "I assigned all of your care to the UAP." - ANSWER A
("Your condition has improved, so I delegated that part of your care to the
UAP.")
The nurse is working on a medical-surgical unit that is short staffed due to a
callout. The manager of the unit was unable to replace the nurse, so the extra
clients were assigned to the remaining nurses. The manager was able to get the
help of unlicensed assistive personnel (UAP) from the house pool to help on the
unit. Which action by the nurses would ensure effective care for the client?
A) Delegate vital signs and weights to the UAP.
B) Explain to the manager that care may be compromised if another nurse does
not work the shift.
C) Tell the clients their care will be sparse.
D) Assign care of invasive lines to the UAP. - ANSWER A
(Delegate vital signs and weights to the UAP.)
,The nurse is caring for several medical-surgical clients. The nurse has
delegated skin care of an incontinent client to new unlicensed assistive
personnel (UAP) on the unit. Which action by the nurse will improve
effectiveness of the client care provided?
A) Ask the client if the care was appropriate.
B) Ask the UAP if the care was given.
C) Demonstrate the appropriate care needed and have the UAP give a return
demonstration.
D) Closely observe the UAP each time the care is given. - ANSWER C
(Demonstrate the appropriate care needed and have the UAP give a return
demonstration.)
The nurse is working on a unit with unlicensed assistive personnel (UAP). One
nurse refuses to use the UAP and is consistently leaving nursing tasks for the
next shift that have yet to be completed. Which is the most likely reason the
nurse is not using the UAP to assist with client care?
A) Avoidance of responsibility
B) Overdependence on others
C) The belief that no one else can perform a task as well as the nurse can
D) The state nurse practice act - ANSWER C
(The belief that no one else can perform a task as well as the nurse can)
The nurse delegated to an unlicensed assistive personnel (UAP) the task of
assisting a client with a simple dressing change. The client was formerly able to
do the procedure, but because of painful arthritis is now unable to perform the
redressing. The UAP has done this procedure before. Which must the nurse
emphasize to the UAP?
A) Report to the nurse immediately anything unusual, such as bleeding or
infection.
B) The nurse should demonstrate the steps of the procedure.
C) Make the client do most of the procedure and report the expected output.
D) The UAP should do health teaching while performing the procedure. -
ANSWER A
(Report to the nurse immediately anything unusual, such as bleeding or
infection.)
A nurse-supervisor is encouraging nurses to delegate responsibilities whenever
possible. Which criteria are used to determine tasks that can be delegated?
(Select all that apply)
, A) Does the delegate have the appropriate skills to perform the task safely?
B) How busy are you?
C) Is the client frequently complaining?
D) Does the task require client education?
E) Is the task unpleasant? - ANSWER A & D
(Does the delegate have the appropriate skills to perform the task safely?)
(Does the task require client education?)
An experienced delegator is mentoring a newly appointed nurse in the hospital.
The new nurse states, "I am hesitant to delegate tasks to unlicensed assistive
personnel (UAP) because I am afraid they will not be done correctly." Which
response by the experienced delegator is appropriate?
A) Tell her not to delegate any tasks unless she is completely confident.
B) Tell her to clearly identify the task and expectations and then to monitor the
delegate's progress.
C) Tell her that delegation often results in a decrease in job satisfaction.
D) Tell her that her job responsibility requires that she do everything herself. -
ANSWER B
(Tell her to clearly identify the task and expectations and then to monitor the
delegate's progress.)
A staff nurse at a hospital calls a long-term care facility that has just received
transfer of care for a client. The hospital nurse reports the physician's
medication orders to a nurse at the receiving facility. The hospital nurse does
not have prescribing privileges. What is the responsibility of the nurse at the
receiving facility in order to reduce the fear of liability?
A) Withhold medications until the facility's physician can assess the new client
B) Administer medications to the client immediately
C) Verify the order with the prescribing physician
D) Submit the medication order to the on-site pharmacy as soon as possible -
ANSWER C
(Verify the order with the prescribing physician)
A nursing supervisor has been told to ensure that the hospital's new electronic
records system is properly implemented on the nursing unit. Which actions by
the supervisor are the best use of exercising the managerial role? Select all that
apply.
