1. What can be delegated to Assistive personnel (AP)?: Ω - ADLs
- bathing - grooming - dressing - ambulating - feeding (w/o swallow
precautions) - positioning
- bed making - specimen collection - I&O - VS (stable clients
2. 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 pneumo- nia
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: Ω C
3. 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: Ω B C
D
4. 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: Ω D
5. 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: Ω ΩB
,C
E
6. 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: Ω B
7. What is the study of conduct and character?: Ω Ethics
8. What are the values and beliefs that guide behavior and
decision making?-
: Ω Morals
9. What is the right to make ones own personal decisions,
even tho those decisions might not be in the persons best
interest: Ω Autonomy
10.What are positive actions to help others: Ω Beneficience
11.What is an agreement to keep promises: Ω Fidelity
12.What is fairness in care delivery and use of resources: Ω
Justice
13.What is avoidance of harm or injury Ω: Non-maleficence
, 14. A nurse is caring for a client who decides not to have
surgery despite significant blockages in his coronary arteries.
The nurse understands that this clients choice is an example
of what principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificience: Ω A
15. A nurse offers pain meds to a client who is postop prior to
ambulation. The nurse understands that this aspect of care
delivery is an example of which of the following ethical
principles?
A. Fidelity
B. Autonomy
C. Justice
D. Beneficience: Ω D
16. A nurse is instructing a group of nursing students about
the respon- sibilities involved with organ donation and
procurement. When the nurse