NURS 4212: Exam 1 Questions With Complete Solutions
Which dimension is part of the Quadruple Aim that was not
part of the Triple Aim?
A) better care
B) more satisfied patients
C) more satisfied providers
D) lower total medical costs
Delegation
C) more satisfied providers
the process of allowing a person perform a specific nursing
activity beyond their traditional role
shared governance
an accountability-based leadership model that fosters structural
empowerment, transformational leadership, development of new
knowledge, and evidence-based practice improvements and
innovations
the RN
When an RN delegates a task to another person, who is
accountable and legally responsible?
*task
*circumstance
,*person
*direction/communication
*supervision
five rights of delegation
task
The RN asks a well-experienced UAP to complete a routine
blood sugar of a stable patient. Which of the five rights of
delegation does this exemplify?
circumstance
Before delegating a blood sugar check to a UAP, the RN has
ensured that the glucometer, lancets, strips, and other supplies
are intact and working. Which of the five rights of
delegation does this exemplify?
person
The RN asks an experienced UAP to check a blood sugar. The
UAP says they are willing to do so. Which of the five rights of
delegation does this exemplify?
direction/communication
The RN tells the UAP that the patient in room 10 needs their
blood glucose checked Q4H, and before meals. The RN also
asks the UAP to report any glucose level outside a specified
range. Which of the five rights of delegation does this
exemplify?
supervision
, The RN watches the UAP complete a blood sugar check, to
ensure all necessary steps are completed. Which of the five
rights of delegation does this exemplify?
*underdelegation
*overdelegation
*improper delegation
barriers to effective delegation (3)
C. A 75 year-old male patient with dementia who has an
ileostomy and scheduled tube feedings.
D. A 65 year-old female patient who has an order to remove the
Foley catheter.
You’re making the patient assignments for the next shift. On
your unit there are three LPNs, two RNs, and two nursing
assistants. Which patients will you assign to the LPNs?
Select all that apply:
A. A 68 year-old male patient who is expected to be discharged
home with IV antibiotic therapy. B. A 25 year-old female patient
newly admitted with diabetic ketoacidosis. C. A 75 year-old
male patient with dementia who has an ileostomy and scheduled
tube feedings. D. A 65 year-old female patient who has an order
to remove the Foley catheter.
A. Performing an assessment on a new admission
C. Developing a plan of care for a patient who is admitted with
Guillain-Barré Syndrome
Which dimension is part of the Quadruple Aim that was not
part of the Triple Aim?
A) better care
B) more satisfied patients
C) more satisfied providers
D) lower total medical costs
Delegation
C) more satisfied providers
the process of allowing a person perform a specific nursing
activity beyond their traditional role
shared governance
an accountability-based leadership model that fosters structural
empowerment, transformational leadership, development of new
knowledge, and evidence-based practice improvements and
innovations
the RN
When an RN delegates a task to another person, who is
accountable and legally responsible?
*task
*circumstance
,*person
*direction/communication
*supervision
five rights of delegation
task
The RN asks a well-experienced UAP to complete a routine
blood sugar of a stable patient. Which of the five rights of
delegation does this exemplify?
circumstance
Before delegating a blood sugar check to a UAP, the RN has
ensured that the glucometer, lancets, strips, and other supplies
are intact and working. Which of the five rights of
delegation does this exemplify?
person
The RN asks an experienced UAP to check a blood sugar. The
UAP says they are willing to do so. Which of the five rights of
delegation does this exemplify?
direction/communication
The RN tells the UAP that the patient in room 10 needs their
blood glucose checked Q4H, and before meals. The RN also
asks the UAP to report any glucose level outside a specified
range. Which of the five rights of delegation does this
exemplify?
supervision
, The RN watches the UAP complete a blood sugar check, to
ensure all necessary steps are completed. Which of the five
rights of delegation does this exemplify?
*underdelegation
*overdelegation
*improper delegation
barriers to effective delegation (3)
C. A 75 year-old male patient with dementia who has an
ileostomy and scheduled tube feedings.
D. A 65 year-old female patient who has an order to remove the
Foley catheter.
You’re making the patient assignments for the next shift. On
your unit there are three LPNs, two RNs, and two nursing
assistants. Which patients will you assign to the LPNs?
Select all that apply:
A. A 68 year-old male patient who is expected to be discharged
home with IV antibiotic therapy. B. A 25 year-old female patient
newly admitted with diabetic ketoacidosis. C. A 75 year-old
male patient with dementia who has an ileostomy and scheduled
tube feedings. D. A 65 year-old female patient who has an order
to remove the Foley catheter.
A. Performing an assessment on a new admission
C. Developing a plan of care for a patient who is admitted with
Guillain-Barré Syndrome
