Study Guide
When SJ called Nurse Sarah because of trouble urinating, what should the nurse have done
differently when answering SJ's call light? Select All That Apply.
A. Assess the genitalia herself instead of delegating it to the NAC
B. Not performed any intrusive interventions without a doctor's order
C. Used a bladder scanner to verify how much fluid was left in the bladder
D. Document all care interventions given - correct answer ✔✔A. Assess the genitalia herself
instead of delegating it to the NAC
B. Not performed any intrusive interventions without a doctor's order
C. Used a bladder scanner to verify how much fluid was left in the bladder
D. Document all care interventions given
According to the WAC Standards for Nursing Practice, when delegating a task to a UAP, a nurse is
responsible for which of the following? Select All That Apply.
A. Evaluating the outcomes of the delegated task
B. Repeating the delegated task after the UAP completes it
C. Evaluating the competency of the UAP in the task
D. Always watch the UAP do the delegated tasks - correct answer ✔✔A. Evaluating the
outcomes of the delegated task
C. Evaluating the competency of the UAP in the task
Other than observing her perform the task, what else could Nurse Blake have done to
determine the NAC's skill level? Select All That Apply.
,A. Ask how comfortable the NAC feels doing this task
B. Ask how long they've been working as a NAC
C. Call the NAC's teachers and ask them how good she was in class/clinicals
D. Spy on the NAC from the nurses station the day before working with the NAC - correct
answer ✔✔A. Ask how comfortable the NAC feels doing this task
B. Ask how long they've been working as a NAC
Which of the following are standards of nursing practice according to the WAC? Select All That
Apply.
A. Holistic approach
B. Health teaching
C. Washing hands
D. Initiating the nursing process - correct answer ✔✔B. Health teaching
D. Initiating the nursing process
Why would Nurse Blake perform a full assessment and a focused assessment on the patient
who had been in a motor vehicle accident (MVA)? Select All That Apply
A. To be extra sure the first assessment was correct
B. Because this patient is new to the nurse and he needs to see with his own eyes what
condition the whole patient is in before starting caring for her
C. The focused assessment will help verify the info gained during the full assessment
D. To get a closer/more detailed look at the systems injured in the MVA, because this is a
relatively healthy adult otherwise - correct answer ✔✔B. Because this patient is new to the
nurse and he needs to see with his own eyes what condition the whole patient is in before
starting caring for her
D. To get a closer/more detailed look at the systems injured in the MVA, because this is a
relatively healthy adult otherwise
, Which of the following is NOT an independent role of a RN?
A. Respecting a client's privacy
B. Documenting care
C. Giving a medication
D. Assessing a client - correct answer ✔✔C. Giving a medication
Which of the following is NOT true about the interdependent nursing role?
A. The nurse coordinates and evaluates the care of the client
B. The nurse can independently revise the plan of care
C. The nurse, under physician direction, performs a chest tube insertion
D. The nurse follows a written order to insert a foley catheter - correct answer ✔✔C. The nurse,
under physician direction, performs a chest tube insertion
Why was it inappropriate for Nurse Sarah to be talking to her friend on her phone on the way to
her car after work?
A. Because she was still on work property and they have rules against being on the phone
B. Because one of her coworkers was talking to her and the call interrupted their conversation
C. Because she was walking down the middle of the parking lot and not paying attention to the
drivers around her
D. Because she was speaking loudly about private patient information in a public area where
people could clearly hear her - correct answer ✔✔D. Because she was speaking loudly about
private patient information in a public area where people could clearly hear her
What did Nurse Sarah do right when assessing the patient with the hip fracture?