leadership2
A charge nurse is assigning tasks to a RN, a licensed practical nurse (LPN), and an assistive personnel (AP). Which of the following tasks should the charge nurse delegate to the RN?
Complete the admission assessment
A charge nurse is planning client care assignments for the unit. Which of the following clients should the nurse assign to a licensed practical nurse (LPN)?
Crohn's disease and requires enteral feedings
A nurse manager is coordinating staff assignments for RNs and licensed practical nurses (LPNs) following a local disaster. Which of the following is an appropriate assignment by the nurse manager to provide safe and effective client care?
LPNs provide care to green tags
A staff nurse at a long-term care facility is evaluating an assistive personnel (AP) caring for a group of clients who require restraints. Which of the following is an appropriate action by the AP?
Placing the restraint tie on a moveable part of the bed frame
A nurse is reviewing safe use of a wheelchair with a group of assistive personnel. Which of the following should the nurse include?
Raise foot plates on wheelchair prior to transferring
A nurse is caring for a client who asks for information about advance directives. Which of the following is an appropriate response by the nurse?
Your advance directive will take effect when you are unable to make health care decisions the client is able to accept or deny treatment as long as she is able to make informed decisions on her own
A nurse is teaching an assistive personnel (AP) about caring for a client who has a do-not-resuscitate (DNR) order. Which of the following statements by the AP indicates an understanding of the teaching?
"I will call for the client's nurse to come to the room if I cannot detect the client's pulse."
A nurse manager observes a newly licensed nurse and an assistive personnel (AP) arguing about the failure of the AP to restock unit supplies. The AP leaves the room. Which of the following is an appropriate statement at this time by the nurse manager to the newly licensed nurse?
"I would like for you to approach the AP to resolve the problem."
A nurse is delegating tasks for a group of clients to an assistive personnel (AP). Which of the following statements by the nurse provides the right direction of communication with the AP?
"Tell me what time the client in room 205 voids for the first time after his catheter is removed."
A nurse is teaching a client about advance directives. Which of the following statements by the client indicates an understanding of the teaching?
"This means I have outlined my wishes for medication treatment."
A charge nurse is talking with a staff nurse following a workshop on advance directives. Which of the following statements by the staff nurse demonstrates understanding of advance directives?
A family member of a client can have living will overturned in some cases
A charge nurse is planning care for a group of clients. Which of the following tasks should be delegated to an assistive personnel (AP)? (Select all that apply.)
Ambulating Client with a Walker Adding thickener to liquid on food tray
A charge nurse is delegating tasks on a nursing unit that is short staffed. A client has a prescription for a wound irrigation twice a day. Which of the following actions should the charge nurse take?
Assign the procedure to a licensed practical nurse (LPN).
A charge nurse is delegating tasks on a nursing unit that is short staffed. A client has a prescription for a wound irrigation twice a day. Which of the following is an appropriate action for the charge nurse to take?
Assign the procedure to the LPN
An RN is working on the surgical unit when a client who has abdominal pain is admitted. Which of the following activities must be performed by the RN?
Completing the client's initial admission assessment
A nurse is caring for a client who requests pain medication. The nurse fulfills a promise to return with the medication within 15 min. The nurse is demonstrating which of the following ethical principles?
Fidelity
An assistive personnel (AP) tells the charge nurse that it is unfair that she has to take care of all the clients who are incontinent. Which of the following responses by the charge nurse is appropriate?
I delegate tasks to personnel based on their job descriptions
A charge nurse is evaluating a newly licensed nurse at the end of orientation. Which of the following behaviors indicates the nurse is using effective time management skills?
Makes a list of non essential tasks to be performed later
A nurse has four client assignments on a maternal newborn unit. Which of the following tasks can be delegated to an assistive personnel (AP)?
Measure output of mother's 1st voiding
A nurse is reviewing safe use of a wheelchair with a group of assistive personnel. Which of the following should the nurse include?
Raise the footplates of the wheelchair before transferring the client.
An RN delegates the task of obtaining the blood pressure of a client who is 2 hr postoperative following a cholecystectomy to a licensed practical nurse (LPN). The LPN reports a blood pressure that is significantly higher than the client's previous reading. Which of the following actions should the RN take first?
Recheck client's BP
An RN delegates the task of obtaining the blood pressure of a client who is 2 hr postoperative following a cholecystectomy to a licensed practical nurse (LPN). The LPN reports a blood pressure that is significantly higher than the client's previous reading. Which of the following actions should the RN take first?
Recheck the client's blood pressure.
A nurse asks a newly hired assistive personnel (AP) to remove a client's indwelling urinary catheter. Which of the following actions should the nurse take to ensure the AP is qualified to perform this task?
Review the AP's skill competency checklist.
A nurse manager is coordinating staff assignments for RNs and licensed practical nurses (LPNs) following a local disaster. Which of the following is an appropriate assignment by the nurse manager to provide safe and effective client care?
Treatment milestones When developing a critical pathway, the nurse should include time bound activities, interventions, and outcomes for clients who have a common diagnosis; therefore, include treatment milestones facilitates standardizing care
