Leadership NCLEX Questions - Delegation
The nursing team consists of one RN, 2 LPNs and 1 NA. The nurse determines that assignments are appropriate if the NA is assigned to which of the following patients? A. A patient diagnosed with CVA three days ago who needs assistance with ambulating to the bathroom B. A patient diagnosed with cerebral palsy requiring medication C. A patient with sepsis who needs an IV push medication D. a client with an ostomy requesting assistance with irrigation
A.
The charge nurse is planning the assignment for the day. Which factors should the nurse remain mindful of when planning the assignment. Select all that apply. A. The acuity level of clients B. specific requests from staff C. The clustering of the rooms on the unit D. The number of anticipated client discharges E. Client needs and workers needs and abilities
A & E
As an experienced RN, you know there are 5 rights of delegation to ensure proper delegation. You are trying to teach a new RN these delegations rights. Which rights would you include? Select All That Apply A. Right communication B. Right Patient C. Right Task D. Right Order E. Right Circumstances
A, C, E
An RN must determine how best to assign coworkers (another RN and one LPN) to provide care to a group of clients. Which of the following is the appropriate assignment? A. The RN is assigned to care for an unemployed 26 year old woman, newly diagnosed with acquired immunodeficiency syndrome (AIDS) who has 4 school age children B. The LPN is assigned to care for a 41 year old male, postresection of an acoustic neuroma 2 days ago, transferred from the ICU this morning C. the LPN is assigned to provide discharge teaching about medications and maintenance of nephrostomy tube to a 35 year old man D. The RN is assigned to care for a 65 year old woman hospitalized because of chest pain, being discharged today to home with no medication
A.
Which of the following tasking can you delegate to LPN? Select all that apply A. Head to toe initial assessment B. Inserting a urinary catheter C. Performing trach care D. Teach patient about a newly prescribed medication E. Administering enteral feedings
B, C, E
As an RN you are planning patient care assignments for the day. One your team, you have 1 LPN and 1 AP. Which of the following tasks is not appropriate to delegate to the LPN? A. Medication administration B. Assessment of a newly admitted patient C. Wound dressing change on a pressure ulcer D. Placement of a urinary Foley catheter
B.
An RN is planning the client assignments for the day. Which is the most appropriate assignment for a UAP? A. A client requiring a colostomy irrigation B. a client receiving continuous tube feedings C. A client who requires urine specimen collections. D. a client with difficulty swallowing food and liquids
C.
Which intervention for a patient with a pulmonary embolus could be delegated to the LPN on your patient care team? A. Evaluating the patients complaint of chest pain B. Monitoring lab value for changes in oxygenation C. Assessing for symptoms of respiratory failure D. Auscultating lung sounds for crackles
D.
The newly hired nurse is delegating tasks to an AP, which statement by the nurse needs further teaching on delegating to APs. A. "Assist the client who has pneumonia to use a bedpan" B. "Measure the vital signs of a client who is post op and stable." C. "Obtain specimen for a client who has a UTI" D. "Assist Mr. Blue in room 312 with morning hygiene"
D. Rationale, when using the 5 rights of delegation the newly hired nurse should recognize that RIGHT DIRECTION/COMMUNICATION. Is necessary for proper delagation. It contains the data that needs to be collected, method and time of task, specific task and expected results.