Question 1

The nurse is initially guided in the process of delegation to an unlicensed assistive personnel (UAP) by the:

Accepted Answer

A)  state's nurse practice act. 
B)  competencies of the UAP. 
C)  policies of the facility. 
D)  needs of the patient. 
A)  state's nurse practice act. 
B)  competencies of the UAP. 
C)  policies of the facility. 
D)  needs of the patient. A

Question 2

Which statements are true regarding delegation of duties to unlicensed assistive personnel (UAPs) by a licensed nurse? (Select all that apply.)

Accepted Answer

A)  The LPN/LVN in charge must be familiar with the competency of staff. 
B)  The LPN/LVN must be familiar with the job descriptions of UAPs. 
C)  An LPN/LVN may delegate any skill or task to a UAP once the nursing assistant has demonstrated proficiency. 
D)  A nurse must be familiar with the nurse practice act. 
E)  The certification of the UAP makes nursing assistants liable for their actions. 
A)  The LPN/LVN in charge must be familiar with the competency of staff. 
B)  The LPN/LVN must be familiar with the job descriptions of UAPs. 
C)  An LPN/LVN may delegate any skill or task to a UAP once the nursing assistant has demonstrated proficiency. 
D)  A nurse must be familiar with the nurse practice act. 
E)  The certification of the UAP makes nursing assistants liable for their actions. A, B, D

Question 3

The nurse is aware that orders for a patient going to surgery are:

Accepted Answer

A)  pertinent only for the immediate preoperative period. 
B)  canceled when the physician writes, "resume previous orders." 
C)  can be continued when the patient returns to the unit. 
D)  canceled by the nurse in the operating room when the surgery is complete. 
A)  pertinent only for the immediate preoperative period. 
B)  canceled when the physician writes, "resume previous orders." 
C)  can be continued when the patient returns to the unit. 
D)  canceled by the nurse in the operating room when the surgery is complete. A

Question 4

Staff nurses have many responsibilities to their patients throughout their shift. However, the _________ is responsible for the total nursing care of patients during a shift and is also responsible for giving reports to the oncoming shift and evaluating members of the health care team.

Accepted Answer

charge nurse
All nurses need t

Question 5

A nurse is aware that the medication orders on the MAR/Kardex should be verified with the chart orders every:

Accepted Answer

A)  shift. 
B)  12 hours. 
C)  24 hours. 
D)  48 hours. 
A)  shift. 
B)  12 hours. 
C)  24 hours. 
D)  48 hours.

Question 6

The example of a physician's order that was received by telephone that has all the essential documentation is:

Accepted Answer

A)  Increase Coumadin to 3 mg daily: order from A. Doctor received by A. Nurse 11/11/11 @ 0930. 
B)  11/11/11 @ 0930 TO. From A. Doctor: Increase Coumadin (Warfarin) to 3 mg daily. A. Nurse, LVN. 
C)  TO: from A. Doctor: Increase Coumadin to 3 mg every day. A. Nurse. 
D)  11/11/11 received TO to increase Coumadin (Warfarin) to 3 mg daily A. Nurse. 
A)  Increase Coumadin to 3 mg daily: order from A. Doctor received by A. Nurse 11/11/11 @ 0930. 
B)  11/11/11 @ 0930 TO. From A. Doctor: Increase Coumadin (Warfarin) to 3 mg daily. A. Nurse, LVN. 
C)  TO: from A. Doctor: Increase Coumadin to 3 mg every day. A. Nurse. 
D)  11/11/11 received TO to increase Coumadin (Warfarin) to 3 mg daily A. Nurse.

Question 7

Place the steps of transcription of physician's orders in proper sequence. (Separate letters with a comma and space as follows: A, B, C, D, E.)

Accepted Answer

A)  Transmit orders to pharmacy, dietary, or ancillary services. 
B)  Add medication changes to MAR. 
C)  Process the "stat" orders first. 
D)  Read through all of the order. 
E)  Sign off order with a red line across page. 
A)  Transmit orders to pharmacy, dietary, or ancillary services. 
B)  Add medication changes to MAR. 
C)  Process the "stat" orders first. 
D)  Read through all of the order. 
E)  Sign off order with a red line across page.

Question 8

A nurse can best minimize the liability of a lawsuit against the facility by:

Accepted Answer

A)  strictly adhering to the policies and procedures of the facility. 
B)  demonstrating concern and attending to patient complaints. 
C)  advising the supervisor of significant events or problems with patient relations. 
D)  giving a copy of the policy and procedures to each patient. 
A)  strictly adhering to the policies and procedures of the facility. 
B)  demonstrating concern and attending to patient complaints. 
C)  advising the supervisor of significant events or problems with patient relations. 
D)  giving a copy of the policy and procedures to each patient.

Question 9

Which responsibilities are common to an LPN/LVN team leader in both health care facilities and medical clinics? (Select all that apply.)

Accepted Answer

A)  Organizes staff meetings 
B)  Assists in writing policies and procedures 
C)  Assists in resolving staff conflicts 
D)  Prepares the schedule for patient activities 
E)  Evaluates unlicensed assistive personnel (UAPs) 
A)  Organizes staff meetings 
B)  Assists in writing policies and procedures 
C)  Assists in resolving staff conflicts 
D)  Prepares the schedule for patient activities 
E)  Evaluates unlicensed assistive personnel (UAPs)

Question 10

The nurse's most appropriate selection of a task to be delegated to an unlicensed assistive personnel (UAP) would be:

Accepted Answer

A)  assessing circulation in the toes of a patient in a cast. 
B)  changing a patient's wound dressing. 
C)  taking the blood pressure of a patient who has just returned from surgery. 
D)  toileting a patient on a bladder-training regimen. 
A)  assessing circulation in the toes of a patient in a cast. 
B)  changing a patient's wound dressing. 
C)  taking the blood pressure of a patient who has just returned from surgery. 
D)  toileting a patient on a bladder-training regimen.

Question 11

The best communication given by the nurse to the unlicensed assistive personnel (UAP) would be:

Accepted Answer

A)  "Let me know if my patient's temperature is high." 
B)  "Please measure each urine output and report it to me." 
C)  "Tell me if the patient seems more uncomfortable." 
D)  "Notify me when the dressing needs to be changed." 
A)  "Let me know if my patient's temperature is high." 
B)  "Please measure each urine output and report it to me." 
C)  "Tell me if the patient seems more uncomfortable." 
D)  "Notify me when the dressing needs to be changed."

Question 12

An inappropriate delegation to an unlicensed assistive personnel (UAP) would be:

Accepted Answer

A)  applying a condom catheter. 
B)  assessing a patient's pain. 
C)  giving a sitz bath. 
D)  giving an enema. 
A)  applying a condom catheter. 
B)  assessing a patient's pain. 
C)  giving a sitz bath. 
D)  giving an enema.

Question 13

The nurse in a long-term care facility is aware that the accuracy and comprehensiveness of the Minimum Data Set (MDS) facilitate the:

Accepted Answer

A)  patient receiving the appropriate treatments. 
B)  effectiveness of the planning for quality improvement. 
C)  reimbursement to the facility from Medicare and Medicaid payments. 
D)  enhancement of the database for procedures related to risk management. 
A)  patient receiving the appropriate treatments. 
B)  effectiveness of the planning for quality improvement. 
C)  reimbursement to the facility from Medicare and Medicaid payments. 
D)  enhancement of the database for procedures related to risk management.

Question 14

The nurse is aware that the best way to evaluate an unlicensed assistive personnel's (UAP's) ability to perform a skill or task is to:

Accepted Answer

A)  obtain verbal confirmation from another nurse that the nursing assistant is proficient. 
B)  review documentation that the nursing assistant is competent in skills. 
C)  observe the nursing assistant performing the skill or task. 
D)  demonstrate the skill to the nursing assistant before his demonstration. 
A)  obtain verbal confirmation from another nurse that the nursing assistant is proficient. 
B)  review documentation that the nursing assistant is competent in skills. 
C)  observe the nursing assistant performing the skill or task. 
D)  demonstrate the skill to the nursing assistant before his demonstration.

Question 15

Important characteristics of delegation to an unlicensed assistive personnel (UAP) include: (Select all that apply.)

Accepted Answer

A)  use of effective communication. 
B)  provision of constructive criticism immediately. 
C)  direction for the desired result and time for completion. 
D)  provision of tactful feedback. 
E)  informing the patient that the delegated task will be performed by a UAP. 
A)  use of effective communication. 
B)  provision of constructive criticism immediately. 
C)  direction for the desired result and time for completion. 
D)  provision of tactful feedback. 
E)  informing the patient that the delegated task will be performed by a UAP.

Question 16

The LPN/LVN who is transcribing orders is unclear about the intent of an order. The LPN/LVN should:

Accepted Answer

A)  consult the charge nurse. 
B)  call the physician. 
C)  transcribe the order as written. 
D)  mark the order in red as UNTRANSCRIBED. 
A)  consult the charge nurse. 
B)  call the physician. 
C)  transcribe the order as written. 
D)  mark the order in red as UNTRANSCRIBED.

Question 17

When transcribing a physician's orders, the nurse must:

Accepted Answer

A)  transcribe only the generic name of the drug. 
B)  give a copy of the order to the nurse responsible for that patient's care. 
C)  review unclear orders with the charge nurse. 
D)  transfer orders to the Medication Administration Record (MAR). 
A)  transcribe only the generic name of the drug. 
B)  give a copy of the order to the nurse responsible for that patient's care. 
C)  review unclear orders with the charge nurse. 
D)  transfer orders to the Medication Administration Record (MAR).

Question 18

The nurse is aware that assignment of an unlicensed assistive personnel (UAP) differs from delegation in that in delegation, the:

Accepted Answer

A)  nurse has transferred the authority to perform the task. 
B)  UAPs are covered by their own certification. 
C)  UAPs are performing activities within the scope of their job description. 
D)  licensed person must accompany the UAP to supervise the activity. 
A)  nurse has transferred the authority to perform the task. 
B)  UAPs are covered by their own certification. 
C)  UAPs are performing activities within the scope of their job description. 
D)  licensed person must accompany the UAP to supervise the activity.

Question 19

The considerations for an LPN/LVN to be eligible for an advanced leadership role as a charge nurse include a minimum of staff nursing experience of _____ months.

Accepted Answer

A)  12 
B)  18 
C)  24 
D)  36 
A)  12 
B)  18 
C)  24 
D)  36

Question 20

The nurse recognizes that one of the responsibilities of a charge nurse as opposed to the team leader is that the charge nurse is responsible for:

Accepted Answer

A)  evaluating members of the health care team. 
B)  evaluating unlicensed assistive personnel. 
C)  making rounds and assessing all patients on the unit. 
D)  collaborating with physicians and other health team members. 
A)  evaluating members of the health care team. 
B)  evaluating unlicensed assistive personnel. 
C)  making rounds and assessing all patients on the unit. 
D)  collaborating with physicians and other health team members.

Exam 10: Delegation, Leadership, and Management

The nurse is initially guided in the process of delegation to an unlicensed assistive personnel (UAP) by the:

Which statements are true regarding delegation of duties to unlicensed assistive personnel (UAPs) by a licensed nurse? (Select all that apply.)

The nurse is aware that orders for a patient going to surgery are:

Staff nurses have many responsibilities to their patients throughout their shift. However, the _________ is responsible for the total nursing care of patients during a shift and is also responsible for giving reports to the oncoming shift and evaluating members of the health care team.

A nurse is aware that the medication orders on the MAR/Kardex should be verified with the chart orders every:

The example of a physician's order that was received by telephone that has all the essential documentation is:

Place the steps of transcription of physician's orders in proper sequence. (Separate letters with a comma and space as follows: A, B, C, D, E.)

A nurse can best minimize the liability of a lawsuit against the facility by:

Which responsibilities are common to an LPN/LVN team leader in both health care facilities and medical clinics? (Select all that apply.)

The nurse's most appropriate selection of a task to be delegated to an unlicensed assistive personnel (UAP) would be:

The best communication given by the nurse to the unlicensed assistive personnel (UAP) would be:

An inappropriate delegation to an unlicensed assistive personnel (UAP) would be:

The nurse in a long-term care facility is aware that the accuracy and comprehensiveness of the Minimum Data Set (MDS) facilitate the:

The nurse is aware that the best way to evaluate an unlicensed assistive personnel's (UAP's) ability to perform a skill or task is to:

Important characteristics of delegation to an unlicensed assistive personnel (UAP) include: (Select all that apply.)

The LPN/LVN who is transcribing orders is unclear about the intent of an order. The LPN/LVN should:

When transcribing a physician's orders, the nurse must:

The nurse is aware that assignment of an unlicensed assistive personnel (UAP) differs from delegation in that in delegation, the:

The considerations for an LPN/LVN to be eligible for an advanced leadership role as a charge nurse include a minimum of staff nursing experience of _____ months.

The nurse recognizes that one of the responsibilities of a charge nurse as opposed to the team leader is that the charge nurse is responsible for:

Nursing and the Health Care System

Concepts of Health, Illness, Stress, and Health Promotion

Legal and Ethical Aspects of Nursing

Nursing Process and Critical Thinking

Assessment, Nursing Diagnosis, and Planning

Implementation and Evaluation

Documentation of Nursing Care

Communication and the Nurse-Patient Relationship

Patient Teaching for Health Promotion

Growth and Development: Infancy Through Adolescence

Adulthood and the Family

Promoting Healthy Adaptation to Aging

Cultural and Spiritual Aspects of Patient Care

Loss, Grief, the Dying Patient, and Palliative Care

Infection Prevention and Control: Protective Mechanisms and Asepsis

Infection Prevention and Control in the Hospital and Home

Lifting, Moving, and Positioning Patients

Assisting with Hygiene, Personal Care, Skin Care, and the Prevention of Pressure Ulcers

Patient Environment and Safety

Measuring Vital Signs

Assessing Health Status

Admitting, Transferring, and Discharging Patients

Diagnostic Tests and Specimen Collection

Fluid, Electrolyte, and Acid–Base Balance

Concepts of Basic Nutrition and Cultural Considerations

Diet Therapy and Assisted Feeding

Assisting with Respiration and Oxygen Delivery

Promoting Urinary Elimination

Promoting Bowel Elimination

Pain, Comfort, and Sleep

Complementary and Alternative Therapies

Pharmacology and Preparation for Drug Administration

Administering Oral, Topical, and Inhalant Medications

Administering Intradermal, Subcutaneous, and Intramuscular Injections

Administering Intravenous Solutions and Medications

Care of the Surgical Patient

Providing Wound Care and Treating Pressure Ulcers

Promoting Musculoskeletal Function

Common Physical Care Problems of the Elderly

Common Psychosocial Care Problems of the Elderly

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