Question 1

Which action by a UAP requires an immediate intervention by the nurse?

Accepted Answer

A) Encouraging a patient to use the incentive spirometer 
B) Encouraging a patient to ambulate 2 days after surgery 
C) Checking the pH of the gastric aspirate of a patient receiving tube feedings 
D) Informing the RN that a patient requests a pain medication 
A) Encouraging a patient to use the incentive spirometer 
B) Encouraging a patient to ambulate 2 days after surgery 
C) Checking the pH of the gastric aspirate of a patient receiving tube feedings 
D) Informing the RN that a patient requests a pain medication C

Question 2

Which of the following delegations by the RN would require an immediate intervention by the charge RN?

Accepted Answer

A) A UAP removes the wrist restraints on a patient and provides ROM exercises when giving a bath. 
B) An LPN assists a patient back to bed from the bathroom. 
C) A UAP replaces the monitor electrodes on a patient after he has taken a shower. 
D) An LPN assesses LOC on a stable patient 3 days after surgery. 
A) A UAP removes the wrist restraints on a patient and provides ROM exercises when giving a bath. 
B) An LPN assists a patient back to bed from the bathroom. 
C) A UAP replaces the monitor electrodes on a patient after he has taken a shower. 
D) An LPN assesses LOC on a stable patient 3 days after surgery. C

Question 3

When incorporating the five rights of delegation, the right task is used in which situation?

Accepted Answer

A) The UAP reinforces use of the incentive spirometer to a patient. 
B) The UAP teaches the patient to use the incentive spirometer. 
C) The UAP listens to breath sounds to encourage the patient to use the incentive spirometer. 
D) The UAP is not allowed to work with the patient regarding use of the incentive spirometer. 
A) The UAP reinforces use of the incentive spirometer to a patient. 
B) The UAP teaches the patient to use the incentive spirometer. 
C) The UAP listens to breath sounds to encourage the patient to use the incentive spirometer. 
D) The UAP is not allowed to work with the patient regarding use of the incentive spirometer. A

Question 4

Which delegation should a UAP consider to have the highest priority?

Accepted Answer

A) Obtaining a routine blood glucose level from a patient with diabetes 
B) Giving a bath to a patient scheduled for a colonoscopy 
C) Feeding a patient who needs assistance doing so. 
D) Helping an older adult patient to the bathroom 
A) Obtaining a routine blood glucose level from a patient with diabetes 
B) Giving a bath to a patient scheduled for a colonoscopy 
C) Feeding a patient who needs assistance doing so. 
D) Helping an older adult patient to the bathroom

Question 5

When incorporating the five rights of delegation, the right communication is used when a patient's blood pressure is low in which of the following situations?

Accepted Answer

A) The RN tells the UAP to wait to give a patient a bath because her blood pressure is too low. 
B) The RN tells a UAP to recheck the patient's blood pressure and report back to her before giving the patient a bath. 
C) The UAP gives a bath to a patient with a low blood pressure. 
D) The RN tells the UAP to give a patient a bath because they are unaware of the low blood pressure. 
A) The RN tells the UAP to wait to give a patient a bath because her blood pressure is too low. 
B) The RN tells a UAP to recheck the patient's blood pressure and report back to her before giving the patient a bath. 
C) The UAP gives a bath to a patient with a low blood pressure. 
D) The RN tells the UAP to give a patient a bath because they are unaware of the low blood pressure.

Question 6

A nurse must delegate some responsibilities of the care of patients on a particularly busy and chaotic day to the LPN and UAP team members.Which of the following can be appropriately delegated to the LPN?

Accepted Answer

A) Assisting with a central line insertion 
B) Giving bath supplies to patients who are capable of bathing themselves 
C) Rechecking the blood pressure on a patient who is having episodes of bigeminy and ventricular tachycardia 
D) Transporting a patient in a wheelchair for discharge 
A) Assisting with a central line insertion 
B) Giving bath supplies to patients who are capable of bathing themselves 
C) Rechecking the blood pressure on a patient who is having episodes of bigeminy and ventricular tachycardia 
D) Transporting a patient in a wheelchair for discharge

Question 7

Which of the following delegations by the RN would require an immediate intervention by the charge RN?

Accepted Answer

A) A UAP checks a diabetic patient's blood glucose level. 
B) An LPN assesses a patient after a fall. 
C) The charge nurse makes changes to the assignments after staff is "pulled" to another area. 
D) An RN assists with administering medication to another nurse's patients during a code. 
A) A UAP checks a diabetic patient's blood glucose level. 
B) An LPN assesses a patient after a fall. 
C) The charge nurse makes changes to the assignments after staff is "pulled" to another area. 
D) An RN assists with administering medication to another nurse's patients during a code.

Question 8

The nurse is working on a medical unit with an LPN and a UAP as the team members.Which tasks should the RN complete?

Accepted Answer

A) Assignments of new admissions to staff 
B) Regulation of heparin drip based on the heparin nomogram 
C) Vital signs on patients admitted on previous shift 
D) Dressing change for a patient 4 days post I&D of a pacemaker wound 
A) Assignments of new admissions to staff 
B) Regulation of heparin drip based on the heparin nomogram 
C) Vital signs on patients admitted on previous shift 
D) Dressing change for a patient 4 days post I&D of a pacemaker wound

Question 9

Which order should be considered to have the highest priority when delivering care to a patient?

Accepted Answer

A) Albuterol treatment for a patient complaining of shortness of breath 
B) IV diuretic for a patient in heart failure 
C) Sliding-scale short-acting insulin 
D) Antihypertensive for a patient admitted with negative cardiac enzymes 
A) Albuterol treatment for a patient complaining of shortness of breath 
B) IV diuretic for a patient in heart failure 
C) Sliding-scale short-acting insulin 
D) Antihypertensive for a patient admitted with negative cardiac enzymes

Question 10

When incorporating the five rights of delegation, the right circumstance is used in which of the following situations?

Accepted Answer

A) The RN asks the UAP to draw a prothrombin time on a patient on a heparin drip. 
B) The RN asks the UAP to draw blood on a patient with bilateral upper extremity lymphedema. 
C) The RN asks the UAP to draw blood on a newly admitted patient with pneumonia. 
D) The RN asks a new UAP to draw blood on a patient known to be a "hard stick." 
A) The RN asks the UAP to draw a prothrombin time on a patient on a heparin drip. 
B) The RN asks the UAP to draw blood on a patient with bilateral upper extremity lymphedema. 
C) The RN asks the UAP to draw blood on a newly admitted patient with pneumonia. 
D) The RN asks a new UAP to draw blood on a patient known to be a "hard stick."

Question 11

The nurse is working on a medical unit with an LPN and UAP as the team members.Which tasks should the RN delegate to the LPN?

Accepted Answer

A) Vital signs on a patient about to arrive from the cardiac catheterization lab 
B) Regulation of a patient's heparin drip based on the heparin nomogram 
C) Regulation of a patient's nitroglycerin drip based on the level of pain 
D) Administration of all oral medications for the team 
A) Vital signs on a patient about to arrive from the cardiac catheterization lab 
B) Regulation of a patient's heparin drip based on the heparin nomogram 
C) Regulation of a patient's nitroglycerin drip based on the level of pain 
D) Administration of all oral medications for the team

Question 12

A UAP is asked to take a patient's temperature every 4 hours and report that temperature to the RN.Which best demonstrates the correct interpretation of right communication?

Accepted Answer

A) The UAP takes the temperature for the patient every 4 hours. 
B) The UAP charts the temperature for the patient every 4 hours. 
C) The UAP reports that the patient has been afebrile all day. 
D) The UAP reports the temperature for the patient every 4 hours. 
A) The UAP takes the temperature for the patient every 4 hours. 
B) The UAP charts the temperature for the patient every 4 hours. 
C) The UAP reports that the patient has been afebrile all day. 
D) The UAP reports the temperature for the patient every 4 hours.

Question 13

After receiving the shift report, which of the following requires a priority action by the nurse?

Accepted Answer

A) Discontinue an IV line from an insertion site that appears red and at which the patient complains of pain. 
B) Make assignments for the team. 
C) Talk to a patient who has changed his mind about having a procedure today. 
D) Round on all the patients on their team. 
A) Discontinue an IV line from an insertion site that appears red and at which the patient complains of pain. 
B) Make assignments for the team. 
C) Talk to a patient who has changed his mind about having a procedure today. 
D) Round on all the patients on their team.

Question 14

The charge nurse in the ICU receives a call from the ED.They have three patients who require a bed.Which patient should be transferred first?

Accepted Answer

A) A patient admitted with an acute MI who is in the cardiac catheterization lab now for an intervention 
B) A patient admitted with an acute MI and a history of CABG on a nitroglycerin drip to manage ischemic pain and tissue perfusion 
C) A patient in sickle cell crisis with a PCA pump to manage his pain 
D) A patient in DKA for new-onset diabetes mellitus 
A) A patient admitted with an acute MI who is in the cardiac catheterization lab now for an intervention 
B) A patient admitted with an acute MI and a history of CABG on a nitroglycerin drip to manage ischemic pain and tissue perfusion 
C) A patient in sickle cell crisis with a PCA pump to manage his pain 
D) A patient in DKA for new-onset diabetes mellitus

Question 15

When incorporating the five rights of delegation, the right person is being used in which of the following situations?

Accepted Answer

A) The LPN initiates TPN to a patient as ordered. 
B) The charge nurse designates a UAP to "float" to another unit. 
C) The staff nurse trades weekends with another staff nurse. 
D) The UAP assists a patient to the bathroom after an echocardiogram. 
A) The LPN initiates TPN to a patient as ordered. 
B) The charge nurse designates a UAP to "float" to another unit. 
C) The staff nurse trades weekends with another staff nurse. 
D) The UAP assists a patient to the bathroom after an echocardiogram.

Question 16

A patient turns his call light on and requests someone to help him ambulate.The senior student nurse has been caring for this patient for 2 days but has only helped him to a chair in the past.Which instructions should be given to the student prior to ambulation of the patient?

Accepted Answer

A) "The patient has been ambulated before but still requires some assistance." 
B) "The patient has been ambulated before but is only able to walk with supervision and a walker." 
C) "The patient is only able to walk with a walker for the length of the hallway." 
D) "The patient has been ambulated before using a walker but needs his oxygen saturation checked if he complains of SOB (shortness of breath)." 
A) "The patient has been ambulated before but still requires some assistance." 
B) "The patient has been ambulated before but is only able to walk with supervision and a walker." 
C) "The patient is only able to walk with a walker for the length of the hallway." 
D) "The patient has been ambulated before using a walker but needs his oxygen saturation checked if he complains of SOB (shortness of breath)."

Question 17

Which of the following delegations by the RN would require an immediate intervention by the charge RN?

Accepted Answer

A) An LPN administers IVP Lasix (furosemide) to a patient in heart failure. 
B) An RN administers IVP Lasix (furosemide) to a patient in heart failure. 
C) An LPN obtains a blood glucose level on a diabetic patient. 
D) An RN obtains a blood glucose level on a diabetic patient. 
A) An LPN administers IVP Lasix (furosemide) to a patient in heart failure. 
B) An RN administers IVP Lasix (furosemide) to a patient in heart failure. 
C) An LPN obtains a blood glucose level on a diabetic patient. 
D) An RN obtains a blood glucose level on a diabetic patient.

Question 18

A nurse assesses a patient reported to have normal vital signs throughout the night and finds the patient in acute respiratory distress.What is the nurse's next best action?

Accepted Answer

A) Delegate vital signs to the UAP. 
B) Ask another nurse to call the health care provider. 
C) Call a code. 
D) Start another peripheral IV line. 
A) Delegate vital signs to the UAP. 
B) Ask another nurse to call the health care provider. 
C) Call a code. 
D) Start another peripheral IV line.

Question 19

The nurse is working on a medical unit with an LPN and UAP as the team members.Which tasks should the RN delegate to the UAP?

Accepted Answer

A) Vital signs on all patients admitted on the previous shift 
B) Vital signs on a patient being transferred from the ED 
C) Vital signs on a patient being transferred from the ICU 
D) Vital signs on a newly admitted stable patient 
A) Vital signs on all patients admitted on the previous shift 
B) Vital signs on a patient being transferred from the ED 
C) Vital signs on a patient being transferred from the ICU 
D) Vital signs on a newly admitted stable patient

Question 20

Which of the following patients should the nurse see first after the shift report?

Accepted Answer

A) A patient with a change in heart rhythm who is complaining of lightheadedness 
B) A patient with a newly placed pacemaker who is complaining of shoulder pain 
C) A patient in heart failure on afterload reducers with a blood pressure 96/60 mm Hg 
D) A patient in first-degree heart block 
A) A patient with a change in heart rhythm who is complaining of lightheadedness 
B) A patient with a newly placed pacemaker who is complaining of shoulder pain 
C) A patient in heart failure on afterload reducers with a blood pressure 96/60 mm Hg 
D) A patient in first-degree heart block

Exam 13: Delegation of Nursing Tasks

Which action by a UAP requires an immediate intervention by the nurse?

Which of the following delegations by the RN would require an immediate intervention by the charge RN?

When incorporating the five rights of delegation, the right task is used in which situation?

Which delegation should a UAP consider to have the highest priority?

When incorporating the five rights of delegation, the right communication is used when a patient's blood pressure is low in which of the following situations?

A nurse must delegate some responsibilities of the care of patients on a particularly busy and chaotic day to the LPN and UAP team members.Which of the following can be appropriately delegated to the LPN?

Which of the following delegations by the RN would require an immediate intervention by the charge RN?

The nurse is working on a medical unit with an LPN and a UAP as the team members.Which tasks should the RN complete?

Which order should be considered to have the highest priority when delivering care to a patient?

When incorporating the five rights of delegation, the right circumstance is used in which of the following situations?

The nurse is working on a medical unit with an LPN and UAP as the team members.Which tasks should the RN delegate to the LPN?

A UAP is asked to take a patient's temperature every 4 hours and report that temperature to the RN.Which best demonstrates the correct interpretation of right communication?

After receiving the shift report, which of the following requires a priority action by the nurse?

The charge nurse in the ICU receives a call from the ED.They have three patients who require a bed.Which patient should be transferred first?

When incorporating the five rights of delegation, the right person is being used in which of the following situations?

A patient turns his call light on and requests someone to help him ambulate.The senior student nurse has been caring for this patient for 2 days but has only helped him to a chair in the past.Which instructions should be given to the student prior to ambulation of the patient?

Which of the following delegations by the RN would require an immediate intervention by the charge RN?

A nurse assesses a patient reported to have normal vital signs throughout the night and finds the patient in acute respiratory distress.What is the nurse's next best action?

The nurse is working on a medical unit with an LPN and UAP as the team members.Which tasks should the RN delegate to the UAP?

Which of the following patients should the nurse see first after the shift report?

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