CAPSTONE EXAM 1 ACTUAL EXAM 2023-2024 COMPLETE 200
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
For care of a patient who has oral cancer, which task would be appropriate to
delegate to an LPN\/LVN?
A- Assisting the patient to brush and floss
B- Explaining when brushing and flossing are contraindicated
C- Giving antacids and sucralfate suspension as ordered
D- Recommending saliva substitutes – ANSWER- C- Giving Antacids and
sucralfate as ordered
Rationale; *LPNs can’t teach
You are working in an AIDs hospice facility that is also staffed with LPNs and
UAPs. Which nursing action will you delegate to the LPN you are supervising?
A- Assessing patients’ nutritional needs and individualizing diet plans to improve
nutrition
B- Collecting data about the patients responses to medications used for pain and
anorexia
C- Teaching the UAPs about how to lower the risk for spreading infections
D- Assisting patients with personal hygeine and other activities of daily liging as
needed – ANSWER- B- Collecting data about the patients responses to medications
used for pain and anorexia
Rationale; *LPNs can’t asses or teach. They can assist with personal hygeine and
activities of daily living but so can a UAP<\/p>\n\n\n\n
A hospitilized patient with AIDS has a nursing diagnosis of Imbalanced Nutrition:
Less than Body Requirements related to nausea and anorexia. Which nursing
action is most appropriate to delegate to an LPN who is providing care to this
patient?
A- Administering oxandrolone 5 mg daily
B- Assessing the patient for other nutritional risk factors
C- Developing a plan of care to improve the patient’s appetite
D- Providing instructions about a high-calorie, high protein diet – ANSWER- Aadministering oxandrolone 5 mg daily
Rationale; *LPNs can’t assess, develop care plans or teach
The client’s nursing diagnosis is deficient fluid volume realted to excessive fluid
loss. Which action related to fluid mamagement should be delegated to a UAP?
A- Administering IV fluids as prescribed by the physicians
B- Providing straws and offering fluids between meals
C- Developing a plan for added fluid intake over 24 hours
D- Teaching family members to assist the client with fluid intake – ANSWER- BProviding straws and offering fluids between meals
Rationale; *UAPs can’t administer IV fluids, develop care plans or teach
The nursing care plan for a client with dehydration includes interventions for oral
health. Which interventions are within the scope of practice for an LPN being
supervised by a nurse?
A- Reminding the client to avoid commercial mouthwashes<\/p>\n\n\n\n
B- Encouraging mouth rinsing with warm saline
C- Observing the lips, tongue and mucous membranes
D- Providing mouth care every 2 hours wile the client is awake
E- Seeking a dietary consult to increase fluids on meal trays – ANSWER- A, B, C,
D
Rationale; *LPNs can’t seek out consults
The charge nurse assigned the care of a client with acute kidney failure and
hypernatremia to you, a newly graduated RN. Which action can you delegate to the
UAP?
A- Providing oral care every 3-4 hours
B- Monitoring for indications of dehydration
C- Aministering 0.45% saline by IV line
D- Assessing daily weights for trends – ANSWER- A- providing oral care every 3-
4 hours
Rationale; *UAPs can’t monitor for signs or trends and can’t do IVs
Which action should you delegate to a UAP for the client with diabetic
ketoacidosis?
A- checking fingerstick glucose results every hour
B- Recording intake and output every hour
C- Measuring vital signs every 15 minutes
D- Assessing for indicators of fluid imbalance
E- Notifying the provider of changes in glucose level – ANSWER- B, C<\/p>\n\n\n\n
Rationale; *UAPs can obtain measurements but not analyze them or trend them in
any way.
You are caring for a client who has been admitted to the hospital with a leg ulcer
that is fected with vancomycin-resistant S. aureus (VRSA). Which nursing action
can you delegate to an LPN?
A- Planning ways to improve the client’s oral protein intake
B- Teaching the client about home care of the leg ulcer
C- Obtaining wound cultures during dressing changes
D- Assessing the risk for further skin breakdown – ANSWER- C- obtaining wound
cultures during dressing changes
Rationale; *can’t plans, teach or assess
A client with a vancomycin-resistant enterococcus (VRE) is admitted to the
medical unit. Which action can be delegated to the UAP who is assesting with the
client’s care?
A- Teaching the client and family members about means to prevent transmission of
VRE
B- Communicating with other departments when the client is transported for
ordered tests
C- Implementing contact precaustions when prociding care for the client
D- Monitoring the results of ordered laboratory culture and semsitivity tests –
ANSWER- C- Implementing contact precautions when providing care for the
client
Rationale; *can’t teach, communicate with other departments about tests or
monitor results<\/p>\n","protected":false},"excerpt":{"rendered":"
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