Delegation and Supervision: NCLEX-RN Exam Answers

NSG 100

Delegation and Supervision: NCLEX-RN Exam Answers

A nurse is working on the medical/surgical unit. The nurse knows that which of the following tasks should NOT be delegated to nursing assistive personnel?

Select one:

• Setting up a meal tray for a 75 year old client with Alzheimer's disease
• Transferring a 70 year old client awaiting discharge from the bed to a wheelchair.
• Assessing a newly postoperative client's pain level.
• Setting up a water basin for a 45 year old client who wishes to shave at the bedside.

A patient is extremely upset and mentions something about a work-related issue that the nurse cannot understand. Whichof the following is the nurse's best response?

Select one:

• "Your job must be very important to you."
• "Calm down so I can understand what you are saying."
• "I'm not quite sure I heard what you said about your work."
• "It's natural to worry about your job."

A patient is to have arthroscopic surgery of the knee to repair a torn tendon. The patient says, "I don't know if I'll make it through this surgery." Which response by the nurse will encourage further communication by the patient?"

Select one:

• "You are not going to die."
• "The type of surgery you are having is minor."
• "Everything will be all right."
• "Surgery often can be frightening."

A well-known actor has been admitted to an ambulatory surgical unit. The nurse notices a staff member who is not involved in the client's care reading his medical record. The nurse knows she should FIRST do which of the following?

Select one:

• Inform the staff member that without legitimate need for the information, staff should not

be reading the medical record.

• Nothing. The staff member has a hospital ID badge and is authorized to read the medical

record.

• Tell the client his medical records have been read by an unauthorized individual.
• Page the physician and ask if it's acceptable for the staff member to access the medical

records.' A woman is admitted to the hospital with high risk pregnancy. A laparotomy is scheduled.Preoperatively, which of the following goals is MOST important for the nurse to include on the client plan of care?

Select one:

• Emotional support
• Respiratory therapy
• Fluid replacement
• Pain relief'

An elderly client is hospitalized with Alzheimer's disease. His daughter tells the nurse that caring for him is too hard, but that she feels guilty placing him in a nursing home. Which of the following statements by the nurse would be MOST appropriate? 1 / 2

Select one:

• "Don't feel guilty. The only solution is to place your father in a nursing home."
• "Would you like me to help you find a nursing home that is not too expensive?"
• "I think I would feel guilty too if I had to place my father in a nursing home."
• "It is hard to be caught between taking care of your needs and your father's needs."

Like first stop the person from reading, before deciding to go tell A nurse is caring for a client who states, "I have to check with my wife and see if she thinks I am ready to go home." The nurse replies, "How do you feel about going home today?" Which clarifying technique is the nurse using to enhance communication with the client?

Select one:

• Restating
• Pacing
• Reflecting
• Paraphrasing

A nurse is caring for a client who is concerned about his impending discharge to home with a new colostomy because he is an avid swimmer. Which of the following statements should the nurse make? (Select all that apply)

Select one or more:

• "Your daily routines will be different when you get home."

 b. "You will do great! You just have to get used to it."  c. "Tell me about your support system you'll have after you leave the hospital."  d. " Why are you worried about going home?" A nurse is caring for a client who is concerned about his impending discharge to home with a new colostomy because he is an avid swimmer. Which of the following statements should the nurse make? (Select all that apply)

Select one or more:

• "Your daily routines will be different when you get home."

 b. "You will do great! You just have to get used to it."  c. "Tell me about your support system you'll have after you leave the hospital."  d. " Why are you worried about going home?" Which of the following strategies should a nurse use to establish a helping relationship with a client?

Select one:

• Allow communication to occur spontaneously throughout the nurse-client relationship

 b. Make sure the communication is equally reciprocal between the nurse and the client. c. Encourage the client to communicate his thoughts and feelings.

• Give the nurse-client communication no time limits.

The nurse is admitting a client who is jaundiced due to pancreatic cancer. The nurse should give the HIGHEST priority to which of the following needs?

Select one:

• Nutrition
• Urinary Elimination
• Skin Integrity
• Self-Image

The nurse is caring for a client hospitalized for observation after a fall. The client states, "My friend fell last year, and no one thought anything was wrong. She died 2 days later!" Which of the following responses by the nurse is BEST?

Select one:

• / 2