Delegation NCLEX questions

Delegation NCLEX questions 4.0 (2 reviews) Students also studied Terms in this set (8) Science MedicineNursing Save Delegation Questions 16 terms AnadimirraPreview 25Qw/exp Delegation and Prioritiza...25 terms Preview Delegation NCLEX Questions for Nu...17 terms kfs1611Preview Prioritiz 106 term hab The nurse has assigned the vital signs and daily weights of her patients to the unlicensed assistive personnel (UAP) on duty for that shift. It is still important for the nurse assigned to the patient to reassess each patient

throughout the shift because:

• The nurse remains accountable for the patients' care.
• The UAP is not trustworthy.
• The UAP cannot report to the next shift.
• The nurse maintains the authority to care for the

patients.

• The nurse remains accountable for the patients' care.

Toward the end of the shift, an LPN reports to the RN that the recently hired UAP has not totaled client's I&O for the past 12 hours. Which action should the nurse take?

• Confront the UAP about not completing the intake and

output measurements.

• Delegate this task to the LPN since the UAP may not

have been educated on the task.

• Ask the UAP if assistance is needed to complete the

I&Os.

• Notify the nurse manager to include this on the UAP's

evaluation.

• Ask the UAP if assistance is needed to complete the I&Os.

For client education about non pharmacological alternatives, which topic could you delegate to an experienced LPN, who will function with your continued support and supervision?

• Therapeutic touch
• Application of heat and cold
• Meditation
• Transcutaneous electrical nerve stimulation (TENS)
• Application of heat and cold

Which pediatric pain client should be assigned to a newly graduated RN?

• An adolescent who has sickle cell disease and was

recently weaned from morphine delivered via a patient- controlled analgesia (PCA) device to a long acting oral analgesic; he has been continually asking for an increased dose.

• A child who is receiving palliative end of life care; the

child is receiving analgesics around the clock to relieve suffering , but there is a progressive decrease in alertness and responsiveness.

• A child who needs premedication before reduction of

a fracture; the child has been crying and is resistant to any touch to the arm or other procedures.

• A child who has chronic pain and whose medication

and nonpharmacological regimen has recently been changed; the mother is anxious to see if the new regimen is successful.

• A child who needs premedication before reduction of a fracture; the child has

been crying and is resistant to any touch to the arm or other procedures.In care of the client with pain and discomfort, which task is most appropriate to delegate to the UAP?

• Assisting the client with preparation for a sitz bath
• Monitoring the client for signs of discomfort while

ambulating.

• Coaching the client to deep breathe during painful

procedures

• Evaluating relief after applying a cold compress
• Assisting the client with preparation for a sitz bath

The nurse is caring for a client with esophageal cancer.Which task could be delegated to a UAP?

• Assist the client with oral hygiene.
• Observe the patient's response to feedings.
• Facilitate expression of grief or anxiety.
• Initiate daily weights.
• Assist the client with oral hygiene.

When care assignments are being made for patients with alterations related to gastrointestinal (GI) cancer, which patient would be most appropriate to assign to an LPN under the supervision of a team leader RN?

• A patient with severe anemia secondary to GI bleeding
• A patient who needs enemas and antibiotics to control

GI bacteria

• A patient who needs pre op teaching for bowel

resection surgery

• A patient who needs central line insertion for

chemotherapy

• A patient who needs enemas and antibiotics to control GI bacteria

An 8 year old child has stomatitis secondary to chemotherapy. Which task would be best to delegate to a nursing assistant?

• Report evidence of severe mucosal ulceration
• Assist the child in swishing and spitting an anesthetic

mouthwash

• Assess the child's ability and willingness to drink

through a straw

• Help the client to eat a bland, moist, soft diet
• Help the client to eat a bland, moist, soft diet