Leadership NCLEX Questions - Delegation

Leadership NCLEX Questions - Delegation 4.0 (1 review) Students also studied Terms in this set (9) Science MedicineNursing Save NCLEX ® Delegation Questions 50 terms Daniel_Griffiths2 Preview Safety and Infection Control NCLEX ...19 terms e_abdullah1Preview Delegation NCLEX Questions for Nu...17 terms kfs1611Preview NCLEX 13 terms Kat As an experienced RN, you know there are 5 rights of delegation to ensure proper delegation. You are trying to teach a new RN these delegations rights. Which rights would you include? Select All That Apply

• Right communication
• Right Patient
• Right Task
• Right Order
• Right Circumstances

A, C, E

An RN is planning the client assignments for the day.Which is the most appropriate assignment for a UAP?

• A client requiring a colostomy irrigation
• a client receiving continuous tube feedings
• A client who requires urine specimen collections.
• a client with difficulty swallowing food and liquids

C.The nursing team consists of one RN, 2 LPNs and 1 NA.The nurse determines that assignments are appropriate if the NA is assigned to which of the following patients?

• A patient diagnosed with CVA three days ago who

needs assistance with ambulating to the bathroom

• A patient diagnosed with cerebral palsy requiring

medication

• A patient with sepsis who needs an IV push medication
• a client with an ostomy requesting assistance with

irrigation A.

An RN must determine how best to assign coworkers (another RN and one LPN) to provide care to a group of clients. Which of the following is the appropriate assignment?

• The RN is assigned to care for an unemployed 26 year

old woman, newly diagnosed with acquired immunodeficiency syndrome (AIDS) who has 4 school age children

• The LPN is assigned to care for a 41 year old male,

postresection of an acoustic neuroma 2 days ago, transferred from the ICU this morning

• the LPN is assigned to provide discharge teaching

about medications and maintenance of nephrostomy tube to a 35 year old man

• The RN is assigned to care for a 65 year old woman

hospitalized because of chest pain, being discharged today to home with no medication A.Which of the following tasking can you delegate to LPN?Select all that apply

• Head to toe initial assessment
• Inserting a urinary catheter
• Performing trach care
• Teach patient about a newly prescribed medication
• Administering enteral feedings

B, C, E

Which intervention for a patient with a pulmonary embolus could be delegated to the LPN on your patient care team?

• Evaluating the patients complaint of chest pain
• Monitoring lab value for changes in oxygenation
• Assessing for symptoms of respiratory failure
• Auscultating lung sounds for crackles

D.The charge nurse is planning the assignment for the day.Which factors should the nurse remain mindful of when planning the assignment. Select all that apply.

• The acuity level of clients
• specific requests from staff
• The clustering of the rooms on the unit
• The number of anticipated client discharges
• Client needs and workers needs and abilities

A & E As an RN you are planning patient care assignments for the day. One your team, you have 1 LPN and 1 AP. Which of the following tasks is not appropriate to delegate to the LPN?

• Medication administration
• Assessment of a newly admitted patient
• Wound dressing change on a pressure ulcer
• Placement of a urinary Foley catheter

B.

The newly hired nurse is delegating tasks to an AP, which statement by the nurse needs further teaching on delegating to APs.

• "Assist the client who has pneumonia to use a bedpan"
• "Measure the vital signs of a client who is post op and

stable."

• "Obtain specimen for a client who has a UTI"
• "Assist Mr. Blue in room 312 with morning hygiene"

D.Rationale, when using the 5 rights of delegation the newly hired nurse should recognize that RIGHT DIRECTION/COMMUNICATION. Is necessary for proper delagation. It contains the data that needs to be collected, method and time of task, specific task and expected results.