NCLEX-RN Style Questions

NCLEX-RN Style Questions

NUR 108: Module 7 Evaluate

Question 1: Multiple Choice –

During delegation, the RN considers whether the assignment that needs to be done requires the assessment skills of the RN to be performed safely. This exemplifies which of the delegation “rights”?a.Person b.Feedback c.Supervision d.Communication Response A PERSON Rationale – This is the appropriate response as the nurse is determining who the appropriate person in for the task, and if that person is qualified to perform the task. Feedback is getting information back to determine if/how the process can be improved. Supervision is following up to see if the patients’ needs are met. Communication is making sure that the task is explained appropriately, instructions are clear and who how and when to report changes is made clear. (Catalano, 2015, P.401)

Reference:

Catalano, J. T. (2015). Nursing now! todays issues, tomorrows trends. Philadelphia: F.A. Davis Company.

Question 2: Multiple Answer

Which situations are appropriate for the registered nurse (RN) to delegate patient care to the licensed practical nurse (LPN)? Select all that apply.a.There is adequate staffing and sufficient time for supervision.b.The task being delegated is identified as part of the LPN job description.c.An admission assessment must be completed for the patient.d.The LPN is needed to care for a critical patient.e.Repeated assessment of an unstable patient is necessary.Response: A=There is adequate staffing and sufficient time for supervision and B=The task being delegated is identified as part of the LPN job description Rationale adequate staffing and sufficient time for supervision is necessary in any type of delegation as the RN must supervise the person any task is delegated to. The task must be part of the job description of the person you are delegating to within the nurse’s state practice act. (Catalano, 2015, p.397) Admission assessments are the RN’s responsibility, to be sure that patient needs do not go 1 © Excelsior College 2019 This study source was downloaded by 100000810730388 from CourseHero.com on 06-15-2021 11:22:24 GMT -05:00

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NCLEX-RN Style Questions

NUR 108: Module 7 Evaluate

untreated. (Catalano, 2015, p398). LPN should not care for a critical patient or perform repeated assessment of an unstable patient to make sure that no patient need is missed, as an RN should not delegate unless it is “relatively uncomplicated and routine, must be performed without variation from policy and procedure and should not require the use of nursing judgement while being performed.” (Catalano, 2015, p.398) Reference Catalano, J. T. (2015). Nursing now! todays issues, tomorrows trends. Philadelphia: F.A. Davis Company.

Question 3: Multiple Choice

Which is an example of appropriate delegation?a.The RN assigns the AP to ambulate the patient in the hall.b.The RN requests the LPN assess the patient’s breath sounds and call the health care provider.c.The RN asks the LPN to teach the AP how to administer a gastric tube feeding to a patient.d.The RN instructs the AP to give a nebulizer treatment.Response A=The RN assigns the AP to ambulate the patient in the hall.Rationale It is within the scope of practice for an AP to ambulate a patient in the hallway. An LPN should report to the RN who has delegated a task to them not circumvent them and speak to the physician. Education is a task reserved for RNs, LPNs may provide education for basic ADL, IADL care however specialized education is reserved to the RN. A nebulized treatment is out of the scope of practice for AP. “When a nurse delegates tasks, the outcomes of tasks should be clear and predictable…The task should not require excessive supervision, complex decision making, or detailed assessment during performance. If any of these elements are required, it needs to be reassigned to an RN” (Catalano, 2015, p.401) Reference Catalano, J. T. (2015). Nursing now! todays issues, tomorrows trends. Philadelphia: F.A. Davis Company.

Question 4: Multiple Choice

Which task is appropriate for the RN to delegate to the assistive personnel (AP)?a.Assessing the drainage in the patient’s chest tube.b.Turning and repositioning a patient who has just returned from spinal surgery.2 © Excelsior College 2019 This study source was downloaded by 100000810730388 from CourseHero.com on 06-15-2021 11:22:24 GMT -05:00

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NCLEX-RN Style Questions

NUR 108: Module 7 Evaluate

c.Assisting a patient on contact precautions with oral care.d.Ambulating a new post-operative patient to the bathroom for the first time.Response C=Assisting a patient on contact precautions with oral care Rationale Assisting a patient with oral care is within their scope of practice. Assessing drainage would require assessment and that is reserved for the RN as it may not be uncomplicated and routine.Turning and repositioning a patient who has just returned form spinal surgery may require nursing judgement. Assisting a new post op patient to the restroom for the first time may indicate that assessment is necessary during this ambulation meaning it should also be delegated to an RN.“Assessing clients is a designated responsibility of RNs…Also, tasks being delegated must be relatively uncomplicated and routine, must be performed without variation from policy or procedure and should not require the use of nursing judgement while being performed.” (Catalano, 2015, p.398) Reference Catalano, J. T. (2015). Nursing now! todays issues, tomorrows trends. Philadelphia: F.A. Davis Company.

Question 5: Multiple Choice

What term is exemplified when an institutional policy allows unlicensed assistive personnel to carry out professional nursing functions?a.Direct delegation b.Indirect delegation c.Predictable delegation d.Uncomplicated delegation Response B=Indirect delegation - Rationale When a health-care facility provides a list of duties that certain healthcare personnel can perform and takes the RNs right to determine who may complete a task. (Catalano, 2015, p.406) Direct delegation is when an RN can make the determines who can perform tasks. (Catalano, 2015, p.406) Predictable and Uncomplicated is what the outcome of any tasks delegated by an RN should be.(Catalano, 2015, p.401) Reference Catalano, J. T. (2015). Nursing now! todays issues, tomorrows trends. Philadelphia: F.A. Davis Company.3 © Excelsior College 2019 This study source was downloaded by 100000810730388 from CourseHero.com on 06-15-2021 11:22:24 GMT -05:00

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NCLEX-RN Style Questions

NUR 108: Module 7 Evaluate

Question 6: Multiple Choice

The RN is caring for a client who requires furosemide 20mg intravenous push. Which team member can the RN ask to administer the intravenous push medication?a.Licensed practical nurse b.Registered nurse c.Certified nursing assistant d.Medication technician Response B=Registered Nurse Rationale Care an RN must complete Admission assessment, IV meds, blood products, care plan, client teaching, unstable clients and acute diseases, care an LPN may complete vital signs, uncomplicated skills, stable clients, chronic diseases, Oral and IM medications, care UAP may provide, feeding, basic hygiene, basic skills, stable clients, chronic diseases and ambulation. ( Catalano, 2015, p.407) Reference Catalano, J. T. (2015). Nursing now! todays issues, tomorrows trends. Philadelphia: F.A. Davis Company.

Question 7: Multiple Choice

Which right of delegation is demonstrated when the RN asks the assistive personnel to report back to the RN when the client voids?a.Right person b.Right task c.Right supervision d.Right communication Response D= Right Communication- Rationale:The right person is determining if the person has the qualification to perform the task. Right task is making sure the task falls under the scope of practice for the person and the facility policy..Right supervision is hand in had with feedback-figuring out if and how we can improve our methods of meeting patient needs. Right Communication is making sure that the directions are clear as to the task and who, how and how often to report back. (Catalano, 2015, p.401)

Reference:

Catalano, J. T. (2015). Nursing now! todays issues, tomorrows trends. Philadelphia: F.A. Davis Company.4 © Excelsior College 2019 This study source was downloaded by 100000810730388 from CourseHero.com on 06-15-2021 11:22:24 GMT -05:00

https://www.coursehero.com/file/76109177/M75-NCLEX-RN-Style-Questionsdocx/

This study resource was shared via CourseHero.com