Test Bank and Burke Edition 1st Nursing of Patient Care Delegation Management Motacki

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Sample Provided Below:

Motacki: Nursing Delegation and Management of Patient Care

Chapter 03: Delegation of Nursing Tasks

Test Bank

MULTIPLE CHOICE

1. Which of the following delegations by the RN would require an immediate intervention by the charge RN?
a. A UAP checks a diabetic patient’s blood glucose level.
b. An LPN assesses a patient after a fall.
c. The charge nurse makes changes to the assignments after staff is “pulled” to another area.
d. An RN assists with administering medication to another nurse’s patients during a code.

ANS: B

Feedback
A This is an appropriate delegation and therefore does not require intervention.
B It is not within the scope of practice of the LPN to assess an unstable patient and thus it would require an immediate intervention. Only RNs can assess an unstable patient.
C This is an appropriate delegation and therefore does not require intervention.
D This is an appropriate delegation and therefore does not require intervention.

DIF: Cognitive Level: Analysis

2. Which of the following delegations by the RN would require an immediate intervention by the charge RN?
a. An LPN administers IVP Lasix (furosemide) to a patient in heart failure.
b. An RN administers IVP Lasix (furosemide) to a patient in heart failure.
c. An LPN obtains a blood glucose level on a diabetic patient.
d. An RN obtains a blood glucose level on a diabetic patient.

ANS: A

Feedback
A It is not within the scope of practice for LPNs to administer IV medication and therefore would require an intervention.
B This is an appropriate delegation and therefore does not require intervention.
C This is an appropriate delegation and therefore does not require intervention.
D This is an appropriate delegation and therefore does not require intervention.

DIF: Cognitive Level: Analysis

3. Which of the following delegations require an immediate intervention by the charge RN?
a. A UAP ambulates a patient 24 hours after a cardiac catheterization.
b. A UAP ambulates a patient 24 hours after a bronchoscopy.
c. A UAP ambulates a patient 24 hours after a pneumonectomy.
d. A UAP ambulates a patient 24 hours after an echocardiogram.

ANS: C

Feedback
A This is an appropriate delegation and therefore does not require intervention.
B This is an appropriate delegation and therefore does not require intervention.
C Ambulation for the first time after major surgery requires an assessment by an RN and thus this would require an intervention.
D This is an appropriate delegation and therefore does not require intervention.

DIF: Cognitive Level: Analysis

4. Which of the following delegations by the RN would require an immediate intervention by the charge RN?
a. A UAP removes the wrist restraints on a patient and provides ROM exercises when giving a bath.
b. An LPN assists a patient back to bed from the bathroom.
c. A UAP replaces the monitor electrodes on a patient after he has taken a shower.
d. An LPN assesses LOC on a stable patient 3 days after surgery.

ANS: C

Feedback
A This is an appropriate delegation and therefore does not require intervention.
B This is an appropriate delegation and therefore does not require intervention.
C Replacement of electrodes requires an assessment and is not within the scope of practice of the UAP and would require an intervention.
D This is an appropriate delegation and therefore does not require intervention.

DIF: Cognitive Level: Analysis

5. A UAP is asked to take a patient’s temperature every 4 hours and report that temperature to the RN. Which best demonstrates the correct interpretation of right communication?
a. The UAP takes the temperature for the patient every 4 hours.
b. The UAP charts the temperature for the patient every 4 hours.
c. The UAP reports that the patient has been afebrile all day.
d. The UAP reports the temperature for the patient every 4 hours.

ANS: D

Feedback
A Demonstrates an incorrect interpretation of the delegation.
B Demonstrates an incorrect interpretation of the delegation.
C Demonstrates an incorrect interpretation of the delegation.

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