Exam 3: PCCN, Pediatrics and Obstetrics, and Professionalism

You are observing one of the RNs on the unit administer medication. What action by the nurse would lead you to conclude there is a risk for a medication error?

You will be working with an unlicensed staff member this shift. Which of the following should be priority before delegating care to the staff member?

Which of the following would the nurse avoid documenting when an error has occurred with a patient?

When a registered nurse (RN) decides to delegate care to unlicensed personnel, what should the RN take into consideration when delegating care?

A nurse from the surgical care unit has been floated to your unit for the day. Which of the following patients would you want to assign to this nurse?

You are preparing the assignment for the day. You have one licensed practical nurse (LPN) and one unlicensed assistive staff member. Which of the following assignments would you not want to make?

You are preparing an in-service for the staff on delegation. What would you want to include on how delegation impacts safety and quality of patient care?

You are on break in the nursing lounge when a nursing assistant enters to tell you that what she just heard about the secretary. She then proceeds to tell you that the secretary's husband is a drug addict and she needs to be watched very carefully on the unit. You ask her what makes her think the secretary might take drugs, and she states that she heard it from someone else. What legal tort has the nursing assistant violated?

A hurricane is coming, and nurses have been activated to open a shelter. What items should the public be encouraged to bring to the shelter?

You are caring for a patient with gastroesophageal reflux disease (GERD). You have an unlicensed staff member working with you. Which activity can you delegate to the unlicensed staff?

There is a patient on the unit with herpes zoster. Which staff member would you avoid assigning to this patient?

Which of the following patients should be assigned a pediatric nurse assigned to float to your unit?

You are caring for a patient who has decided to discontinue treatment. You recognize that the patient is competent to make this decision and support the decision based on which of the following ethical principles?

You are delegating to a licensed practical nurse (LPN) to wound care on a patient. The LPN has never performed this type of wound care before. What component of delegation have you neglected?

You as the nurse are working on the unit. You enter the medication room and find another nurse taking intravenous medication and administering it to him- or herself. What should your next action be?

You are caring for a heart failure patient who suddenly developed symptoms that include shortness of breath, increased respiratory rate, bilateral crackles and frothy sputum. You have notified the physician and received orders for the patient. Which activity would be appropriate to delegate to a licensed practical nurse?

You have been assigned to triage patients today. Which patient would get the highest priority?

Which of the following consent process will need to be followed for an 86-year-old patient going to surgery?

You are planning the assignment for the day. Which of the following would be the most appropriate assignment for the nursing assistant?

You are caring for a patient who needs to go to surgery. The patient is unable to sign consent due to narcotic analgesic administration. Who should sign the consent for surgery?