Question 1

What is the most appropriate assignment for a nurse who has 10 years of experience in a neurological ICU when floated to a pediatric oncology unit?

Accepted Answer

A) A 3-year-old boy with leukemia who has contracted bacterial meningitis 
B) A 6-year-old boy with osteogenic sarcoma 
C) An 18-month-old infant postsurgery with a neuroblastoma 
D) A 14-year-old girl with a pheochromocytoma and adrenalectomy 
A) A 3-year-old boy with leukemia who has contracted bacterial meningitis 
B) A 6-year-old boy with osteogenic sarcoma 
C) An 18-month-old infant postsurgery with a neuroblastoma 
D) A 14-year-old girl with a pheochromocytoma and adrenalectomy A

Question 2

Select the most appropriate client for the RN to assign to the CNA.

Accepted Answer

A) A client with difficulty swallowing food and fluids 
B) A client with constipation who needs tap-water enemas 
C) A client with a colostomy who requires irrigations 
D) A client with a PEG tube who is receiving continuous tube feedings 
A) A client with difficulty swallowing food and fluids 
B) A client with constipation who needs tap-water enemas 
C) A client with a colostomy who requires irrigations 
D) A client with a PEG tube who is receiving continuous tube feedings B

Question 3

When a nurse delegates a task, who is responsible for ensuring that the task was completed as assigned?

Accepted Answer

A) The person to whom the task was delegated 
B) The physician who ordered the task 
C) The nurse manager 
D) The nurse who delegated the task 
A) The person to whom the task was delegated 
B) The physician who ordered the task 
C) The nurse manager 
D) The nurse who delegated the task A

Question 4

During the first day assigned to a medical/surgical unit, a newly certified nurse assistant (CNA) is unable to obtain a urine specimen by catheterization. What should the supervising RN do next?

Accepted Answer

A) Confront the CNA about not being honest concerning his or her ability to perform the procedure. 
B) Assign the CNA to work with a staff RN to observe and learn the skill. 
C) Recommend that the CNA be fired because the probation period is still in effect. 
D) Assign only basic-care clients to the CNA. 
A) Confront the CNA about not being honest concerning his or her ability to perform the procedure. 
B) Assign the CNA to work with a staff RN to observe and learn the skill. 
C) Recommend that the CNA be fired because the probation period is still in effect. 
D) Assign only basic-care clients to the CNA.

Question 5

To which individual can the charge nurse delegate the task of completing the history and physical examination for a newly admitted client?

Accepted Answer

A) RN 
B) Licensed practical (vocational) nurse 
C) Certified nursing assistant, level II 
D) Certified nursing assistant, level III 
A) RN 
B) Licensed practical (vocational) nurse 
C) Certified nursing assistant, level II 
D) Certified nursing assistant, level III

Question 6

Which assignment is most appropriate for a CNA floated to the medical/surgical unit from the outpatient clinic?

Accepted Answer

A) Assist a 72-year-old man 1 day post-cerebrovascular accident (CV
A)  with dysphagia to eat lunch. 
B) Obtain a temperature on a 29-year-old woman with gastrointestinal bleeding during the last 30 minutes of a whole-blood transfusion. 
C) Complete the admission vital signs and assessment on a 44-year-old woman who just returned from the post-anesthesia care unit (PACU) after nephrectomy. 
D) Change the sterile dressings on a 22-year-old man 2 days after undergoing skin graft for burn injuries 
A) Assist a 72-year-old man 1 day post-cerebrovascular accident (CV
A)  with dysphagia to eat lunch. 
B) Obtain a temperature on a 29-year-old woman with gastrointestinal bleeding during the last 30 minutes of a whole-blood transfusion. 
C) Complete the admission vital signs and assessment on a 44-year-old woman who just returned from the post-anesthesia care unit (PACU) after nephrectomy. 
D) Change the sterile dressings on a 22-year-old man 2 days after undergoing skin graft for burn injuries

Question 7

What is the first step in the delegation process?

Accepted Answer

A) Obtaining permission from the client for another care provider to help with the care 
B) Instructing the person to whom the task is delegated about the assignment 
C) Determining the skill level of the person to whom the task is to be delegated 
D) Allowing the person to observe the RN performing the task before making the assignment 
A) Obtaining permission from the client for another care provider to help with the care 
B) Instructing the person to whom the task is delegated about the assignment 
C) Determining the skill level of the person to whom the task is to be delegated 
D) Allowing the person to observe the RN performing the task before making the assignment

Question 8

An RN is assigned to a step-down coronary care unit with 20 clients in various stages of recovery. What is the primary consideration in assigning the units staff that includes two RNs, two LPNs (LVNs), and one CNA?

Accepted Answer

A) Distance of client rooms from the nurses' station 
B) Skill level of each staff member 
C) Staff preferences for specific clients 
D) Developmental needs of clients 
A) Distance of client rooms from the nurses' station 
B) Skill level of each staff member 
C) Staff preferences for specific clients 
D) Developmental needs of clients

Question 9

A LPN who has been assigned four clients asks the charge nurse which client should be assessed first after report. Which client should the charge nurse suggest be assessed first?

Accepted Answer

A) A 56-year-old man with type I diabetes with 4 p.m.blood sugar of 92 
B) A 77-year-old man with congestive heart failure (CHF) who has a potassium level of 3.1 
C) A 24-year-old woman with pyelonephritis and a fever of 101.1°F 
D) A 38-year-old man with 22% deep partial-thickness burns of the legs and abdomen. 
A) A 56-year-old man with type I diabetes with 4 p.m.blood sugar of 92 
B) A 77-year-old man with congestive heart failure (CHF) who has a potassium level of 3.1 
C) A 24-year-old woman with pyelonephritis and a fever of 101.1°F 
D) A 38-year-old man with 22% deep partial-thickness burns of the legs and abdomen.

Question 10

Identify the task that may be delegated to an LPN (LVN) if all the clients are stable.

Accepted Answer

A) Adding potassium to a bag of D5W that was already hanging 
B) Developing the nursing diagnosis for a newly admitted client 
C) Teaching a new diabetic patient how to administer insulin injections 
D) Turning a client with a CVA every 2 hours 
A) Adding potassium to a bag of D5W that was already hanging 
B) Developing the nursing diagnosis for a newly admitted client 
C) Teaching a new diabetic patient how to administer insulin injections 
D) Turning a client with a CVA every 2 hours

Question 11

From the list below, select all items that would constitute barriers to effective delegation.

Accepted Answer

A) Decisiveness 
B) Micromanaging 
C) Policies that tolerate mistakes 
D) Management-by-crisis mode 
E) Confidence in self
F)Work overload 
A) Decisiveness 
B) Micromanaging 
C) Policies that tolerate mistakes 
D) Management-by-crisis mode 
E) Confidence in self
F)Work overload

Question 12

Select the personal characteristic of an RN that would tend to render his or her delegation ineffective.

Accepted Answer

A) Many years of experience in delegation 
B) Demands perfection of employees 
C) Feels self-confident in his or her ability as a leader 
D) Trusts in the abilities of others 
A) Many years of experience in delegation 
B) Demands perfection of employees 
C) Feels self-confident in his or her ability as a leader 
D) Trusts in the abilities of others

Question 13

Which statement made by a nursing student during a class on delegation indicates that the student needs additional study of the topic?

Accepted Answer

A) "The tasks delegated should have expected and predictable outcomes." 
B) "The RN who delegates is also responsible for education about the task to be performed." 
C) "Assessing clients is a task of the RN." 
D) "When nurses delegate, they are delegating nursing." 
A) "The tasks delegated should have expected and predictable outcomes." 
B) "The RN who delegates is also responsible for education about the task to be performed." 
C) "Assessing clients is a task of the RN." 
D) "When nurses delegate, they are delegating nursing."

Question 14

Most state nurse practice acts do not give delegatory authority to _____________________such as licensed practical nurses or unlicensed assistive personnel (UAPs).Multiple Response
Identify one or more choices that best complete the statement or answer the question.

Accepted Answer

dependent

Question 15

Identify the characteristics of a task that is to be delegated that would require that it be assigned to an RN.

Accepted Answer

A) The client is relatively stable. 
B) The task is routine in nature and follows hospital policies. 
C) The task requires decision making to complete it. 
D) The client requires an assessment at the beginning of the shift. 
A) The client is relatively stable. 
B) The task is routine in nature and follows hospital policies. 
C) The task requires decision making to complete it. 
D) The client requires an assessment at the beginning of the shift.

Question 16

Because of short staffing in the intensive care unit (ICU), a labor and delivery nurse is floated to the unit. Identify the most appropriate assignment for this nurse.

Accepted Answer

A) A 36-year-old woman with steroid-induced cardiomyopathy 
B) An 85-year-old man in cardiogenic shock 
C) A 3-year-old girl with an accidental overdose of acetaminophen (Tylenol) 
D) A 23-year-old man with malignant hypertension 
A) A 36-year-old woman with steroid-induced cardiomyopathy 
B) An 85-year-old man in cardiogenic shock 
C) A 3-year-old girl with an accidental overdose of acetaminophen (Tylenol) 
D) A 23-year-old man with malignant hypertension

Exam 16: Delegation in Nursing

What is the most appropriate assignment for a nurse who has 10 years of experience in a neurological ICU when floated to a pediatric oncology unit?

Select the most appropriate client for the RN to assign to the CNA.

When a nurse delegates a task, who is responsible for ensuring that the task was completed as assigned?

During the first day assigned to a medical/surgical unit, a newly certified nurse assistant (CNA) is unable to obtain a urine specimen by catheterization. What should the supervising RN do next?

To which individual can the charge nurse delegate the task of completing the history and physical examination for a newly admitted client?

Which assignment is most appropriate for a CNA floated to the medical/surgical unit from the outpatient clinic?

What is the first step in the delegation process?

An RN is assigned to a step-down coronary care unit with 20 clients in various stages of recovery. What is the primary consideration in assigning the units staff that includes two RNs, two LPNs (LVNs), and one CNA?

A LPN who has been assigned four clients asks the charge nurse which client should be assessed first after report. Which client should the charge nurse suggest be assessed first?

Identify the task that may be delegated to an LPN (LVN) if all the clients are stable.

From the list below, select all items that would constitute barriers to effective delegation.

Select the personal characteristic of an RN that would tend to render his or her delegation ineffective.

Which statement made by a nursing student during a class on delegation indicates that the student needs additional study of the topic?

Most state nurse practice acts do not give delegatory authority to _____________________such as licensed practical nurses or unlicensed assistive personnel (UAPs).Multiple Response Identify one or more choices that best complete the statement or answer the question.

Identify the characteristics of a task that is to be delegated that would require that it be assigned to an RN.

Because of short staffing in the intensive care unit (ICU), a labor and delivery nurse is floated to the unit. Identify the most appropriate assignment for this nurse.

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Nclex: What You Need to Know

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