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Practice Question

An RN is making nursing staff assignments for his team consisting of himself, two licensed practical nurses (LPNs), and an assistive personnel (AP). Which of the following clients should he, as an RN, should see first?

Answer Choices:

Correct Answer:

The client who is actively dying and requires IV pain medication

Rationale:

🟦 Actively dying clients require continuous, comprehensive RN-level assessment and judgment.

🟦 IV pain medication administration involves titration, monitoring for adverse effects, and rapid response, which fall under RN scope of practice.

🟦 End-of-life care includes complex symptom management and psychosocial support that cannot be delegated.

🟦 This client represents the highest acuity and instability on the unit.

🟦 The RN must prioritize this client to ensure comfort, safety, and dignity.

The client who requires frequent ambulation

🟦 Frequent ambulation is a routine, predictable nursing task.

🟦 This intervention can be safely delegated to assistive personnel.

The client who is 3 days postoperative and requires a dressing change

🟦 Postoperative dressing changes at day 3 are expected and stable.

🟦 This care is within the scope of practice of an LPN under RN supervision.

The client who is in protective isolation

🟦 Protective isolation indicates infection-prevention needs, not immediate instability.

🟦 Routine care can be provided by LPNs or AP using proper precautions.

Want to practice more questions like this?

This question is from Custom- F 25 Exam 3 Modules 37. 14, 39-st which contains 30 questions.

More Questions from This Exam
A nurse in an acute care setting is planning care for a group of clients at the beginning of the shift. Which of the following tasks should the nurse assign to the assistive personnel (AP)?

Answer Choices:

A. Application of antibiotic ointment to the arm ofa client who has dermatitis
B. Removal of the nasogastric tube of a client who has been receiving enteral feedings
C. Obtaining vital signs of a client who had an appendectomy 1 2 hr ago
D. Obtaining medical history information from a stable client who is being admitted
A nurse is taking a class on leadership in the nursing profession. Which of the following should the nurse identify as a quality of an effective nurse leader?

Answer Choices:

A. Rigidity in decision making
B. A position of authority
C. The ability to complete research
D. The ability to empathize
A nurse manager is providing an in service program about delegation to assistive personnel (AP) with staff nurses on the unit. Which of the following statements by a staff nurse indicates an understanding of the teaching?

Answer Choices:

A. "The nurse relinquishes accountability for client outcomes when care is delegated to an AP."
B. "The nurse should consider the AP's level of experience when making delegation decisions."
C. "The AP can re-delegate a task to another AP who has similar work experience."
D. "The AP can provide client education about how to perform basic self-care to the client."
The nurse is caring for a preschool-age client who suffered brain damage following a car accident. The client has a tracheostomy, is ventilator-dependent, and will be discharged from the hospital into the family's care. The family wants to care for the child at home but does not have the resources for 24-hour care. Which action by the care manager is appropriate?

Answer Choices:

A. Contacting local nurses in the community to provide the assistance that the family needs
B. Making referrals to a variety of community-based agencies that can meet the family's needs
C. Telling the family that it is impossible to provide care at home
D. Arranging for the child to be sent to a long-term healthcare facility
From Exam
Custom- F 25 Exam 3 Modules 37. 14, 39-st

30 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI Leadership & Management
  • Answer Choices: 4
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