Hesi Final Review on Fundamentals of Nursing Priority on Delagation
Delegation NCLEX questions for nursing.
Delegation is a topic found on the NCLEX exam, and information technology'south a skill the registered nurse must acquire to do on the job. Therefore, the RN must be aware of what can and can NOT be delegated to an LPN/LVN or UAP (nursing administration etc.).
This quiz on nursing delegation will test your ability to decide what tasks tin be delegated to other members of the nursing team. Don't forget to check out the NCLEX review quizzes also!
Don't forget to lookout the lecture on nursing delegation earlier taking the quiz!
Delegation Nursing NCLEX Questions
These delegation nursing questions will prepare you for the NCLEX exam.
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Delegation NCLEX Questions for Nursing
1. You're making the patient assignments for the adjacent shift. On your unit there are three LPNs, two RNs, and ii nursing administration. Which patients volition you assign to the LPNs?
A. A 68 twelvemonth-former male patient who is expected to be discharged home with IV antibiotic therapy.
B. A 25 year-old female person patient newly admitted with diabetic ketoacidosis.
C. A 75 year-old male patient with dementia who has an ileostomy and scheduled tube feedings.
D. A 65 twelvemonth-one-time female patient who has an lodge to remove a Foley catheter.
Answers are C and D. Selection A: An RN is the best for this patient considering the patient volition need discharge teaching AND the nurse will need to teach the patient how to self-administer antibiotics. Option B: This is a new admission and the patient is UNSTABLE. Most patients with DKA (diabetic ketoacidosis) require insulin drips along with close monitoring of the blood glucose levels, which requires critical thinking and interpretation. Options C and D are best for the LPNs: these are standard routine procedures the LPN tin can perform and these patient cases are stable.
ii. As the registered nurse, which tasks below should you Non delegate to the LPN?
A. Performing an assessment on a new admission
B. Collecting a urine sample from an indwelling Foley catheter
C. Developing a plan of care for a patient who is admitted with Guillain-Barré Syndrome
D. Educating a patient about how to monitor for side effects associated with Warfarin
E. Auscultating lung and bowel sounds
F. Starting a blood transfusion
G. Administering IV Morphine two mg for pain
H. Providing wound intendance to a stage 3 pressure injury
Answers are A, C, D, F, M….these are all out of the telescopic of practice for an LPN. Retrieve anything that deals with assessments, educating, evaluating, developing a plan of care, IV medications, unstable patients, or invasive/circuitous procedures where in that location is unpredictability the RN is responsible for doing it, and these tasks can't be delegated. An LPN can perform a focused assessment by listening to lung or bowel sounds and study the findings to the RN simply a comprehensive cess is done by the RN. In addition, the LPN can perform standard procedures that are predictable on stable patients similar wound care for a pressure injury, Foley catheter insertion, obtaining an EKG, obtaining claret glucose level etc.
3. On your unit there are two RNs: one is a new RN while the other is an experienced RN. In addition, at that place are iii LPNs and two nursing assistants. Which tasks delegated to ane of the nursing assistants by the new RN needs to be re-evaluated?
A. Apply hydrocortisone foam to eczema on skin after giving the patient a bathroom.
B. Assist the patient with administering a Fleet Enema.
C. Empty an ostomy bag.
D. Collect and record patient's blood pressure level, heart rate, temperature, oxygen saturation, respirations, and hurting rating.
Eastward. Help a patient with ambulating.
Answers: A and B Option A is a job for an LPN or RN…hydrocortisone cream is a medication and the nursing banana can't administer medications. Option B: is a task for an LPN or RN….information technology is a procedure. Option C, D, and E are all delegated tasks a nursing assistant can perform.
four. When delegating you know that as an RN you must follow the 5 Rights of Delegation to make sure you are delegating properly. Select all the v Rights of Delegation:
A. Right Credentials
B. Right Direction/Advice
C. Right Supervision
D. Correct Experience
Eastward. Right Task
F. Right Person
G. Right Patient
H. Correct Circumstance
I. Right Time
J. Right Lodge
The answers are: B, C, East, F, and H. The 5 Rights of Delegation are: Right Job, Right Circumstance, Correct Person, Correct Management/Communication, and Right Supervision.
v. True or False: An RN delegates to the LPN to administrate a scheduled tube feeding to a patient. The RN has now transferred full accountability to the LPN for the task getting done, and the RN is no longer accountable for the task.
FALSE: The RN can delegate this task to the LPN But the RN is withal Accountable for the job getting done even though the RN is non the one performing it.
i. An RN has a critical patient that needs constant monitoring. However, the RN as well has other patients in demand of care. Which tasks below could the RN delegate to the LPN to help continue the process of patient intendance?
A. Albeit and assessing the new admission
B. Completing the discharge teaching to a patient going home
C. Updating and evaluating the patient's plan of care
D. Administering subcutaneous Heparin
Eastward. Obtaining a routine 12-lead EKG
F. Collecting a stool specimen
Chiliad. Flushing a central line with normal saline
Answers: D, E, and F…these are all tasks an LPN can perform. They are routine procedures that usually have predictable outcomes. RNs are responsible for performing assessments on new admissions, education, evaluating, flushing and maintain key lines, and updating the patient's plan of care.
ii. Which patients beneath are best assigned to the LPN?
A. A 30-twelvemonth-one-time male patient with active GI bleeding that requires multiple claret transfusions.
B. A 78-year-one-time female with osteoporosis who needs assistance performing range of movement exercises and ambulating with a walker.
C. A 29-twelvemonth-old male patient who is post-op day 6 from a colostomy placement that is on a clear liquid diet.
D. A 55-twelvemonth-erstwhile male person patient who reports breast pain and has ST segment elevation on his EKG.
Answers are B and C. LPNs should exist assigned STABLE patients with predicable outcomes and cases that don't require critical thinking or complex analysis. The patients in options A and D are unstable and require constant intendance with decisions being based on how to interpret patient findings.
3. Select all the job you could delegate to a nursing assistant as the RN:
A. Wound dressing change
B. IV flush
C. Collecting vital signs
D. Weighing a patient
E. Mouth care
F. Suctioning a patient
G. Applying oxygen to a patient
H. Connecting a patient to their Iv fluids
I. Assisting a patient with a bath
J. Applying denture paste to dentures
Answers C, D, E, I and J. These are all tasks the RN could delegate to a nursing assistant.
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