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Chapter 16: Delegation in Nursing

Nursing Now, Today's Issues, Tomorrows Trends 7th Edition by Joseph T. Catalano

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Chapter 16: Delegation in Nursing

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. A registered nurse (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 unit staff that includes two RNs, two licensed practical nurses (LPNs), and one certified nursing assistant (CNA)?
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

 

 

ANS:  B                    PTS:   1                    DIF:    Medium         TOP:   Delegation in Nursing

KEY:  Cognitive Domain: Application | Integrated Process: Problem Identification | Client Need: Safe and Effective Care Environment

 

  1. During the first day assigned to a medical-surgical unit, a newly CNA is unable to obtain a urine specimen by catheterization. What should the supervising RN do next?
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.

 

 

ANS:  B                    PTS:   1                    DIF:    Medium         TOP:   Delegation in Nursing

KEY:  Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment

 

  1. Because of short staffing in the intensive care unit, a labor and delivery nurse is floated to the unit. Identify the most appropriate assignment for this nurse.
A) A 36-year-old woman with steroid-induced cardiomyopathy
B) An 86-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

 

 

ANS:  D                    PTS:   1                    DIF:    Medium         TOP:   Delegation in Nursing

KEY:  Cognitive Domain: Evaluation | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment

 

  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?
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

 

 

ANS:  A                    PTS:   1                    DIF:    Medium         TOP:   Delegation in Nursing

KEY:  Cognitive Domain: Evaluation | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment

 

  1. Which assignment is most appropriate for a CNA floated to the medical-surgical unit from the outpatient clinic?
A) Assisting a 72-year-old man 1 day post–cerebrovascular accident with dysphagia to eat lunch
B) Obtaining a temperature on a 29-year-old woman with gastrointestinal bleeding during the last 30 minutes of a whole-blood transfusion
C) Completing the admission vital signs and assessment on a 44-year-old woman who just returned from the post anesthesia care unit after nephrectomy
D) Changing the sterile dressings on a 22-year-old man 2 days after undergoing skin graft for burn injuries

 

 

ANS:  B                    PTS:   1                    DIF:    Medium         TOP:   Delegation in Nursing

KEY:  Cognitive Domain: Application | Integrated Process: Intervention | Client Need: Safe and Effective Care Environment

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