The RN is leading a team of an NA and an LPN in the care of a group of clients. Which tasks should the nurse assign to the NA and LPN?

The nurse is working with the LPN who is helping care for the HIV-positive client with severe esophagitis caused by Candida albicans. Which action by the LPN requires the nurse to intervene immediately?

The nurse is caring for the client with an STI who is immobile. Which task is most appropriate to delegate to the UAP?

The nurse observes the LPN providing care for the client who has contact precautions due to a Clostrz’dz'um dzfiicile infection. Which action by the LPN requires the nurse’s immediate correction?

The nurse is working with the UAP on a telemetry unit caring for the client who had an MI three days ago. Which task is appropriate to delegate to the UAP?

The client recovering from heart failure needs to have diet teaching reinforced prior to being discharged in the afternoon. Which question by the nurse would best assess the LPN’s knowledge and skill about reinforcing the diet teaching?

The nurse is planning care for the client in the PACU. The client had lengthy abdominal surgery with the general anesthetic agent isoflurane. Which client problem should the nurse plan to attend to first?

TWO hours after admitting the client to a post- surgical unit following a nephrectomy, the client states feeling nauseated. The nurse notes minimal drainage from the NG tube. Which action should the nurse take first?

The nurse determines that the NA did not complete assigned tasks. Which statement is best?

The nurse is supervising the experienced NA who is new to the unit. Which question is best to evaluate the NA’s knowledge and skill in obtaining the client’s fingerstick blood glucose, which is a permissible NA-performed skill within the facility?

The RN is informed by the NA that the client, hospitalized last evening with chest pain, plans to leave right now because the pain is gone and “nobody has done anything anyway.” Which is the nurse’s best action?

The new nurse has been oriented to the PACU and is caring for the client who had general anesthesia. The charge nurse determines that the new nurse can correctly position the client in the PACU when making which observation?

The client who is hard of hearing and primarily speaks German is being discharged home. Which action should be the nurse’s priority when preparing to teach the client about newly prescribed medications?

The new nurse is discussing the organization of client care with the mentor. Which statement made by the new nurse requires immediate follow-up by the mentor?

The hospitalized client with heart failure is receiving dobutamine intravenously. 0f the associated responsibilities in the care of the client, which statement is most appropriate for the RN when delegating to the experienced NA?

After working with the client, the UAP tells the nurse, “I have had it with that demanding client. I just can’t do anything that pleases him. I’m not going in there again.” Which should be the nurse’s response?

The UAP’s job responsibilities include checking vital signs every four hours, completing morning care on assigned clients, assisting clients with activity, answering lights, and totaling 1&0 records for cheats at the end of an 8-hour shift. Near the end of the shift, the LPN reports to the RN that the UAP has not completed all of the morning care on assigned clients. Which is the RN ’s best action?

The nurse notes that the client has dyspnea and red blotches on the face and arms and appears anxious following exposure to latex. The nurse calls the ART, who initiates emergency treatment. Of all the emergency treatments available, which action should be taken first by ART?

The LPN reports to the nurse that the client’s TPN infusion was inadvertently turned off 1 hour ago. In response to this finding, which statement to the LPN should be the nurse’s priority?

The nurse’s morning assessment of the client with heart failure reveals bounding peripheral pulses, weight gain of 2 lb, pitting ankle edema, and moist crackles bilaterally. Which prescribed intervention should be the nurse’s priority at this time?

The nurse is preparing to supervise the inexperienced LPN inserting a urinary catheter. Which question by the nurse would best assess the LPN ’5 knowledge and skill about inserting a urinary catheter?

The nurse manager is reviewing assignments for an evening shift. The nurse manager should intervene if the experienced LPN is assigned which action?

The adult client is newly admitted to the PACU from surgery. Which assessment finding should be the nurse’s priority?

The NA’s job responsibilities include totaling the I & O records for clients at the end of an 8-hour shift. Near the end of the shift, the LPN reports to the RN that the new NA on the unit has not completed the task. What is the RN’s best action?

The nurse is assigning tasks to the UAR Which tasks best demonstrate proper delegation?

While caring for the postoperative client following a total laryngectomy with radical neck dissection, the nurse observes that the client is restless and has a respiratory rate of 28 breaths per minute. Which action is the nurse’s priority?

The LPN is working under the supervision of the experienced RN. The charge nurse should assign which client to the LPN?

The client just returned to the nursing unit following a total laryngectomy. Which observation by the nurse requires the most immediate intervention?

At 0730 an oncoming shift nurse is planning care for four clients. Which client should the nurse plan to assess first?

The charge nurse is reviewing documentation completed by the RN and evaluating the RN’s delegation abilities to the LPN and NA and appropriate supervision. Which medical record documentation indicates incomplete delegation? Client Narrative Notes

The UAP reports a sudden increase in temperature of 102.4°F (39°C) in the 48-hour postoperative client. Which instruction should the nurse give to the UAP when the nurse observes a cup of steaming coffee at the client’s bedside?