MN 556 RN Comprehensive Predictor Study Guide- Kaplan University/MN 556 RN Comprehensive Predictor Study Guide- Kaplan University

What can be delegated to Assistive personnel (AP)?

- ADLs - bathing - grooming - dressing - ambulating - feeding (w/o swallow

precautions) - positioning - bed making - specimen collection - I&O - VS (stable

clients

A nurse on a med surg unit has recieved change of shift report and will care for 4

clients. Which of the following clients needs will the nurse assign to an AP?

A. Feeding a client who was admitted 24 hours ago with aspiration pneumonia

B. Reinforcing teaching with a client who is learning to walk with a quad cane

C. Reapplying a condom catheter for a client who has urinary incontinence

D. Applying a sterile dressing to a pressure ulcer

C

A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days

ago to an AP. Which of the following info should the nurse share with the AP?

Select all:

A. the roommate is up independently

B. The client ambulates with his slippers on over his antiembolic stockings

C. The client uses a front wheeled walker when ambulating

D. The client had pain meds 30 minutes ago

E. The client is allergic to codeine

F. the client ate 50 % of his breakfast this morning

B

C

D

An RN is making assignments for client care to an LPN at the beginning of the

shift. Which of the following assignments should the LPN question?

A. Assisting a client who is 24 hr postop to use an incentive spirometer

B. Collecting a clean catch urine specimen from a client who was admitted on the

previous shift

C. providing nasopharyngeal suctioning for a client who has pneumonia

D. Replacing the cartridge and tubing on a PCA pump

D

A nurse is preparing an inservice program about delegation. Which of the

following elements should she identify when presenting the 5 rights of delegation.

Select all:

A. Right client

B. Right supervision/evaluation

C. Right direction/communication

D. Right time

E. Right circumstances

B

C

E

A nurse manager of a med surg unit is assigning care responsibilities for the

oncoming shift. A client is waiting transfer back to the unit from the PACU

following thoracic surgery. To which staff member should the nurse assign the

client?

A. Charge nurse

B. RN

C. LVN

D. AP

B

What is the study of conduct and character?

Ethics

What are the values and beliefs that guide behavior and decision making?

Morals

What is the right to make ones own personal decisions, even tho those decisions

might not be in the persons best interest

Autonomy

What are positive actions to help others

Beneficience

What is an agreement to keep promises

Fidelity

What is fairness in care delivery and use of resources

Justice

What is avoidance of harm or injury

Non-maleficence

A nurse is caring for a client who decides not to have surgery despite significant

blockages in his coronary arteries. The nurse understands that this clients choice is

an example of what principles?

A. Fidelity

B. Autonomy

C. Justice

D. Nonmalificience

B