Delegation Health Management Practice Exam

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• What is the primary nursing intervention for a child with hemophilia who has fallen and has an acutely bruised leg?
• Which patient would be most suitable for assignment to an LPN?
• Before discharging a school-age child with asthma, what should the nurse prioritize?
• When caring for a client with an anencephalic fetus, what is the most appropriate nursing intervention?
• Following an adrenalectomy, what is the nurse's priority assessment?
• Which task should NOT be delegated to an LPN?
• What is the nurse's first step when developing a client care assignment for assistive personnel?
• What is the typical therapeutic range for digoxin?
• After an LPN reports concerning changes in a newly postoperative client, what should the RN do first?
• Which intervention is most critical for a client experiencing anaphylaxis?
• What is the typical intravenous push dose for morphine?
• Which client should be assigned to a licensed practical nurse (LPN) for care?
• Which occurrence in a client's record would indicate a positive variance?
• In a task delegation scenario, which activity would typically require the involvement of a registered nurse rather than assistive personnel (AP)?
• When a primigravida's membranes rupture spontaneously, the priority nursing action should be to?
• What should the nurse prioritize when planning care for a child with diabetic ketoacidosis?
• What nursing intervention is essential for a neonate after circumcision?
• What is the nurse's most important intervention for a client suspected of having active tuberculosis?
• What is the priority assessment during the fourth stage of labor?
• When prioritizing client assessments, which condition should the nurse address first?
• Which of the following scenarios is most appropriate for assigning to an assistive personnel (AP)?
• Which nursing assessment for a child showing signs of tubercular meningitis is highest priority?
• What is the most important intervention for a nurse caring for a neonate with an omphalocele?
• What nursing diagnosis is highest priority for a client receiving enteral feedings?
• What should the nurse prioritize when caring for a client after an adrenalectomy?
• If a nurse suspects opioid overdose complicated by alcohol ingestion, what is the first intervention that should be performed?
• What is the priority assessment for a child suspected of having a cardiac anomaly?
• What is the nurse's most important intervention for a client with cirrhosis in a hepatic coma?
• What is the initial nursing intervention for a child diagnosed with acute epiglottitis?
• Which victim from a motor vehicle crash should the emergency department nurse attend to first?
• What is the first intervention for a three-year-old child who is cyanotic and potentially choked on a penny?
• Which one of the following aspects is crucial for effective delegation?
• If a client is diagnosed with acetaminophen poisoning, what is the priority intervention?
• How should the nurse prioritize care for a client experiencing complications postoperatively?
• For an adolescent client with anorexia nervosa and a BMI of 13, what should be the nurse's priority in care planning?
• During an assessment of a 2-year-old with epiglottitis, what should the nurse prioritize when a parent needs to leave temporarily?
• For a 2-year-old client with a fractured femur, what is the priority assessment for the nurse?
• When caring for a child in status epilepticus, what environmental control is crucial?
• What is the most crucial action for a child exhibiting ineffective airway clearance?
• Which components of a general survey may be delegated to assistive personnel (AP)? Select all that apply.
• Which task should an RN NOT delegate to an LPN?
• What is the most critical piece of information for a newly trained nursing assistant regarding anticoagulated patients?
• In an environmental emergency with a chemical leak, what should the nurse do first for the arriving client?
• Which patients are suitable for assignment to LPNs?
• What is the first action a nurse should take before treating a client whose eye has been splashed with a foreign agent?
• Which clients can be safely assigned to the assistive personnel (AP)? Select all that apply.
• Which clients can be assigned to assistive personnel (AP)? Select all that apply.
• In the context of triage, which client should be prioritized for treatment?
• A client with pneumonia has a respiratory rate of 32 breaths/min. What action should the nurse take first?
• For a hospitalized client at risk of suicide, what intervention should be included in the care plan?
• Which task is suitable to assign to a licensed practical nurse (LPN) in a nursing care setting?
• Which of the following is a sign that a change in a client’s condition needs to be reported immediately?
• When developing a care plan for a family with a member who has anorexia nervosa, what important information should the nurse include?
• What is the best initial action for a nurse after assessing multiple clients?
• Which patient care activity requires careful delegation by a registered nurse?
• Which client should the nurse check first upon receiving her assignment?
• What is an example of a task that can be delegated to a licensed practical nurse?
• What indicates effective teaching has occurred for an unlicensed assistive personnel (UAP) caring for a client in Buck's extension traction?
• Which client can be safely discharged to make room for disaster victims?
• If a child ingests poisonous hydrocarbons, what is the most crucial nursing intervention?
• In assessing a 39-year-old female client with a BP of 152/92 mm Hg, what is the priority risk factor for coronary heart disease?
• After a client undergoes a series of gastrointestinal diagnostic tests, what should the priority nursing assessment focus on?
• What task could an RN delegate to a nursing assistant?
• Which nursing action is prioritized for a patient with high fever and pneumonia?
• What is the priority intervention for a client with cirrhosis and difficulty breathing?
• Which task is appropriate for delegation to an LPN?
• Which tasks can be safely assigned to an assistive personnel (AP) when managing a nursing care team?
• After suctioning an intubated patient, which vital sign should be reported immediately?
• What intervention should a nurse perform to best address the pathophysiology leading to postoperative atelectasis?
• After an amniotomy, what is the nurse's priority nursing intervention?
• Which condition represents an urgent medical need when triaging patients?
• What intervention should a nurse take when they notice increased stridor in a child with epiglottitis immediately following the parent's departure?
• A client has a respiratory rate of 4 breaths/min. What should the nurse prioritize in assessments?
• A nurse detects pulsating tissue during a cervical examination in a laboring client. What is the most appropriate action?
• What element is essential when providing care to clients with complex conditions?
• Which medication is specifically used for reversing the effects of acetaminophen toxicity?
• Which activities are appropriate for the assistive personnel (AP) to perform when delegated by a registered nurse?
• If an emergency client shows respiratory distress after a burn, what is the primary goal of care?
• For a client with diabetes insipidus (DI), what should be the nurse's priority intervention?
• Which staff member should not be assigned to care for a client with herpes zoster?
• What critical information should the RN include when delegating tasks to a nursing assistant?
• What key instruction should be emphasized to a family to prevent UTIs in children?
• In response to a parent requesting pain medication for a child post-Wilms' tumor removal, what should the nurse do first?
• What is the most critical monitoring focus after a client receives a high dose of magnesium sulfate?
• When caring for a child with suspected epiglottitis, what is the next priority action after ensuring a patent airway?
• Which action by the LPN requires follow-up from the RN when preparing a client for a CPM machine?
• What should be assessed first in a patient with a 24-hour urine collection on strict bedrest?
• For an infant with bronchiolitis, which intervention is the priority for the nurse?
• Which client is at the highest risk for respiratory failure?
• In the case of a client with upper GI bleeding, what is the priority nursing action?
• Which client should be assigned to a nursing assistant?
• After a total right hip replacement, what is the priority nursing action for a 76-year-old woman with osteoporosis?
• Which task can be delegated to a nursing assistant for a COPD patient?
• Which client would be most appropriately assigned to the LPN?
• In the emergency department after a house fire, what should the nurse assess first?
• What precaution should be taken when managing a client with hemophilia after an injury?
• What action should a nurse take when working with clients requiring close monitoring?
• During labor, if a nurse observes variable decelerations on an external fetal monitor, what should the nurse do first?
• When a client in early labor thinks their water has broken, what is the nurse's best action?
• When a client in labor presents with vaginal bleeding, what should the nurse prioritize?
• Which client in the emergency department should be assessed first?
• What should a nurse inform a client in early labor about thick, yellow discharge from her breasts?
• Who should be prioritized for assessment after a shift change?
• Before placing a client in seclusion after a violent incident, the nurse should first:
• What is contraindicated during a seizure to maintain the client's airway?
• Which task should the registered nurse delegate to the assistive personnel (AP) for daily patient care?
• What is the priority intervention for a child with circumferential burns and breathing difficulties?
• Which intervention is critical for a client with chest pain?
• What is the nurse's priority intervention when caring for a client with type 1 diabetes who is disoriented and diaphoretic?
• Which scenario demonstrates a characteristic of team-based nursing practice?
• When a client with preeclampsia progresses to an eclamptic state, what is the initial nursing action?
• For which client should the nurse instruct the assistive personnel (AP) to use an electric razor for shaving?
• For a client with terminal lung cancer, what is the priority nursing intervention?
• When applying the nursing process, what is the most critical initial step?
• When suspecting alcohol withdrawal syndrome, what is the nurse's priority action?
• Which action related to sleep apnea should be delegated to a nursing assistant?
• What is the priority nursing assessment for a client with an eating disorder?
• In which condition should the nurse be vigilant with oxygen therapy during labor for the client?
• Which of the following is NOT one of the 5 Rights of Delegation?
• When planning care, which client should the nurse attend to first?
• What is the primary nursing activity to include in the care of a patient with cystic fibrosis experiencing shortness of breath?
• Which client shows the most immediate need for nursing intervention after surgery?
• What should the nurse do first when a preschool-age client is suspected of having ingested a toxic substance?
• Which option is a correct delegation of a task to a nursing assistant?
• What is an essential monitoring priority for a client who has just undergone GI diagnostic tests?
• Which of the following actions should the registered nurse NOT delegate to the assistive personnel (AP)?
• What instruction should be given to a nursing assistant caring for a patient receiving anticoagulation therapy?
• Which intervention is appropriate for a nurse caring for a client with functional neurologic symptom disorder and pseudoseizures?
• Which client should the nurse provide care for first during the day's assignment?
• A client with thoughts of self-harm is brought to a crisis center. What is the nurse's most important action?
• Post-surgery for cleft lip repair, which nursing intervention is a priority for an infant?
• Which intervention can help alleviate potential complications from umbilical cord compression during labor?
• When caring for a group of homeless individuals, what is the most immediate concern for the health nurse?
• Which assessment finding for a term client in labor raises the most concern?
• What is the first priority intervention in the event of a snakebite to an extremity?
• Which symptom indicates priority attention in an infant with pyloric stenosis?
• What is the highest priority for a nurse when a client with a history of suicide attempts arrives at the mental health unit?
• Which personnel is most suitable for tasks requiring advanced patient assessments?
• In a triage scenario, what is the immediate priority for a nurse receiving injured clients from a mass casualty event?
• What essential intervention is required for an infant with cleft lip or palate?
• What is the main concern when dealing with a patient post-anesthesia?
• What is the most appropriate task to delegate to a licensed practical nurse (LPN) for a client with a sacral ulcer?
• What is the appropriate initial response of a nurse to a client with venous insufficiency?
• What factor significantly increases the risk of coronary heart disease when assessing this specific client?
• For which symptom should the nurse be particularly observant in a client with emphysema undergoing oxygen therapy?
• For a client with a history of sickle cell anemia in labor, what action should the nurse prioritize to prevent a sickle cell crisis?
• When delegating tasks to assistive personnel (AP), which of the following activities should NOT be included?
• What is the standard oral dose range for furosemide?
• Which is a critical nursing action to limit the spread of venom in treatable snakebite cases?
• Which client would benefit the most from receiving information about annual Papanicolaou (PAP) tests?
• Which pediatric client should the nurse assess first after receiving the report from the night shift?
• Which dietary recommendation would be inappropriate for a client with acute glomerulonephritis?
• When scheduling diagnostic studies, which should be done last?
• In planning assignments, which factor should the nurse prioritize?
• When caring for a child with a spinal cord lesion, what should be the priority action if the child displays signs of autonomic stimulation?
• After a cardiac catheterization, what is the nurse's first priority action when noticing a large puddle of blood under the client?
• Which assessment finding after a cesarean birth requires immediate action?
• What is the priority nursing action for a client with asthma who requested a breathing treatment during the previous shift?
• For a client on magnesium sulfate who exhibits deep tendon reflexes (DTR) of +1 and a low respiratory rate, what should the nurse do?
• What is the best client assignment for a licensed practical nurse (LPN)?
• Which tasks can be performed by assistive personnel (AP) in a nursing setting?
• How should a nurse respond to a client's concerns about immediate concerns following ECT?
• What is the priority nursing measure for a client with von Willebrand's disease experiencing epistaxis?
• In a case of a suicide attempt, what is the nurse's initial action?
• What is the correct protocol during a tornado warning in a healthcare facility?
• During a disaster response, which victim should the nurse attend to first?
• To whom should the RN most appropriately assign a cardiac catheterization?
• For a client with venous insufficiency, what is the most appropriate intervention?
• Which client should the nurse assess first based on potential instability?
• For a client with a new diagnosis of diabetes mellitus, what should be the nurse's priority teaching point?
• During a postpartum assessment, if a client's perineal pad is saturated, what should the nurse do first?
• Which patient should a fairly new nurse be assigned?
• What is the first priority nursing action when a child with epilepsy begins to have a seizure?
• Which task should an RN delegate to the LPN in a nursing team?
• What is the priority for a nurse managing a patient with respiratory distress?
• What is an appropriate intervention for a client showing signs of acute distress?
• What task is most appropriately assigned to an assistive personnel (AP)?
• In managing a client struggling with alcohol dependence, what is the most important approach for the nurse?
• What is the first assessment a PACU nurse should perform on a client transferred from the operating room?
• In response to a client in pain who needs pain medication, what is the most effective nursing action?
• What is the nurse's priority intervention for a client in active labor with a fetal heart rate below 70 beats per minute?
• What intervention can an LPN perform for a patient with respiratory issues?
• For which client should the nurse instruct the assistive personnel to avoid using a straight razor?
• During an emergency intervention for acetaminophen overdose, when should activated charcoal be administered?
• When caring for a client with acute glomerulonephritis, what action should the assistive personnel implement?
• What is a common sign that indicates worsening dehydration in clients with diabetes insipidus?
• When delegating tasks to unlicensed assistive personnel (UAP), which principle should the registered nurse (RN) follow?
• In a patient with hemophilia, what should be avoided due to its anticoagulant properties?
• In a labor and delivery setting, which client should be assessed first according to priority?
• Which client should most appropriately be assigned to an obstetric-postpartum nurse during a disaster?
• How should a nurse respond to a significant drop in a laboring client's fetal heart rate?
• Which client should the nurse assess first during the day shift report?
• What is the nurse's priority action for a client with a left hip fracture scheduled for surgery?
• Which client should the nurse prioritize at the scene of an accident involving a bus rollover?
• Which client has the highest priority needs?
• For which client should the nurse planned care focus on monitoring for complications?
• What task can be delegated to assistive personnel (AP) for a client with diabetes mellitus admitted for eye surgery?
• What is the nurse's priority intervention for a parent who reports a toddler's possible acetaminophen overdose?
• After receiving assignments on a postoperative surgical unit, which client should the nurse prioritize care for?
• When planning care, which client should be assessed first?
• In the event of a building collapse, which victim should the nurse care for first?
• What should the RN instruct the LPN to do if an enema has not resulted in clear returns after three attempts?
• After a client undergoes electroconvulsive therapy (ECT), what is the nurse's most important immediate intervention?
• Which actions are appropriate for an experienced LPN caring for a respiratory patient?
• For an older adult client with pneumonia, which finding requires immediate notification to the healthcare provider?
• How often should a nurse instruct an AP to check the tightness of hand restraints on a client?
• A patient post-right upper lobectomy has constant bubbling in the water seal chamber. What should the nurse check first?
• When caring for clients with added stressors like homelessness, what is crucial in the health nurse's planning?
• While teaching parents about urinary tract infections (UTIs) in children, what is the priority educational topic?
• What should a nurse do upon observing ecchymosis in various stages of healing on a 75-year-old client?
• True or False: An RN is fully accountable for a task after delegating it to an LPN.
• In which scenario should a nurse escalate care immediately?
• What is a potential complication of excessive enema administration?
• In a scenario where an adolescent female reports low-grade fever and abdominal pain, what is the nurse’s priority action?
• Which task should a new RN reconsider delegating to a nursing assistant?
• If a nurse notes blanching, coolness, and edema at a client's IV site, what should be the priority action?
• As part of their role, which task can an LPN complete for a patient on mechanical ventilation?
• What nursing intervention is the highest priority when caring for a client with wrist restraints applied?
• When planning care for a client receiving intravenous morphine sulfate for cancer pain, which action is the highest priority?
• Which activity can be delegated to assistive personnel (AP) for a client experiencing frequent hallucinations?
• In triage, which client would be categorized as emergent?
• Which client should the nurse care for first?
• Before an arteriogram using a radiopaque dye, what critical assessment must the nurse perform?
• What is the best approach for a nurse to take when caring for a client prescribed medications for alcohol withdrawal?
• For a child diagnosed with type 1 diabetes who is in the emergency department, what is essential for immediate care?
• Which assessment should the nurse prioritize for a client with heart failure?