Nokea
Identify the five rights of delegating nursing care (select all that apply).
- A. Right time
- B. Right task
- C. Right patient
- D. Right person
Correct Answer: B
Rationale: Effective delegation involves the right task, patient, person, circumstance, and supervision/evaluation.
You may also like to solve these questions
Which team is the most appropriate for this assignment?
- A. An advanced practice nurse and an experienced LPN/LVN
- B. An experienced LPN/LVN and an inexperienced RN
- C. An experienced RN and an inexperienced RN
- D. An experienced RN and a nursing assistant
Correct Answer: A
Rationale: An advanced practice nurse has the expertise to assess and manage complex cases, while an experienced LPN/LVN can assist with triage tasks.
Mr. and Mrs. Smith took part in a community health screening. What does a positive reaction to the standard intermediate strength PPD mean?
- A. Have active tuberculosis
- B. Are “carriers” of tuberculosis
- C. Have already transmitted tuberculosis to their children
- D. Have been exposed to active tuberculosis
Correct Answer: D
Rationale: A positive PPD test indicates past exposure to Mycobacterium tuberculosis but does not confirm active disease.
Thirty-six hours postoperatively a patient has a temperature of 100°F (37.8°C). What is the most likely cause of this temperature elevation?
- A. Dehydration
- B. Wound infection
- C. Lung congestion and atelectasis
- D. Normal surgical stress response
Correct Answer: D
Rationale: Low-grade fever within the first 48 hours postoperatively is typically a normal response to surgical stress.
What should the nurse prioritize when monitoring an older adult client immediately following a bronchoscopy?
- A. Observing for confusion
- B. Auscultating breath sounds
- C. Confirming the gag reflex
- D. Measuring blood pressure
Correct Answer: C
Rationale: The correct answer is C: Confirming the gag reflex. Immediately following a bronchoscopy, the nurse must prioritize confirming the gag reflex to ensure the client can protect their airway. This is crucial to prevent aspiration and respiratory complications. Observing for confusion (choice A) is important but not the priority in this situation. Auscultating breath sounds (choice B) is also important but confirming the gag reflex takes precedence. Measuring blood pressure (choice D) is not directly related to the immediate post-bronchoscopy monitoring.
8. What is acupuncture used for (select all that apply)?
- A. Relieve pain by causing counterirritation in another area of the body.
- B. Reestablish the flow of Qi through meridians to simulate the body’s self-healing mechanism.
- C. Create an inflammatory response at an acupoint, increasing blood circulation and healing energy.
- D. Relieve nausea and vomiting postoperatively, with pregnancy, or related to chemotherapy.
Correct Answer: B
Rationale: Acupuncture is commonly used to reestablish the flow of Qi (option B) and relieve nausea and vomiting (option D), among other therapeutic uses.