Excelsior College NURSING MISC FCCA-274 Final Exam 1 2021\2022
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1. An Lpn
... [Show More] from a medical nursing unit has been temporarily assigned to a surgical unit. Which questions should the RN ask of the LPN to determine safe patient delegation? Select all that apply.
❏ Do you have any concerns about the care of the surgical patient?
❏ Do you want to be paired with an RN as a resource?
❏ Can you share with me your nursing experience and expertise?
❏ What type of supervision do you want from me?
❏ How would you describe your knowledge about care of the surgical patient?
2. A newly hired unlicensed assistive personnel (UAP) has some difficulty performing comfort measure for a patient at the end of life. What is the appropriate response by the RN?
❏ Indicate the next time the task is delegated will be easier.
❏ NO need to say anything, the UAP performed as expected.
❏ Inquire if the UAP is returning to work tomorrow.
❏ Ask the UAP to identify what went well and what did not.
3. A unit secretary who is pregnant asks the RN “Should I get the influenza vaccine? I do not provide care for patients. “Which statement indicates the RN understands Centers for DIsease Control and Prevention (CDC)guidelines?
❏ No, the vaccine is mandated for direct care health care providers.
❏ Yes, the vaccine reduces the possibility of getting ill and infecting others
❏ Yes, the health administrators made the vaccine mandatory for all staff.
❏ No, pregnant staff members should not receive the vaccine.
4. Which statement made by the RN to the Unlicensed Assistive Personnel (UAP) incorporates legal and ethical principles when delegating care?
❏ Review proper hand hygiene with MS. Q’s family in Room 25, if there are questions, let me know.
❏ Obtain the vital signs in Mr. Z in Room 22 now. If the pulse rate is irregular, notify me promptly.
❏ Assist Ms. R in Room 24 out of bed, If dizziness is reported, obtain a blood pressure.
❏ Place oxygen on Mr. C in Room 21, if chest pain is reported. Obtain vital signs and notify me.
5. The Rn is caring for a client who is having a bedside procedure. The health care provider verbally tells the RN: “Give 4mg of morphine sulfate intravenously to the client now.” Based on TEAMSTEPS, what is the RN response?
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❏ Do you want the client to receive morphine now?
❏ The medication was administered as ordered
❏ Are you sure you want the amount of morphine to be given.
❏ 4mg of morphine sulfate intravenously to be given now.
6. An unlicensed assistive personnel (UAP) reports to the RN that a patient with chronic obstructive pulmonary disease (COPD) and respiratory failure could not be aroused when vital signs were taken. What is the most appropriate response by the RN? [Show Less]