Fundamentals · Delegation & Prioritization, Fundamentals · Infection Control & Isolation

Free preview · Original latest version

Sample questions from Fundamentals · Delegation & Prioritization, Fundamentals · Infection Control & Isolation

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.The RN is caring for four clients. Which client should the RN assess first?

   • A.A client with pneumonia whose oxygen saturation has decreased from 94% to 86% on 2 L/min by nasal cannula
   • B.A client with a urinary tract infection who reports burning with urination
   • C.A client with a healing incision who requests a dressing change
   • D.A client with diabetes who asks when the next blood glucose check is scheduled

   Rationale: The falling oxygen saturation indicates an acute breathing problem and requires immediate assessment and intervention. Dysuria is important but is not the most urgent finding among these clients. A dressing change can generally wait if the incision is stable. The exam takeaway is to prioritize threats to airway, breathing, and circulation over stable needs and requests.

2. 2.Which task is appropriate for the RN to delegate to an experienced unlicensed assistive personnel (UAP)?

   • A.Teach a client how to use an incentive spirometer
   • B.Assess a client's pain 30 minutes after an analgesic
   • C.Obtain routine vital signs for a stable client
   • D.Evaluate whether a client understands discharge instructions

   Rationale: Obtaining routine vital signs for a stable client is a predictable task that can be delegated to a competent UAP. Teaching requires nursing judgment and is not delegated. Evaluating pain after medication is assessment and evaluation, which remain the RN's responsibility. The exam takeaway is to delegate routine, predictable tasks, not assessment, teaching, or evaluation.

3. 3.A client has profuse diarrhea caused by Clostridioides difficile. Which infection-control action is appropriate?

   • A.Use alcohol-based hand rub after removing gloves
   • B.Place the client on contact precautions and wash hands with soap and water
   • C.Place the client on droplet precautions and wear a surgical mask
   • D.Use standard precautions only if the stool is contained

   Rationale: C. difficile requires contact precautions, and soap-and-water handwashing is preferred because alcohol hand rub does not reliably remove spores. Alcohol-based hand rub alone is therefore inadequate after care of this client. Droplet precautions do not address the primary route of transmission. Standard precautions alone are insufficient for a client with suspected or confirmed C. difficile infection.

4. 4.Which client is most appropriate for assignment to an LPN/LVN?

   • A.A newly admitted client with chest pain requiring an initial assessment
   • B.A stable client with a chronic leg ulcer who needs a scheduled dressing change
   • C.A client with sudden confusion and a new oxygen requirement
   • D.A client who needs initial teaching about a newly prescribed anticoagulant

   Answer and rationale are in the full material.

5. 5.A nurse enters a room to care for a client on airborne precautions for suspected pulmonary tuberculosis. Which personal protective equipment is required?

   • A.A fit-tested N95 respirator or higher-level respirator
   • B.A surgical mask worn only while within 3 feet of the client
   • C.A gown and gloves without respiratory protection
   • D.A face shield and gloves

   Answer and rationale are in the full material.