Nursing Roles

Question 1

What are the three learning domains? Give and example of each.

Answer 1

1) Cognitive - Patient returns demonstration
2) Psychomotor - Patient explains teaching
3) Affect - Patient changes behavior

Question 2

(T/F) If the condition of the patient is critical (i.e., vials are dropping) it is no longer appropriate for the RN to delegate simple tasks anymore.

Answer 2

True - Get the vitals yourself

Question 3

What are the 5 rights of delegation?

Answer 3

1) Right Task
2) Right Circumstances
3) Right Person
4) Right Direction/Communication
5) Right Supervision and Evaluation

Question 4

Which of the following tasks is appropriate for the nurse to delegate to a nursing CNA with 20 yrs of experience? (Kaplan)

1. Assess the breathing pattern of an asthmatic patient
2. Monitor a patient who is expectorating rust-colored sputum
3. Administer codeine to a postoperative patient
4. Bathe a patient prior to the scheduled 6am surgery

Answer 4

4. This is a standard unchanging procedure

Question 5

The nursing team consists of two RNs, 2 LVNs, and 2 CNAs. The nurse should consider the assignment appropriate if the the LVN is required to complete which of the following tasks?

1. Obtain vital signs for a PT immediately after ECT
2. Assist a patient w/bathing & feeding
3. Administer a tube feeding for a PT with dysphagia
4. Discharge a PT diagnosed with multiple sclerosis

Answer 5

1. Requires assessment by the RN
2. Appropriate assignment for the CNA
3. CORRECT - Assign stable PTs with expected outcomes
4. Appropriate activity for the RN

Question 6

The nursing team consists of two RNs, 2 LVNs, and 2 CNAs. Which of the following PT assignments should the LPN question?

1. An infant requiring a bath prior to discharge
2. An infant with a palpable olive-shaped mass in the epigastrium an frequent vomiting.
3. An infant requiring eye drops instilled
4. An infant requiring a rectal temperature taken every 6 hours

Answer 6

1. Can be assigned to the CNA
2. CORRECT - Indicates pyloric stenosis and requires further assessment by the nurse.
3. Appropriate assignment for the LVN
4. Appropriate assignment for the LVN

Question 7

The nursing team consists of two RNs, 2 LVNs, and 2 CNAs. Which of the following PTs should the nurse assign to the LVN?

1. A child admitted with asthma
2. A child in balanced suspension traction for a fractured left femur
3. A child admitted for intestinal bleeding
4. A child admitted for taking his grandmother’s hypertension meds

Answer 7

1. Unstable PT with unpredictable outcome
2. CORRECT - Stable PT with predictable outcome
3. Unstable PT with unpredictable outcome
4. Unstable PT with unpredictable outcome

Question 8

The nursing team consists of two RNs, 2 LVNs, and 2 CNAs. The nurse determines that assignments are appropriate if which of the following patients is assigned to a CNA?

1. A PT diagnosed w/Crohn’s disease requiring sterile dressing change.
2. A PT diagnosed w/chronic renal failure requiring I&O.
3. A PT diagnosed w/full thickness burns requiring IV morphine prior to a dressing change.
4. A PT diagnosed with cancer of the lung complaining of a headache.

Answer 8

1. Sterile dressing change should be assigned to the LVN
2. CORRECT
3. The RN should care for this PT
4. Requires assessment by the RN

Question 9

The nursing team consists of two RNs, 2 LVNs, and 2 CNAs. The nurse should consider the assignment appropriate if an LVN is required to complete which of the following tasks?

1. Perform a sterile dressing change
2. Obtain vital signs
3. Stock supplies of syringes and dressings
4. Transfer a stable PT to x-ray

Answer 9

1. CORRECT - Within an LVN’s scope
2. Appropriate task for a CNA
3. Appropriate task for a CNA
4. Appropriate task for a CNA

Question 10

The nursing team consists of two RNs, 2 LVNs, and 2 CNAs. Which of the following PTs should the nurse on the pediatric unit assign to the LVN?

1. A child admitted with Vomitig, weight loss, and abdominal pain
2. A child admitted with ⬇ Hbg & Hct complaining of fatigue
3. A child diagnosed w/a UTI requiring discharge instructions
4. An infant requiring bacitracin on the circumcision site

Answer 10

1. Requires assessment by an RN
2. Requires assessment by an RN
3. PT teaching must be done by an RN
4. CORRECT - Stable PT w/predictable outcome

Question 11

The nurse manager delegates a task to another staff member. Which of the following includes appropriate techniques to use when delegating? (Select all that applies)

1. The nurse mgr maintains eye contact
2. The nurse mgr asks staff members to report any problems
3. The nurse mgr states what, how and when a task should be performed.
4. The nurse mgr does not require feedback from the nursing staff
5. The nurse mgr states “You should do…” when describing the task
6. The mgr allows the staff to determine the time when the task will be completed.

Answer 11

1. CORRECT - Eye contact is important
2. Delegator should clearly define appropriate action for the staff to take if complications occur
3. CORRECT - Feedback is important
4. Feedback is essential
5. Delegator should use “I” statements when describing the tasks
6. Delegator should describe expected outcomes and timeline for completion.

Question 12

The nursing team consists of two RNs, 2 LVNs, and 2 CNAs. Which of the following PTs should the nurse assign to the RN?

1. A child who needs help socializing with other children
2. A child requiring an 8am insulin injection
3. A child with a blood lead level of 70mcg/dL requiring EDTA
4. A child complaining of abdominal tenderness in the right lower quadrant

Answer 12

1. CORRECT - Appropriate task for a CNA
2. Assign to an RN
3. Assign to an RN
4. Requires assessment by an RN