An RN team leader has one LPN and one medical assistant assigned to the unit. Which patient would be most appropriate to assign to the LPN?

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Question 1 of 5

An RN team leader has one LPN and one medical assistant assigned to the unit. Which patient would be most appropriate to assign to the LPN?

Correct Answer: D

Rationale: LPNs can manage stable patients with routine care (D), like monitoring a stroke patient on continuous feedings, within their scope. A, B, and C require RN-level assessment and intervention due to instability (fever, chest pain, low Hgb/Hct), making D the most appropriate assignment.

Question 2 of 5

The nurse is attempting to take the history of a newly admitted 92-year-old patient but is unable to obtain the information because of the patient's cognitive status. The nurse should

Correct Answer: B

Rationale: Contacting family (B) provides history when cognitive impairment prevents patient input, ensuring a complete assessment. A is unprofessional, C is unlikely to yield data, and D repeats a failed approach, making B the best action.

Question 3 of 5

A nurse is assisting with the care of a client who has a chest tube. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Taping the connections on the client's chest tube prevents accidental disconnection, which could compromise the seal and lead to complications such as a pneumothorax. Looping the tubing (A) can obstruct drainage, stripping the tube (B) can damage lung tissue due to increased negative pressure, and placing the drainage system above the heart (D) prevents gravity drainage and risks fluid backflow into the pleural cavity.

Question 4 of 5

A nurse is reinforcing teaching with a client has reports constipation. Which of the following should the nurse discuss as causes of constipation? ((Select ONE that does not apply.)

Correct Answer: B

Rationale: Ignoring the urge to defecate (A) allows stool to harden, excessive laxative use (C) can lead to dependence and reduced motility, and inadequate fluid intake (E) causes harder stools, all contributing to constipation. Increased activity (B) promotes motility and prevents constipation, while increased fiber (D) typically alleviates it unless fluid intake is insufficient. Correct answers are A, C, and E, though E was not listed as an option but is implied in the explanation.

Question 5 of 5

Which action by the nurse shows an understanding of the principle of self-determination?

Correct Answer: A

Rationale: Self-determination respects clients as autonomous individuals capable of informed decisions, exemplified by allowing a client to choose juice over water. Choices B, C, and D involve decisions that could endanger life or lack capacity, not reflecting appropriate self-determination.

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