The client with a stroke was admitted to a medical-surgical unit. Which tasks does the nurse delegate to the unlicensed assistive personnel?

Questions 41

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Question 1 of 5

The client with a stroke was admitted to a medical-surgical unit. Which tasks does the nurse delegate to the unlicensed assistive personnel?

Correct Answer: B

Rationale: Assisting with meals is appropriate for unlicensed assistive personnel (UAP) under the five rights of delegation. Care planning (A), evaluating oximetry (C), and assessing consciousness (D) require nursing judgment and cannot be delegated.

Question 2 of 5

A nurse delegates a client’s vital signs to an experienced unlicensed assistive personnel (UAP). Four hours later, the nurse notes the clients blood pressure is much higher than previous readings, and the clients mental status has changed. What action by the nurse would most likely have prevented this negative outcome?

Correct Answer: C

Rationale: Proper supervision, including directing and following up, per the five rights of delegation, would have ensured timely reporting of changes. Assessing UAP skill (A) is assumed, double-checking (B) undermines delegation, and doing it herself (D) negates delegation’s purpose.

Question 3 of 5

A nurse manager wants to improve hand-off communication among the staff. What actions by the manager would best help achieve this goal? ((Select ONE that does not apply.)

Correct Answer: D

Rationale: Coaching during rounds (A), auditing (B), creating templates (C), and encouraging questions (D) align with the SHARE model to improve hand-offs. Raises (E) are a last resort, not a primary strategy.

Question 4 of 5

An outpatient surgery manager evaluating infusion pumps should:

Correct Answer: B

Rationale: A decision-making tool (B) ensures objective evaluation, unlike A (cost only), C (staff preference), or D (vendor habit).

Question 5 of 5

The hallmark of decision making is:

Correct Answer: B

Rationale: Decision making (B) centers on choosing options, unlike A (problem solving), C (idea generation), or D (evaluation).

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