The nursing student is discussing with a preceptor the delegation of tasks to an unlicensed assistive personnel (UAP). Assigning which of these tasks to a UAP indicates the student needs further teaching about the delegation process?

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Question 1 of 5

The nursing student is discussing with a preceptor the delegation of tasks to an unlicensed assistive personnel (UAP). Assigning which of these tasks to a UAP indicates the student needs further teaching about the delegation process?

Correct Answer: D

Rationale: Collecting an AFB sputum specimen indicates need for teaching. It's a skilled task beyond UAP scope, unlike ambulation , feeding , or discharge care . D risks safety, needing RN oversight.

Question 2 of 5

A school-aged child has had a long leg (hip to ankle) synthetic cast applied 4 hours ago. Which statement from the parent indicates that teaching has been inadequate?

Correct Answer: D

Rationale: Child should not stand until after 72 hours' indicates inadequate teaching. Synthetic casts dry quickly; weight-bearing is often allowed sooner, per provider. Uncovered cast , ice , and elevation are correct. D shows misunderstanding, needing correction.

Question 3 of 5

The nurse admitting a 5 month-old who vomited 9 times in the past 6 hours should observe for signs of which overall imbalance?

Correct Answer: B

Rationale: Metabolic alkalosis is expected after vomiting 9 times in 6 hours. Loss of HCl raises pH, per physiology. Acidosis fits diarrhea, hemoglobin and potassium are secondary. B drives care, making it correct.

Question 4 of 5

The nurse has admitted a client with obsessive-compulsive disorder who takes fluoxetine (Prozac). Which comment by the client would indicate that the medication is effective?

Correct Answer: A

Rationale: I don't need to check my doors 10 times' indicates fluoxetine's effectiveness. OCD involves repetitive behaviors; reduced checking shows decreased compulsions, aligning with SSRI goals. Persistent germ fears , handwashing , or isolation suggest ongoing symptoms. Fluoxetine targets anxiety-driven rituals, not social feelings. A reflects therapeutic response, making it the best indicator.

Question 5 of 5

The nurse is assessing a 2-day-old infant with a diagnosis of ventricular septal defect (VSD). Which finding should the nurse report immediately to the health care provider?

Correct Answer: D

Rationale: Sweating during feeding needs immediate reporting in VSD. It indicates heart failure from shunt overload, per pathophysiology, requiring urgent care. Murmur is typical, weight gain minor, and HR 160 normal. D signals decompensation, making it critical.

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