Correct Answer: A

Rationale: The correct answer is A. Delegating the assessment of vital signs during the first 5 minutes of a blood transfusion to UAPs is not appropriate. This is because a reaction can occur within the first few minutes of a blood transfusion, making it crucial for a registered nurse to assess the patient during this critical period. UAPs do not have the education or training to recognize and manage potential adverse reactions promptly. Choice B is incorrect because an LPN/LVN can indeed administer a PPD if there is no history of a positive result. Choice C is incorrect because LPN/LVNs should not administer medications that have a high potential for adverse effects, such as dopamine. Choice D is incorrect as transferring a patient who is being discharged home requires skilled nursing assessment and intervention, not just training in transferring techniques.

Correct Answer: B

Rationale: The correct answer is B because binding arbitration involves a formal discussion where the arbitrator's recommendations are compulsory, meaning both parties must abide by the decision. This ensures a resolution to the issue at hand. A is incorrect because mediation is not necessarily sanctioned by the NLRB for formal discussions. C is incorrect because mediation does not typically result in a legally binding plan; it is a negotiation process to reach a mutually acceptable agreement. D is incorrect because binding arbitration does not specifically focus on the least destructive approach or self-governance by employees; it is about reaching a binding decision by a neutral third party arbitrator.

Correct Answer: B

Rationale: The correct answer is B because quantifying the amount and intensity of care required is essential to determine staffing needs based on patient acuity. This involves assessing the complexity and severity of patients' conditions, which directly impacts the level of care needed. Patient satisfaction (A) does not provide objective data on acuity. Examining skill mix (C) is important but not the primary factor in determining acuity. Hospital days (D) reflect length of stay, not acuity level.

Correct Answer: A

Rationale: The correct answer is A: Emergency Medical Treatment and Active Labor Law (EMTALA). This act prohibits hospitals from transferring patients in active labor or with an emergency condition based on insurance status or ability to pay. It ensures that all individuals, regardless of insurance or immigration status, receive necessary emergency medical treatment. The other choices are incorrect because: B: Health Insurance Portability and Accountability Act (HIPAA) protects patient privacy and does not address transfer of patients in active labor. C: Patient Self-Determination Act focuses on patient autonomy in making healthcare decisions, not on preventing transfer based on insurance status. D: The Patient Safety and Quality Improvement Act promotes patient safety and quality improvement but does not specifically address transfer of patients in active labor.

Correct Answer: D

Rationale: The Karnofsky Prognostication Scale is commonly used in patients with terminal illness, such as AIDS, to assess their functional status and predict their prognosis. Patients with AIDS often experience rapid decline in health, making this scale useful in determining their overall well-being and potential outcomes. Incorrect choices: A: Respiratory diseases - The Karnofsky scale is not commonly used for screening patients with respiratory diseases. B: Cancers - While the Karnofsky scale can be used for cancer patients, it is most commonly associated with terminal illnesses like AIDS. C: Cardiac diseases - The Karnofsky scale is not typically used for screening patients with cardiac diseases.