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A charge nurse on a maternal newborn unit is delegating tasks to a PN.

Exhibits
Which of the following tasks should the charge nurse delegate to the PN? Select all that apply.

Client 3 at 1020

Client 4 at 1130

Client 4 at 0815

Client 1 at 0745

Client 4 at 0930

Client 1 at 1600

Client 4 at 0800

Client 4 at 1700

Client 2 at 1700

Client 1 at 1830

Answer and Explanation

Correct Answer : A,B,D,F

Rationale:
A. Obtaining a blood glucose for the newborn is within the PN’s scope of practice and can be safely delegated.
B. Performing a fundal check is a routine postpartum assessment that a PN can perform under supervision.
C. Conducting an initial newborn assessment requires RN-level assessment skills and cannot be delegated.
D. Reinforcing information about circumcision involves reinforcing teaching, which is within the PN’s scope.
E. Initiating a care plan for a new postpartum client requires nursing judgment and cannot be delegated.
F. Reinforcing safe sleep practices is teaching reinforcement, which a PN can perform.
G. Administering Vitamin K is a medication administration task requiring RN scope (depending on facility policy).
H. Reinforcing teaching about breastfeeding involves detailed education and assessment and should be performed by an RN.
I. Administering ibuprofen is medication administration and requires RN or authorized provider scope.
J. Providing discharge instructions and teaching requires RN-level assessment and teaching skills and cannot be delegated.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

Rationale:
A. Administering an initial NG tube feeding requires assessment of tube placement and tolerance, which are nursing responsibilities—not within the AP’s scope.
B. Collecting a urine specimen is a routine, noninvasive task appropriate for delegation to an AP.
C. Checking a client’s pain level involves assessment, which cannot be delegated to an AP—it requires a licensed nurse.
D. Instructing a client about splinting an incision involves teaching, which is the nurse’s role, not the AP’s.

A. "I will be given contrast dye during this test." B. "I will run on a treadmill during this test." C. "I might have to wear a nose clip during this test. D. "I might have a tube inserted into my airway during this test."

Correct Answer is C

Explanation

Rationale:
A. Contrast dye is used in imaging studies such as CT scans, not pulmonary function tests.
B. Running on a treadmill is part of a cardiac stress test, not a pulmonary function test.
C. A nose clip may be used during pulmonary function testing to ensure that all breathing occurs through the mouth for accurate measurement.
D. Insertion of a tube into the airway refers to procedures such as bronchoscopy or intubation, not a pulmonary function test.

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A charge nurse on a maternal newborn unit is delegating tasks to a PN. Exhibits Which of the following tasks should the charge nurse delegate to the PN? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a shift assignment for an assistive personnel (AP) on the unit. Which of the following tasks should the nurse assign to the AP?

Correct Answer is B

Explanation

A nurse is assessing a client's comprehension of a pulmonary function test prior to the procedure. Which of the following client statements indicates to the nurse an understanding of the procedure?

Correct Answer is C

Explanation

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A charge nurse on a maternal newborn unit is delegating tasks to a PN.

Exhibits
Which of the following tasks should the charge nurse delegate to the PN? Select all that apply.