A nurse is planning care for a group of patients. Which task will the nurse assign to the nursing assistive personnel (AP)?

Irrigating a catheter

Interpreting a bladder scan result

Obtaining a midstream urine specimen

inserting a straight catheter

Answer and Explanation

The Correct Answer is C

A. Irrigating a catheter: Catheter irrigation requires sterile technique and nursing judgment, making it an inappropriate task for an AP. It must be performed by a licensed nurse.

B. Interpreting a bladder scan result: APs may perform bladder scans in some settings, but interpretation of results requires nursing knowledge and clinical decision-making, which is beyond their scope of practice.

C. Obtaining a midstream urine specimen: Collecting a urine specimen is a non-invasive task that falls within the scope of practice for an AP, as it does not require sterile technique or nursing assessment.

D. Inserting a straight catheter: Insertion of a catheter requires sterile technique and nursing assessment, making it a task reserved for licensed nurses.

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Correct Answer is B

Explanation

A. A female client who has a body mass index of 24: A BMI of 18.5–24.9 is considered normal weight. Since the BMI is 24, this client is in the normal weight range.

B. A male client who has a body mass index of 29: A BMI of 25–29.9 is classified as overweight. Since the BMI is 29, this client is overweight but not obese.

C. A male client who has a waist circumference of 96.52 cm (38 in): The at-risk waist circumference for males is ≥40 inches (102 cm). Since this client’s waist circumference is 38 inches, he is not classified as overweight based on this parameter.

D. A female client who has a waist circumference of 101.6 cm (40 in): The at-risk waist circumference for females is ≥35 inches (88 cm), but waist circumference alone does not classify someone as overweight. BMI is the primary measure used.

A. Report a positive finding to the provider. B. Don sterile disposable gloves. C. Test the quality control section before testing the stool specimen. D. Apply liberal amounts of stool to the guaiac paper.

Correct Answer is A

Explanation

A. Report a positive finding to the provider. A positive guaiac test indicates the presence of blood in the stool, which may suggest gastrointestinal bleeding, colorectal cancer, or other GI disorders. It must be reported for further evaluation.

B. Don sterile disposable gloves. Sterile gloves are not required. Clean gloves are sufficient because this is a non-sterile procedure.

C. Test the quality control section before testing the stool specimen. There is no quality control section on a fecal occult blood test. The test involves applying stool to a guaiac card and adding developer.

D. Apply liberal amounts of stool to the guaiac paper. Only a thin smear of stool is required; too much stool may interfere with accurate test results.

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A nurse is planning care for a group of patients. Which task will the nurse assign to the nursing assistive personnel (AP)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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