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?

Administer the initial bolus feeding to a client who has an NG tube.

Collect a urine specimen from a newly admitted client.

Check a client's pain level 30 min after receiving acetaminophen.

Instruct a client to splint an abdominal incision.

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is B

Explanation

Rationale:
A. A health care surrogate (or durable power of attorney for health care) does not have to be the oldest child; the client chooses the person they trust most to make decisions.
B. Advance directives are flexible and can be altered or revoked by the client at any time, as long as the client is competent.
C. A living will outlines the client’s treatment preferences, but it does not designate who will speak for the client. That role belongs to a health care proxy/surrogate.
D. Signing advance directives does not remove the client’s right to make decisions. The client retains autonomy as long as they are capable of decision-making.

A. Explain to the client about a 24-hr urine specimen collection. B. Remind the client to change positions slowly. C. Determine the client's muscle strength prior to ambulation. D. Decide how often to measure vital signs.

Correct Answer is B

Explanation

Rationale:
A. Explaining a 24-hr urine specimen collection requires teaching, which is a nursing responsibility and cannot be delegated to assistive personnel (AP).
B. Reminding the client to change positions slowly is reinforcement of prior teaching and is appropriate to delegate to an AP.
C. Determining muscle strength requires assessment, which is the nurse’s responsibility and cannot be delegated.
D. Deciding how often to measure vital signs involves nursing judgment and care planning, which cannot be delegated to an AP.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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