An RN from the maternal-newborn unit is being floated to a medical-surgical unit. Which of the following clients should the charge nurse on the medical-surgical unit plan to assign to the RN?

A client who has acute pancreatitis

A client who is one-day postoperative following a total abdominal hysterectomy

A client who had a stroke and is to be admitted

A client who has terminal end-stage renal disease

Answer and Explanation

The Correct Answer is B

Rationale:

A. Acute pancreatitis may require specialized medical management that might be beyond the RN’s experience from a different unit.

B. A client one-day postoperative following a total abdominal hysterectomy is appropriate for an RN with general surgical experience, as it involves standard postoperative care.

C. A client who had a stroke may require more specialized neuro care and assessment than the RN might be familiar with.

D. Terminal end-stage renal disease requires specialized care and experience in managing complex chronic conditions.

Nursing Test Bank

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Correct Answer is A

Explanation

Rationale:

A. An infant who has pertussis and is receiving oxygen via nasal cannula requires immediate assessment to ensure that the oxygen therapy is adequate and to monitor for any signs of respiratory distress or worsening condition.

B. An adolescent who was admitted to the unit in sickle cell crisis and is ready for discharge instructions does not require immediate assessment as the client is stable enough for discharge planning.

C. A school-age child who has diabetes mellitus and requires blood glucose monitoring should be assessed, but it is less urgent compared to a client with a respiratory condition.

D. A toddler who has both arms in casts and needs to be fed his breakfast needs attention, but this is less critical compared to monitoring a client with a respiratory condition.

A. Assigning the most competent RN to perform a central line dressing change B. Assigning the most efficient AP to perform glucometer monitoring for each client C. Assigning two assistive personnel (AP) to ambulate all clients D. Assigning a new graduate nurse to perform a wet-to-dry dressing change

Correct Answer is D

Explanation

Rationale:

A. Assigning an RN to perform a central line dressing change is appropriate as it requires specialized skills and knowledge.

B. Assigning an AP to perform glucometer monitoring is within their scope of practice and is a suitable task.

C. Assigning two APs to ambulate clients is reasonable if the workload requires it.

D. Assigning a new graduate nurse to perform a wet-to-dry dressing change may be inappropriate if it requires more experience and skill than the new graduate has.

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An RN from the maternal-newborn unit is being floated to a medical-surgical unit. Which of the following clients should the charge nurse on the medical-surgical unit plan to assign to the RN?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a pediatric unit is reviewing her client assignment following the shift report. Which of the following clients should the nurse plan to assess first?

Correct Answer is A

Explanation

A charge nurse is delegating tasks to nursing personnel on a 10-bed medical-surgical nursing unit. Which of the following assignments is an example of overdelegation?

Correct Answer is D

Explanation

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