An RN is delegating care activities to a licensed practical nurse (LPN). Which of the following is the priority criterion the RN should consider when delegating?

Agency policies for the LPN

The documented experience level of the LPN

The documented skill level of the LPN

State Nurse Practice Act for the LPN

Answer and Explanation

The Correct Answer is D

Rationale:

A. Agency policies for the LPN are important but secondary to ensuring the tasks fall within the scope of practice.

B. The documented experience level of the LPN is relevant but should be considered in conjunction with the scope of practice.

C. The documented skill level of the LPN is important for assigning tasks but must align with legal scope of practice.

D. State Nurse Practice Act for the LPN is the priority criterion as it defines the legal scope of practice and ensures that tasks delegated to the LPN are within their legal and professional boundaries.

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Correct Answer is B

Explanation

Rationale:

A. Making a copy of the incident report for the provider is not necessary; the report should be handled according to the facility’s protocol.

B. Submitting the incident report to the risk manager ensures it is reviewed and addressed appropriately, which is crucial for risk management and quality improvement.

C. Placing the incident report in the client’s chart is not appropriate as it is considered a confidential document related to quality and safety, not part of the client’s medical record.

D. Documenting in the chart that an incident report has been filed is not sufficient; the report should be submitted to the risk management team for review.

A. An infant who has pertussis and is receiving oxygen via nasal cannula B. An adolescent who was admitted to the unit in sickle cell crisis and is ready for discharge instructions C. A school-age child who has diabetes mellitus and requires blood glucose monitoring D. A toddler who has both arms in casts and needs to be fed his breakfast

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.

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An RN is delegating care activities to a licensed practical nurse (LPN). Which of the following is the priority criterion the RN should consider when delegating?

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Naxlex Comprehensive Predictor Exams

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