When making shift assignments, which patient is most appropriate for a nursing assistant?

A patient who needs help with bathing

A post-op laparotomy patient who needs education.

A newly admitted patient with a seizure disorder.

A dehydrated patient with an electrolyte imbalance.

Answer and Explanation

The Correct Answer is A

A. A patient who needs help with bathing: Nursing assistants are trained to assist with activities of daily living (ADLs), such as bathing.
B. A post-op laparotomy patient who needs education. Education and postoperative teaching require the skills and knowledge of a licensed nurse.
C. A newly admitted patient with a seizure disorder. Newly admitted patients with complex conditions need thorough assessment and monitoring by a licensed nurse.
D. A dehydrated patient with an electrolyte imbalance. Managing dehydration and electrolyte imbalances requires clinical judgment and interventions that should be handled by a licensed nurse.

Nursing Test Bank

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Correct Answer is B

Explanation

A. Reinforcing teaching with a patient who is learning to walk with a quad cane: Reinforcing teaching can be done by an LVN, as it involves stable, predictable outcomes.
B. A new admission to the unit complaining of chest pain: A new admission with chest pain requires a comprehensive assessment and potential critical thinking and intervention, which are within the scope of an RN.
C. Inserting an NGT for a client who is unable to eat: Inserting an NGT can be done by an RN or LVN, but it does not require the comprehensive assessment and critical thinking that managing a new admission with chest pain does.
D. Calculating intake and output for the unit: Calculating intake and output is a task that can be delegated to a UAP.

A. preparing the client for discharge B. On initial evaluation by the home health nurse C. reassessing a client for pain after giving pain medication D. checking skin assessment on a patient with a medical device in place

Correct Answer is C

Explanation

A. Preparing the client for discharge: Discharge preparation typically requires a comprehensive assessment to ensure all aspects of the client’s health and care needs are addressed.
B. On initial evaluation by the home health nurse: The initial evaluation requires a comprehensive assessment to establish a baseline for the client's overall condition and care plan.
C. Reassessing a client for pain after giving pain medication: A focused assessment targets a specific problem area, such as evaluating pain levels after an intervention.
D. Checking skin assessment on a patient with a medical device in place: This is an example of a focused assessment, concentrating on the skin integrity around the medical device.

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When making shift assignments, which patient is most appropriate for a nursing assistant?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse on a medical surgical unit has received report on four clients. There is an LVN, RN, and UAP working. Which of the following clients would best to assign to the RN?

Correct Answer is B

Explanation

In what patient situations would a focused assessment be best to perform?

Correct Answer is C

Explanation

A nurse is vaccinating n child with the varicella vaccine. The nurse is implementing what level of preventative care?

A nurse is teaching a client who wishes to stop smoking. Which of the following teaching methods uses the affective domain of learning?

The nurse is teaching a client about a new medication. The nurse recognizes the following as a potential barrier to learning?

The nursing is checking the client's blood sugar after administering insulin to a diabetic client. Which part of the nursing process is being fulfilled?

A nurse on a medical surgical unit has received report on four clients. Which of the following clients should the nurse assign to the NA?

The nurse is preparing a teaching plan for a client who is learning how to care for their colostomy. The nurse should identify the following actions as part of the assessment step in the teaching plan.

A nurse is planning a community diabetes mellitus management program. Which of the following SMART goals should the nurse include for the client?

Prior to administration of an antihypertensive medication, the nurse notes the client's heart rate is 50. The nurse then determines the blood pressure medication should be held. Which part of the nursing process is being fulfilled?