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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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

. A 78-year-old female with osteoporosis who needs assistance performing range of motion exercises and ambulating with a walker: LPNs are capable of assisting with range of motion exercises and ambulation.
B. A 78-year-old patient newly admitted with anemia requiring a blood transfusion: Blood transfusions require close monitoring for reactions and complications, which are within the RN’s scope of practice. This patient requires a higher level of assessment and decision-making skills.
C. A 34-year-old patient post knee arthroscopy who requires reinforced crutch walking: LPNs can assist with crutch walking education and reinforcement.
D. A 44-year-old patient admitted yesterday with pneumonia: LPNs can care for stable patients with pneumonia under the supervision of an RN. The patient's status should be stable or improved to be managed by an LPN.

A. decreased vision but the client is wearing glasses B. Hearing loss, hearing aids are functioning well C. Language and no access to an interpreter D. The client's culture

Correct Answer is C

Explanation

A. Decreased vision but the client is wearing glasses: As long as the client is wearing glasses and can see adequately, decreased vision is not a barrier to learning that would require postponing teaching.
B. Hearing loss, hearing aids are functioning well: With functioning hearing aids, the client should be able to hear and understand the discharge instructions, so this is not a barrier to learning that requires postponement.
C. Language and no access to an interpreter: Without an interpreter, the client may not understand the instructions, which is a significant barrier to learning. This requires postponing the teaching until an interpreter is available.
D. The client's culture: While cultural differences can influence learning, they do not inherently create a barrier that necessitates postponing teaching unless they directly affect comprehension or communication.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which client would be best assigned to an RN and not an LPN?

Correct Answer is B

Explanation

A nurse is completing discharge instructions. Which of the following barriers to learning should the nurse interpret as a need to postpone the teaching?

Correct Answer is C

Explanation

A nurse is caring for a group of clients on a medical surgical unit. For which of the following care needs should the nurse initiate a referral for a speech therapist?

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

A nurse is completing a client's history and physical examination. Which of the following information should the nurse consider objective data?

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?

A nurse is responding to a call light of a newly diagnosed diabetic. The client states she is ready for learning. The nurse recognizes this as which learning domain?

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?

A nurse is preparing to administer Temazepam 15 mg PO at bedtime. The amount available is Temazepam 30 mg tablets. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Which patient below is best assigned to the LPN?