Nursing Acceleration Challenge Exam I PN-RN Nursing Acceleration Challenge Exam I PN-RN Coordinated Care and Delegation 2 — Questions and Answers
Question 1: A nurse is using the five rights of delegation. Which element is NOT one of the five rights?
- Right task
- Right person
- Right documentation (Correct answer)
- Right supervision
Correct answer: Right documentation
The five rights of delegation are: right task, right circumstance, right person, right direction/communication, and right supervision — documentation is not one of the five rights.
Question 2: A nurse is coordinating discharge planning for an elderly client with heart failure. Which team member should the nurse consult first?
- The hospital chaplain
- The clinical pharmacist
- The social worker (Correct answer)
- The dietary consultant
Correct answer: The social worker
The social worker is the key team member for discharge planning, assessing community resources, home support, financial assistance, and placement needs.
Question 3: A charge nurse observes a licensed practical nurse (LPN) performing a task outside their scope of practice. What is the charge nurse's immediate priority?
- File a formal incident report before speaking to the LPN
- Immediately stop the task and ensure client safety (Correct answer)
- Allow the LPN to complete the task and address it later
- Ask the client if they consent to the LPN performing the task
Correct answer: Immediately stop the task and ensure client safety
Client safety is the immediate priority; the charge nurse must stop the out-of-scope activity at once, then follow up with documentation and education.
Question 4: A nurse is working in a hospital that uses a team nursing model. What is the primary advantage of this care delivery model?
- One nurse is solely responsible for all aspects of a client's care
- Nursing tasks are shared among team members based on skill level and scope (Correct answer)
- Unlicensed personnel provide all direct client care
- Each nurse manages an equal number of clients independently
Correct answer: Nursing tasks are shared among team members based on skill level and scope
Team nursing distributes care tasks among team members according to their scope of practice and competency, maximizing efficiency and skill utilization.
Question 5: A nurse is reviewing orders for multiple clients. Which order requires immediate clarification before administration?
- Metoprolol 25 mg PO daily for hypertension
- Vancomycin 'as needed' for fever (Correct answer)
- Normal saline 100 mL/hr IV for dehydration
- Acetaminophen 650 mg PO every 6 hours PRN pain
Correct answer: Vancomycin 'as needed' for fever
Vancomycin requires specific dosing based on weight, renal function, and indication; an order to give it 'as needed for fever' is incomplete and dangerous.
Question 6: During interdisciplinary rounds, a nurse has information about a client's pain management concerns. Which action best reflects the nurse's advocacy role?
- Wait until after rounds to speak privately with the physician
- Document pain concerns in the chart only
- Clearly communicate the client's pain assessment and concerns to the team during rounds (Correct answer)
- Ask the client's family to bring up the concerns instead
Correct answer: Clearly communicate the client's pain assessment and concerns to the team during rounds
The nurse is the client's advocate and must directly communicate relevant assessment findings and client concerns to the interdisciplinary team during rounds.
Nursing Acceleration Challenge Exam I PN-RN Nursing Acceleration Challenge Exam I PN-RN Coordinated Care and Delegation 2
A nurse is using the five rights of delegation.
Which element is NOT one of the five rights?