Nursing Acceleration Challenge Exam I PN-RN Nursing Acceleration Challenge Exam I PN-RN Coordinated Care and Delegation 1 — Questions and Answers
Question 1: A registered nurse is delegating tasks to a nursing assistant (NA). Which task is appropriate to delegate to the NA?
- Assessing a client's respiratory status post-bronchodilator
- Measuring and recording urine output for a stable client (Correct answer)
- Administering a scheduled oral medication
- Evaluating a client's response to pain medication
Correct answer: Measuring and recording urine output for a stable client
Measuring and recording urine output is a non-invasive, routine task within the nursing assistant's scope of practice for stable clients.
Question 2: A nurse is working in a case management role. Which action best reflects the case manager's primary function?
- Providing direct bedside care to complex patients
- Coordinating services across the continuum of care to optimize outcomes (Correct answer)
- Prescribing medications for chronic illness management
- Conducting surgical procedures for high-risk clients
Correct answer: Coordinating services across the continuum of care to optimize outcomes
Case managers coordinate care across settings and disciplines to ensure cost-effective, quality outcomes along the continuum of care.
Question 3: A nurse receives a verbal order from a physician during an emergency. What is the nurse's priority action after carrying out the order?
- Document the order at the end of the shift
- Have the physician co-sign the order as soon as possible (Correct answer)
- Notify the charge nurse immediately
- Refuse the order until it is written
Correct answer: Have the physician co-sign the order as soon as possible
Verbal orders should be read back for confirmation and then signed by the prescribing provider as soon as possible, typically within 24 hours per facility policy.
Question 4: Which situation represents a potential conflict of interest that a nurse must report?
- A nurse caring for a neighbor who requested her specifically
- A nurse accepting a small gift basket from a client's family after discharge
- A nurse receiving a referral commission from a home health agency (Correct answer)
- A nurse discussing a client's progress with the client's authorized spouse
Correct answer: A nurse receiving a referral commission from a home health agency
Accepting financial incentives such as referral commissions from agencies creates a conflict of interest and may violate professional and institutional ethics standards.
Question 5: A nurse is preparing to transfer a client from the medical-surgical unit to the ICU. Which action ensures continuity of care during this handoff?
- Sending the chart with the transport aide only
- Providing a structured verbal handoff using SBAR format (Correct answer)
- Calling the ICU nurse after the client arrives
- Documenting all care after returning from the transfer
Correct answer: Providing a structured verbal handoff using SBAR format
Using the SBAR (Situation, Background, Assessment, Recommendation) format during handoffs ensures critical information is communicated systematically to the receiving team.
Question 6: A nurse notices that a colleague is consistently charting care that was not performed. What is the nurse's most appropriate action?
- Ignore the behavior to avoid conflict
- Confront the colleague publicly at the nurses' station
- Report the behavior to the nurse manager or through the chain of command (Correct answer)
- Alter the records to reflect accurate care
Correct answer: Report the behavior to the nurse manager or through the chain of command
Falsification of documentation is fraud and a serious safety issue; the nurse has an ethical and professional obligation to report it through proper channels.
Nursing Acceleration Challenge Exam I PN-RN Nursing Acceleration Challenge Exam I PN-RN Coordinated Care and Delegation 1
A registered nurse is delegating tasks to a nursing assistant (NA).
Which task is appropriate to delegate to the NA?