Nursing Acceleration Challenge Exam I PN-RN Nursing Acceleration Challenge Exam I PN-RN Coordinated Care and Delegation

Question 1

A registered nurse is delegating tasks to a nursing assistant (NA). Which task is appropriate to delegate to the NA?

Accepted Answer

Measuring and recording urine output for a stable client

Answer

Assessing a client's respiratory status post-bronchodilator

Answer

Administering a scheduled oral medication

Answer

Evaluating a client's response to pain medication

Question 2

A nurse is working in a case management role. Which action best reflects the case manager's primary function?

Accepted Answer

Coordinating services across the continuum of care to optimize outcomes

Answer

Providing direct bedside care to complex patients

Answer

Prescribing medications for chronic illness management

Answer

Conducting surgical procedures for high-risk clients

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?

Accepted Answer

Have the physician co-sign the order as soon as possible

Answer

Document the order at the end of the shift

Answer

Notify the charge nurse immediately

Answer

Refuse the order until it is written

Question 4

Which situation represents a potential conflict of interest that a nurse must report?

Accepted Answer

A nurse receiving a referral commission from a home health agency

Answer

A nurse caring for a neighbor who requested her specifically

Answer

A nurse accepting a small gift basket from a client's family after discharge

Answer

A nurse discussing a client's progress with the client's authorized spouse

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?

Accepted Answer

Providing a structured verbal handoff using SBAR format

Answer

Sending the chart with the transport aide only

Answer

Calling the ICU nurse after the client arrives

Answer

Documenting all care after returning from the transfer

Question 6

A nurse notices that a colleague is consistently charting care that was not performed. What is the nurse's most appropriate action?

Accepted Answer

Report the behavior to the nurse manager or through the chain of command

Answer

Ignore the behavior to avoid conflict

Answer

Confront the colleague publicly at the nurses' station

Answer

Alter the records to reflect accurate care