Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is delegating client care assignments for the shift. Which of the following teks should the nurse delegate to an assistive personnel (AP)?
A. Measure and record intake and output for a client.
Measuring and recording intake and output is within the scope of practice for an AP.
B. Teach a client about low-sodium foods.
Teaching requires professional knowledge and is the responsibility of a nurse.
C. Evaluate pain relief for a client following the administration of a pain medication.
Evaluating pain relief requires critical thinking and assessment skills, which are within the nurse's scope of practice.
D. Perform wound irrigation for a client.
Wound irrigation is a skilled task that requires the expertise of a nurse.
This question is an excerpt from Nurse Dive's nursing test bank - Ati fundamentals proctored exam. Take the full exam now
Full Explanation
A. Measuring and recording intake and output is within the scope of practice for an AP.
B. Teaching requires professional knowledge and is the responsibility of a nurse.
C. Evaluating pain relief requires critical thinking and assessment skills, which are within the nurse's scope of practice.
D. Wound irrigation is a skilled task that requires the expertise of a nurse.
Similar Questions
A nurse is caring for a client who states, "My doctor was just here, but I still do not understand my diagnosis." The nurse contacts the provider to return to speak with the client. Which of the following principles is the nurse demonstrating?
A. Confidentiality
Confidentiality pertains to protecting client information.
B. Advocacy
Advocacy involves acting on behalf of the client's needs and ensuring they receive appropriate information and care.
C. Fidelity
Fidelity involves being faithful to commitments and promises, which could apply here, but advocacy is a more precise term.
D. Accountability
Accountability involves being responsible for one's actions, which the nurse is demonstrating, but the primary principle in this situation is advocacy.
Full Explanation
A. Confidentiality pertains to protecting client information.
B. Advocacy involves acting on behalf of the client's needs and ensuring they receive appropriate information and care.
C. Fidelity involves being faithful to commitments and promises, which could apply here, but advocacy is a more precise term.
D. Accountability involves being responsible for one's actions, which the nurse is demonstrating, but the primary principle in this situation is advocacy.
A nurse is caring for a client who is about to have a colonoscopy. The client states, "I am so nervous about what the doctor might find during the test." The nurse asks the client, "Are you feeling anxious about the results of your colonoscopy?" With this question, the nurse is using which of the following communication techniques?
A. Confrontation
Confrontation involves addressing discrepancies or conflicts directly, which is not what the nurse is doing here.
B. Providing information
Providing information involves giving facts or details, which is not the primary focus of the nurse's question.
C. Clarification
Clarification is used to ensure understanding, which the nurse is seeking by confirming the client's feelings.
D. Summarizing
Summarizing involves briefly restating the main points, which is not what the nurse is doing in this instance.
Full Explanation
A. Confrontation involves addressing discrepancies or conflicts directly, which is not what the nurse is doing here.
B. Providing information involves giving facts or details, which is not the primary focus of the nurse's question.
C. Clarification is used to ensure understanding, which the nurse is seeking by confirming the client's feelings.
D. Summarizing involves briefly restating the main points, which is not what the nurse is doing in this instance.
An on-duty nurse discovers that a colleague is stealing medicines. According to the Nurse Practice Acts, what should the nurse do?
A. Keep silent and overlook the incident.
Keeping silent is unethical and violates the Nurse Practice Acts.
B. Inform the local police station.
Informing the police might be necessary eventually, but the initial report should be to the supervisor.
C. Report the incident to the supervisor.
Reporting the incident to the supervisor is the correct and appropriate action according to the Nurse Practice Acts.
D. Discuss this incident with a colleague.
Discussing the incident with a colleague does not address the legal and ethical obligation to report.
Full Explanation
A. Keeping silent is unethical and violates the Nurse Practice Acts.
B. Informing the police might be necessary eventually, but the initial report should be to the supervisor.
C. Reporting the incident to the supervisor is the correct and appropriate action according to the Nurse Practice Acts.
D. Discussing the incident with a colleague does not address the legal and ethical obligation to report.