A nurse is delegating tasks for four clients. Which of the following tasks should the nurse assign to an assistive personnel?

Apply an external urinary device on a client.

Remove a nasogastric tube from a client.

Assist a client to choose a low-sodium diet.

Obtain a culture from a client's wound.

Answer and Explanation

The Correct Answer is A

Rationale:

A. Apply an external urinary device on a client: This is a routine, non-invasive task that falls within the scope of practice for assistive personnel (AP). It does not require clinical judgment and can be safely delegated under appropriate supervision.

B. Remove a nasogastric tube from a client: Removing an NG tube requires assessment of readiness, understanding of complications, and clinical judgment, making it a task appropriate for licensed nurses only, not APs.

C. Assist a client to choose a low-sodium diet: Diet teaching requires knowledge of dietary restrictions and the ability to evaluate client understanding. This is considered part of nursing or dietitian responsibilities and should not be delegated to APs.

D. Obtain a culture from a client's wound: This task involves sterile technique and assessment of wound characteristics. It requires nursing knowledge and skill, and therefore, should be performed by a licensed nurse.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

Rationale:

A. Pays full costs for any health care service: Medicare does not cover 100% of all healthcare services. Beneficiaries are usually responsible for deductibles, copayments, and coinsurance. Some services may not be covered at all unless supplemental insurance or Medicare Advantage plans are used.

B. Receives funding through private insurance: Medicare is a federally funded health insurance program, not financed through private insurance. While some beneficiaries may choose Medicare Advantage through private insurers, traditional Medicare is publicly funded.

C. Covers nurse practitioner services: Medicare Part B covers services provided by nurse practitioners, including evaluation, diagnosis, and management of health conditions. These services are reimbursed similarly to those provided by physicians, as long as they meet established billing criteria.

D. Legally requires enrollment in supplemental insurance plan: Enrollment in a supplemental insurance plan, such as Medigap, is optional and not legally required. These plans can help cover out-of-pocket expenses, but beneficiaries are not mandated to purchase them.

A. Photophobia B. Negative Brudzinski's sign C. Excessive perspiration D. Bradycardia

Correct Answer is A

Explanation

Rationale:

A. Photophobia: Sensitivity to light is a common neurological symptom in meningitis. Inflammation of the meninges irritates the cranial nerves, particularly those involved in eye movement and vision, making light exposure painful and triggering discomfort or headaches.

B. Negative Brudzinski's sign: A positive Brudzinski’s sign is expected in meningitis. It occurs when neck flexion causes involuntary hip and knee flexion due to meningeal irritation. A negative sign would not support the diagnosis and is not an expected finding.

C. Excessive perspiration: While fever is a common manifestation of meningitis, excessive sweating is not a typical or defining feature of the disease. Autonomic changes may occur but are not reliable diagnostic indicators.

D. Bradycardia: Meningitis more commonly presents with tachycardia due to fever and systemic infection. Bradycardia is not typical unless there is increased intracranial pressure affecting brainstem function, which would be seen in more advanced or complicated cases.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is delegating tasks for four clients. Which of the following tasks should the nurse assign to an assistive personnel?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager is providing information to a group of nurses about Medicare. Which of the following information should the nurse manager include?

Correct Answer is C

Explanation

A nurse is performing a focused assessment on a client who has meningitis. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is assessing a client who has sepsis. Which of the following findings should the nurse identify as an indication that the client has developed disseminated intravascular coagulation?

A nurse in an emergency department is performing triage for multiple clients who were injured in a building collapse caused by an earthquake. Which of the following clients should the nurse assign the highest priority for trauma care?

A nurse manager is working to resolve a conflict between two staff nurses. Which of the following resolutions represents the conflict management strategy of compromise?

A nursing supervisor is conducting an in-service about performing root cause analysis for sentinel events. Which of the following situations should the nursing supervisor include as an example of a sentinel event?

A nurse is planning care for an adolescent who has bacterial meningitis with increased intracranial pressure. Which of the following interventions should the nurse include?

A nurse enters a client's room and finds the client lying on the floor. All four side rails of the client's bed are raised. The nurse should identify that this situation is an example of which of the following components of nursing malpractice?

A nurse in an emergency department is triaging clients following a natural disaster. In which of the following categories should the nurse place a client who reports severe chest pain?

A nurse is caring for a client who has undergone lumbar spinal surgery for degenerative disk disease. Which of the following interventions should the nurse identify as the priority?