A nurse is teaching about delegation with a newly licensed nurse. Which of the following statements if made by the newly licensed nurse indicates understanding?

"There are 4 rights of delegation."

“I am responsible for ensuring that a delegated task is completed."

"It is the duty of the delegate to perform a task without asking questions when it is delegated."

"The nurse manager is responsible for delegating nursing tasks during each shift."

Answer and Explanation

The Correct Answer is B

A.   According to the National Council of State Boards of Nursing (NCSBN), there are actually 5 rights of delegation. These are the Right Task, Right Circumstance, Right Person, Right Direction/Communication, and Right Supervision/Evaluation. Each of these rights helps ensure that tasks are delegated appropriately and safely.
B.   This statement indicates an understanding of delegation. While the nurse can delegate tasks, they remain accountable for the outcome. This means the delegating nurse must ensure that the task is completed appropriately and the results are satisfactory. The responsibility for the task remains with the nurse, even though the execution is handled by someone else.

C.   It is important for the delegate to ask questions if they are unclear about the task or need additional information. Effective communication and clarification are crucial for ensuring that tasks are performed correctly. The delegate has the right and responsibility to seek clarification to ensure safe and effective task performance.
D.   While the nurse manager may oversee and support delegation processes, the responsibility for delegating specific tasks generally falls to the registered nurse (RN) who is managing the care for that shift. The RN assesses which tasks can be delegated and to whom, based on the needs of the patients and the skill level of the assistive personnel.

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Correct Answer is B

Explanation

A. Speaking to a provider on behalf of a client can be part of a nurse's advocacy role, but it is not specifically an example of responsibility. Advocacy involves representing the client's needs and preferences, but the action itself is more about advocacy than personal responsibility.

B. Performing hand hygiene before caring for a client is a fundamental practice that falls under the responsibility of ensuring infection control and maintaining patient safety. It is a key aspect of professional responsibility as it directly impacts the prevention of healthcare-associated infections and upholding high standards of patient care.
C. Contacting a social worker for a client who needs help with finances is part of the nurse's role in coordinating care and addressing the client's needs holistically. It reflects the nurse’s responsibility to ensure that the client receives comprehensive support, but it is more about care coordination rather than the direct personal responsibility in care delivery.
D. Supporting a client's decision to discontinue treatment is related to respecting patient autonomy and ethical principles. While it is a critical aspect of patient-centered care, it represents the nurse's role in advocacy and ethical practice rather than a direct example of personal responsibility in routine tasks.

A. Client reports dull, aching pain in lower right calf. B. Client reports nausea following administration of pain medication. C. Client's oral temperature is 38.4° C (101.2° F). D. Client reports the rash on their back is itchy. E. Client has a vesicular rash on their upper back.

Correct Answer is ["A","B","D"]

Explanation

A. This is subjective data. The description of pain as "dull" and "aching" is based on the client's personal experience and cannot be measured directly by the nurse. Pain is a subjective symptom because it varies from person to person and is reported by the patient.
B. This is subjective data. Nausea is a feeling or sensation reported by the client and is based on their personal experience. The nurse relies on the client's report to assess this symptom, as it cannot be directly observed or measured.
C. This is objective data. The temperature reading is a measurable, quantifiable fact that can be directly observed and recorded by the nurse using a thermometer. It provides concrete evidence of the client's condition.
D. This is subjective data. Itchiness is a sensation reported by the client and is based on their personal experience. The nurse cannot measure itchiness directly; they rely on the client’s description to understand the symptom.
E. This is objective data. The presence of a vesicular rash is an observable finding that the nurse can see and document. It is a physical characteristic that can be directly assessed and recorded.

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A nurse is teaching about delegation with a newly licensed nurse. Which of the following statements if made by the newly licensed nurse indicates understanding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a class on professionalism. The nurse should include that which of the following is an example of responsibility?

Correct Answer is B

Explanation

A nurse is documenting assessment findings on a client. Which of the following entries should the nurse identify as subjective data? (Select All that Apply.)

Correct Answer is ["A","B","D"]

Explanation

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