How it Works
Try Naxlex NCLEX-RN (Free-Trial)

A nurse on a hospice unit is planning care for 5 clients after receiving change-of-shift report

For which of the following 2 clients can the nurse delegate tasks to the AP?

A.

Client 4

B.

Client 3

C.

Client 5

D.

Client 1

E.

Client 2

Answer and Explanation

Correct Answer : B,E

Rationale:

  • Client 3 – Post ischemic stroke, unresponsive: The tasks include repositioning every 2 hours, performing personal hygiene, and changing linens, which are routine, non-invasive care measures that can safely be delegated to an AP under supervision.
  • Client 5 – End-stage ovarian cancer with pain: The AP can assist with checking vital signs or basic comfort measures, such as repositioning or assisting with non-pharmacologic pain interventions. Tasks like assessing pain severity and reviewing medications must remain with the RN, but the AP can support comfort-related activities safely.
  • Client 1 – End-stage lung cancer with severe pain: The RN must administer morphine and provide teaching; these are complex tasks requiring clinical judgment and cannot be delegated.
  • Client 2 – Postmortem care: Postmortem care can be delegated in some settings, but the nurse typically leads the initial care, including documentation and verification, especially immediately after pronouncement.
  • Client 4 – COPD and COVID-19, refusing treatment: The RN must assess and develop the care plan, which requires clinical judgment and cannot be delegated to the AP.


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

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is D

Explanation

Rationale:

A. A client cannot be denied insurance based on genetic information due to protections under the Genetic Information Nondiscrimination Act (GINA). This statement reflects a misunderstanding of clients’ rights.

B. Clients at risk for self-harm may have their rights limited for safety. Restraints can be legally and ethically applied without the client’s consent if necessary to prevent harm, so this statement is incorrect.

C. Completion of a living will is not required for hospital admission. Advance directives are optional, and clients have the right to decide whether or not to complete them.

D. Clients have the right to receive the visitors they wish to see, consistent with patients’ rights to privacy and visitation. This includes the right to accept or refuse visitors, unless restricted for safety or facility policy reasons.

Correct Answer is A

Explanation

Rationale:

A. Scheduling the consultation when the primary nurse can attend ensures effective communication between the care team and the wound care specialist. The nurse can provide accurate, up-to-date information about the client’s condition, treatments, and response to care, which supports continuity and quality of care.

B. Arranging for daily visits by the wound care specialist is not necessary in most cases and could be resource-intensive. Frequency of consultation should be based on the client’s clinical needs rather than a fixed schedule.

C. Providing subjective opinions or beliefs is inappropriate. Consultants require objective, factual information about the client’s condition, such as wound measurements, appearance, and treatment response, to make informed recommendations.

D. Delaying the consultation until after several treatments are tried can risk worsening the pressure injury. Early involvement of a wound care specialist is recommended to promote healing, prevent complications, and optimize outcomes.

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

Register