A practical nurse (PN) who works on a 16-bed wing of an extended care facility with an additional PN and an unlicensed assistive personnel (UAP) is told that the other PN will not be in because of illness. The facility manager agrees to obtain another UAP for the day. Which action should the PN take?

Inform the manager that the facility will have to assume responsibility for incidents related to staffing.

Refuse to take charge and go home rather than risk working in an unsafe situation.

Assign some tasks usually performed by the additional PN to the UAP who is normally on the wing.

Prioritize assessment of safety issues in addition to administration of daily medication.

Answer and Explanation

The Correct Answer is D

A. Inform the manager that the facility will have to assume responsibility for incidents related to staffing: This is confrontational and does not address immediate care needs.
B. Refuse to take charge and go home rather than risk working in an unsafe situation: Abandoning patients is unethical and could have legal consequences.
C. Assign some tasks usually performed by the additional PN to the UAP who is normally on the wing: UAPs cannot legally take on PN duties; this is unsafe.
D. Prioritize assessment of safety issues in addition to administration of daily medication: When short-staffed, prioritize safety and essential tasks to ensure client well-being.

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

A. Client with urinary urgency asking for a bedpan: UAP can assist with elimination needs.
B. Client with paraplegia needing condom catheter change: UAP can perform this with training.
C. Client with continuous bladder irrigation via 3-way catheter: Requires assessment of output, tubing patency, and potential complications - nursing responsibility.
D. Client with a full bedside drainage unit after diuretic: UAP can empty and measure output.

A. Community resources to provide financial aid. B. Availability of family members to provide meals. C. Medication history for antipsychotic agents. D. Client thoughts about wanting to hurt himself.

Correct Answer is D

Explanation

A. Community resources to provide financial aid: This is important for long-term support but does not address the urgent need to assess for suicidal intent in a client expressing hopelessness and self-neglect.
B. Availability of family members to provide meals: Relevant for nutritional support planning, but not the priority when the client has expressed feelings of worthlessness.
C. Medication history for antipsychotic agents: Could identify causes of decreased appetite or mood, but it is not the first priority.
D. Client thoughts about wanting to hurt himself: Expressions of not deserving to eat and hopelessness may indicate suicidal ideation; assessing for self-harm risk takes priority for client safety.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is assigning tasks to an unlicensed assistive personnel (UAP) who is giving basic care to a group of residents in a long-term care facility. Which client's task should be completed by a PN, rather than the UAP?

Correct Answer is C

Explanation

An older adult client tells the home health practical nurse (PN) of not having any money, and a belief of not deserving to eat, so the client has not asked anyone to help provide food. Which information is most important for PN to obtain?

Correct Answer is D

Explanation

During preoperative preparation, the practical nurse (PN) should offer the client which explanation about why deep breathing exercises with an incentive spirometer are necessary after surgery?

The practical nurse (PN) is assessing a client who received a large volume of IV fluids over a short period of time. Which finding (s) should the PN expect this client to exhibit? Select all that apply.

When completing a focused respiratory assessment, which intervention should the practical nurse (PN) implement to assess for hemoptysis?

The practical nurse (PN) administers an anticonvulsant that causes photosensitivity. Which action should the PN take after administering the medication?

The practical nurse (PN) prepares to provide wound care. In which order should the PN implement these steps? (Place the first action on top and the last action on the bottom.)

A client who is taking aspirin for osteoarthritis reports heartburn and nausea to the practical nurse (PN). Which information is most important for the PN to reinforce with the client?

The practical nurse (PN) is preparing to administer levothyroxine 25 mcg PO daily to a newly admitted client with hypothyroidism. The PN observes that the client's neck is enlarged, but the client denies pain or difficulty swallowing. Which action should the PN take?