The practical nurse (PN) who is working as the charge nurse at an extended care facility is making assignments for the unlicensed assistive personnel (UAP) working a 12-hour shift. Which resource is most important in guiding the PN's assignments for the UAPS?

The Patient's Bill of Rights that is posted on the nursing unit.

The healthcare agency policy regarding working 12-hour shifts.

The state's Nurse Practice Act regarding delegation to unlicensed personnel.

The client's informed consent allowing unlicensed personnel to provide care.

Answer and Explanation

The Correct Answer is C

A. The Patient's Bill of Rights: Important for patient care standards, but does not specifically define delegation limits.
B. The healthcare agency policy regarding working 12-hour shifts: Addresses scheduling, not the scope of tasks.
C. The state's Nurse Practice Act regarding delegation to unlicensed personnel: This legally defines what tasks can be delegated to UAPs.
D. The client's informed consent allowing unlicensed personnel to provide care: Consent does not override legal delegation limits.

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Correct Answer is C

Explanation

A. Assess for bilateral pedal pulses: Only checks circulation; neuro symptoms need more complete exam.
B. Contact HCP: Should be done after gathering full assessment data.
C. Complete a neurovascular assessment: Checks motor, sensory, and circulation to determine urgency.
D. Evaluate surgical site: Important, but neurological changes require full neurovascular check first.

A. Heart rate reduced to 100 beats/minute. B. Bilateral pupils equal and reactive to light. C. Pain decreased to a 2 on a 0 to 10 point pain scale. D. Respiratory rate of 6 breaths/minute.

Correct Answer is D

Explanation

A. Heart rate reduced to 100 beats/minute:
A HR of 100 is within normal limits for an adult and not concerning here.

B. Bilateral pupils equal and reactive to light:
Normal finding, no immediate concern.

C. Pain decreased to a 2 on a 0 to 10 point pain scale:
Indicates the medication was effective for pain relief.

D. Respiratory rate of 6 breaths/minute:
Dangerously low; indicates opioid-induced respiratory depression requiring immediate action.

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The practical nurse (PN) who is working as the charge nurse at an extended care facility is making assignments for the unlicensed assistive personnel (UAP) working a 12-hour shift. Which resource is most important in guiding the PN's assignments for the UAPS?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is caring for an adolescent with scoliosis who reports bilateral lower leg numbness and tingling 2 days after surgery for a spinal fusion. Which action should the PN take first?

Correct Answer is C

Explanation

A client with lung cancer was given an oral narcotic for pain one hour ago. Which finding should the practical nurse (PN) report to the charge nurse?

Correct Answer is D

Explanation

The practical nurse (PN) is caring for a client with obstructive sleep apnea (OSA). The PN should recognize the client is at greater risk for the development of which complication?

When changing a diaper on a 2-day-old infant, the practical nurse (PN) observes that the baby's legs are flexed with limited abduction. Based on this finding, which action should the PN take next?

The practical nurse (PN) is caring for a client whose urine drug screen is positive for cocaine. Which of the following behaviors is this client likely to exhibit during cocaine withdrawal?

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