The RN is creating assignments for the day. The team includes RNs, LPNs, and Nurse Aides.
Which patient is most suitable to assign to the LPN?
A 67-year-old male who requires discharge teaching.
A 24-year-old female who requires a sterile dressing change.
A 94-year-old male who requires a bed bath and linen change.
A 76-year-old patient complaining of new onset dizziness.
The Correct Answer is B
Choice A rationale
Discharge teaching is typically a responsibility of the RN, as it often involves complex instructions and patient education.
Choice B rationale
LPNs are skilled in many technical tasks, including sterile dressing changes. This task is within the LPN’s scope of practice and does not require the advanced assessment skills of an RN56.
Choice C rationale
A bed bath and linen change are tasks that can be competently performed by Nurse Aides.
Choice D rationale
A patient complaining of new onset dizziness should be assigned to an RN. This symptom could indicate a serious condition that requires advanced assessment and critical thinking skills.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Using white out to remove incorrect documentation and writing the correct information over the white out is not an acceptable practice according to CMS guidelines. This method does not allow for the original documentation to be seen, which is a requirement for making corrections to documentation.
Choice B rationale
Using a permanent marker to eliminate all incorrect documentation from view and initialing the mistake is also not an acceptable practice according to CMS guidelines. This method completely obscures the original documentation, which goes against the CMS requirement that all original content must be clearly identifiable.
Choice C rationale
Crossing out the error with a double line so the original documentation may be seen and dating the new entry is not specifically mentioned in the CMS guidelines. While this method does allow for the original documentation to be seen, it’s not clear whether it adheres to all CMS guidelines.
Choice D rationale
According to CMS guidelines, when making corrections to documentation, the nurse should cross out the error with a single line so the original documentation can be seen and sign and date the correction. This method ensures that all original content is clearly identifiable, which is a requirement for making corrections to documentation.
Correct Answer is B
Explanation
Choice A rationale
Independent thinking is a necessary component of critical thinking; however, it refers to the ability to think for oneself and make one’s own decisions. It doesn’t directly relate to a nursing student confidently communicating with a patient before performing a procedure for the first time.
Choice B rationale
Confidence is a critical thinking attitude that involves believing in one’s own abilities and knowledge. A nursing student confidently communicating with a patient before performing a procedure for the first time demonstrates this attitude.
Choice C rationale
Fairness in critical thinking involves considering all viewpoints and treating them equally. It doesn’t directly relate to a nursing student confidently communicating with a patient before performing a procedure for the first time.
Choice D rationale
Creativity in critical thinking involves thinking outside the box and coming up with innovative solutions. It doesn’t directly relate to a nursing student confidently communicating with a patient before performing a procedure for the first time.
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