Which patient below is best assigned to the LPN?

A 55-year-old male patient who post MI ready for discharge, requiring discharge instruction

A newly admitted patient with a seizure disorder.

A 40-year-old female 1-day post hysterectomy

A 30-year-old male patient with active GI bleeding that requires multiple blood transfusions.

Answer and Explanation

The Correct Answer is C

A. A 55-year-old male patient who post MI ready for discharge, requiring discharge instruction: Discharge instructions require comprehensive teaching and assessment, which are more appropriate for an RN.
B. A newly admitted patient with a seizure disorder: This patient requires thorough assessment and development of a care plan, which is best managed by an RN.
C. A 40-year-old female 1-day post hysterectomy: This patient is in a relatively stable condition and requires routine postoperative care, which is within the scope of practice for an LPN.

D. A 30-year-old male patient with active GI bleeding that requires multiple blood transfusions: This patient is unstable and requires close monitoring and frequent reassessment, which are responsibilities for an RN.

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Correct Answer is C

Explanation

A. Discuss the benefits of losing weight: This might involve informing the client (knowledge acquisition), but it doesn't necessarily involve a higher-level cognitive process.
B. Encourage the client to share their feelings about dietary habits: Sharing feelings involves the affective domain, which includes emotions and attitudes.
C. Review strategies for losing weight: By reviewing strategies for losing weight, the nurse is helping the client understand and apply information about healthy weight management techniques. This goes beyond memorization and encourages the client to think critically about their weight loss plan.
D. Create a diet for the client: Creating a diet for the client is more of an action plan and could involve multiple domains, but it primarily involves the psychomotor domain when it comes to implementation.

A. Right Task B. Right communication C. Right supervision D. Right circumstance

Correct Answer is C

Explanation

A. Right Task: The right task refers to ensuring the task is appropriate to delegate. This situation is more about monitoring the task.
B. Right Communication: The right communication involves clear, concise instructions. This scenario involves oversight rather than instruction.
C. Right Supervision: Right supervision involves monitoring the task and providing guidance and feedback. Observing the UAP and ensuring the correct cuff size is being used demonstrates appropriate supervision.
D. Right Circumstance: The right circumstance refers to ensuring the client’s condition is appropriate for delegation. This situation is about supervising the task.

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Which patient below is best assigned to the LPN?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who wishes to lose weight. Which of the following teaching methods use the cognitive domain of learning?

Correct Answer is C

Explanation

A nurse delegates to an assistive personnel. During the delegation the nurse observes the UAP using the large cuff on a client who is overweight. The nurse is demonstrating which of the following rights of delegation?

Correct Answer is C

Explanation

A nurse on a medical-surgical unit is preparing to contact a provider about a client's condition. The nurse notes the client is post op day one with a history of sleep apnea. The nurse should include information about the client in which component of the SBAR report?

A client diagnosed with terminal cancer says to the nurse "I'm going to die, and I wish my family would stop hoping for a cure! I get so angry when they carry on like this. After all, I'm the one who's dying." Which response by the nurse is therapeutic?

A nurse is caring for a group of clients on a medical surgical unit. For which of the following care needs should the nurse initiate a referral for a speech therapist?

The nursing is checking the client's blood sugar after administering insulin to a diabetic client. Which part of the nursing process is being fulfilled?

In what patient situations would a focused assessment be best to perform?

The client states the reason they have an allergy to codeine is because when she takes it, the medication makes her nauseous. It is an important role of the nurse to respond in the following manner:

A nurse is developing pain management goals to a post-operative client. Which of the following steps of the nursing process is the nurse performing?

A nurse on a medical surgical unit has received report on four clients. There is an LVN, RN, and UAP working. Which of the following clients would best to assign to the RN?