The most fundamental requirement for assuming the practice role of LPN/LVN charge nurse is____________
What is licensure in the state of practice.
100
The LPN/LVN may delegate the task of calling the physician when a patient's condition deteriorates. True or False
What is False
100
Who would be the best staff member for the charge LPN to assign a newly admitted 65 year old resident with left hemiplegia and a large sacral decubitis requiring a sterile dressing change? LPN orientee with 1 week of experience; LPN with 2 years experience; CNA with 3 years experience; CNA who is a nursing student currently in college
What is the LPN with 2 years experience.
100
The new hire CNA arrived 1 hour late for duty on the 2nd day of employment, giving the excuse of car trouble. The appropriate LPN/LVN charge nurse response is.
What is note the tardiness in the charge nurse's personnel file.
100
The following is an example of Right Direction/Communication true or fales? "Mr. Neidert needs to walk from his room to the nurses' station with the assistance of two this morning and again after lunch. Please report whether she does this easily or with difficulty. "
What is True
200
1-Assigning patient care; 2-independently developing written treatment protocols;3- assisting doctors in diagnostic and therapeutic measures;4- maintaining a safe and hazard-free environment. Which one exceeds the scope of practice of duties of the LPN/LVN charge nurse?
What is 3-assisting doctors in diagnostic and therapeutic measures.
200
Providing a performance evaluation for another nursing assistant is permitted for the LPN/LVN to be delegated to experienced, unlicensed assistive personnel who have been trained to perform the task. True of False
What is False
200
As a charge nurse it is brought to your attention that a new nursing assistant has offensive body odor. The LPN/LVN charge nurse should_________________.
What is meet with her to inform her of the problem and reinforce agency expectations.
200
The family of a resident complains that their mother is receiving inferior care in this facility, what action should the LPN/LVN charge nurse initially take?
What is Ask the family to be specific and give expamples of "inferior care" their mother has received.
200
Providing guidelines for the CNA to report after the delegated duty is completed is a way for the LPN charge nurse to use Right Direction/Communication true or false?
What is True
300
Which info can be omitted when the LPN/LVN charge nurse gives the change-of-shift report? a-routine care for each resident b-new problems for a patient c-prn meds administered d-new medical orders
What is a-routine care for each resident
300
The charge LPN/LVN may delegate taking vital signs of a patient whose condition is not critical. True or False.
What is True
300
Before the shift starts, the nursing assistants sympathetically tell the LPN/Lvn charge nurse about nursing assistant Jenny's latest child care and car problems, which make it difficult for Jenny to get to work on time. The problem is owned by:
Who is Jenny
300
Which of the following is allowed for the charge LPN to delegate to a nursing assistant? 1-initial patient education, 2-assessing a patient's pain 3-changing a sterile dressing, 4-weighing a patient.
What is 4-weighing the patient.
300
"Mr. Howe needs fluids pushed today. His skin seems dry to me when I made rounds, and we certainly don't want him to become dehydrated." This is an example of correct Right Direction/Communication true or false?
What is False.
400
A patient's weight increase of 1 lb; a patient's temp of 99F; a patient's decreased level of consciousness; a blood pressure of 120/80. What information would be appropriate for the charge LPN/LVN to call to the attention of the physician?
What is decreased level of consciousness.
400
Handling a grievance brought by a nursing assistant is a task the charge LPN/LVN is wise to delegate. True of False
What is False.
400
The LPN/LVN charge nurse is legally responsible for checking outcomes of all assignments made. True of False
What is True
400
Tasks that the LPN charge nurse might assign to the CNA include which of the following? 1-bathing a patient; 2-administering a nasogastric tube feeding; 3-assisting a resident with Parkinson disease; 4-transferring a resident from bed to chair with assistance of another CNA.
What is 1, 3 and 4.
400
The best response of the LPN charge nurse when a CNA cannot perform a task that is listed in the CNA job description?
What is the charge LPN suggests the CNA come up with a plan for learning how to perform the task in the future; offer any other suggestions including notifying the supervisor and recommending additional training for the CNA.
500
At the end of the shift the charge nurse is asked by another staff member on duty "Will it be all right if I go home tonight while you are giving report to the night shift? My husband needs the car to go to work." The best response by the charge nurse would be:
What is That won't be possible. You must be here to answer call lights while I give report to the next shift. This is your job responsibility.
500
The number one priority the LPN/LVN charge nurse should take before delegating one of the charges to another LPN/LVN on staff is to_______________.
What is to check the Nurse Practice Act of the state to learn whether an LPN/LVN charge nurse is allowed to delegate duties.
500
A newly licensed LPN is assigned to care for a resident needing colostomy irrigation. The LPN voices concern that she has never performed this task. What is the best course of action for the charge LPN to take?
What is Arrange to supervise the new LPN as she performs the task.
500
" Please bathe Mrs. Duffy today, cut her nails, and shampoo her hair. The beautician will set her hair at 11AM". This is an example of Right Direction Communication. True or false
What is True
500
This is the transferring the authority to perform duties that are considered part of the LPN/LVN charge nurse's job description to the nursing assistant. This ability varies from state to state and is outlined in the Nurse Practice Act.