Roles and responsibilities
Q: Which task is appropriate for a licensed practical nurse (LPN)?
A. Administering IV chemotherapy
B. Teaching discharge instructions
C. Administering oral medications
D. Conducting initial assessment
Answer: C
Rationale: LPNs can give oral meds but cannot do assessments or education.
Q: Which task can a UAP perform?
A. Assess pain
B. Document I&O
C. Teach insulin injection
D. Start an IV
✅ Answer: B
Rationale: UAPs can measure and record intake/output, but cannot assess, teach, or perform sterile procedures.
Q: Who do you see first?
A. Diabetic BG 150
B. Client needing discharge teaching
C. Patient with SOB
D. Patient requesting pain meds
✅ Answer: C
Rationale: Airway/breathing is a priority (ABCs). SOB could indicate a life-threatening condition.
Q: What must RNs do after delegation?
A. Leave unit
B. Trust UAP
C. Provide supervision
D. Document for UAP
✅ Answer: C
Rationale: Supervision ensures the task was completed correctly and safely.
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Q: First action after med error?
A. Call doctor
B. Notify charge
C. Assess patient
D. Chart error
✅ Answer: C
Rationale: Patient safety comes first; assess for harm before reporting
Q: Which role is unique to the RN?
A. Feeding a stable patient
B. Inserting a Foley catheter
C. Developing a care plan
D. Taking vital signs
.
✅ Answer: C
Rationale: Only RNs can develop and modify nursing care plans, which requires critical thinking and assessment
Q: Which patient is not appropriate for UAP care?
A. Stable client needing ambulation
B. Post-op patient 12 hrs out
C. Client with new chest pain
D. Patient requesting linens
✅ Answer: C
Rationale: New or unstable conditions like chest pain require RN assessment and intervention.
Q: Maslow’s hierarchy—what comes first?
A. Self-actualization
B. Pain
C. Airway
D. Safety
✅ Answer: C
Rationale: Physiologic needs like airway, breathing, and circulation are always the first priority.
Q: Which UAP action needs correction?
A. Elevating legs
B. Gait belt use
C. Reporting chest pain
D. Turning off IV pump
✅ Answer: D
Rationale: UAPs cannot handle IV devices or make clinical judgments about IV therapy.
Q: What violates confidentiality?
A. Reporting abuse
B. Discussing with MD
C. Talking in hallway
D. Charting objectively
✅ Answer: C
Rationale: Never discuss patient info in public spaces—it’s a HIPAA violation.
: A nurse manager demonstrates transformational leadership by:
A. Giving strict orders
B. Empowering staff and inspiring shared vision
C. Focusing only on daily tasks
D. Avoiding staff input
✅ Answer: B
Rationale: Transformational leaders motivate and empower team members through vision and engagement, not micromanagement.
Q: First step in safe delegation:
A. Check policy
B. Evaluate task afterward
C. Assess patient
D. Assign task
✅ Answer: C
Rationale: The RN must assess the patient’s condition and needs before deciding if delegation is appropriate.
Q: Who should the nurse see first?
A. Anxious client waiting on labs
B. Post-op patient with leg pain
C. Stroke patient with slurred speech
D. Stable wound care patient
✅ Answer: C
Rationale: Slurred speech may indicate a stroke or deterioration; this is an urgent neuro finding
Q: How to evaluate effective delegation?
A. Ask UAP
B. Check outcomes
C. Ask charge
D. Wait for report
✅ Answer: B
Rationale: RN must evaluate patient outcomes to ensure delegated care was appropriate.
Q: What allows care decisions when unconscious?
A. Living will
B. Informed consent
C. Advance directive
D. HIPAA forms
✅ Answer: C
Rationale: Advance directives legally state patient wishes if they can’t communicate.
Q: Leadership vs management: Which is a leadership role?
A. Budgeting
B. Scheduling staff
C. Advocating for change
D. Evaluating job performance
✅ Answer: C
Rationale: Advocacy and initiating change are leadership roles focused on progress and innovation, not just administrative tasks.
Q: A UAP took vitals; patient was later found unresponsive. Who's accountable?
A. UAP
B. Nurse
C. Doctor
D. Charge nurse
✅ Answer: B
Rationale: The RN retains responsibility for patient care outcomes, even when tasks are delegated.
Q: What task comes first?
A. Reassess post-morphine pain
B. Help bathroom
C. Respond to chest pain
D. Return pharmacy call
✅ Answer: C
Rationale: Chest pain may be cardiac; it’s a priority under ABCs and potential MI.
Q: UAP refuses task—nurse's best response?
A. Call HR
B. Ignore it
C. Ask why and clarify
D. Do it yourself
✅ Answer: C
Rationale: Open communication promotes teamwork and helps resolve misunderstanding.
Q: Which task must RN do before procedure?
A. Give meds
B. Witness consent
C. Start IV
D. Obtain informed consent
✅ Answer: D
Rationale: Only RNs (and physicians) can legally obtain informed consent.
Q: What should a charge nurse do FIRST when staff conflict arises?
A. Report to administration
B. Assign blame
C. Mediate privately
D. Ignore it
✅ Answer: C
Rationale: Conflicts should be managed promptly and professionally through private mediation to promote resolution and teamwork
Q: Which statement shows correct understanding of delegation?
A. “I can delegate sterile dressing changes to the UAP.”
B. “I must supervise tasks I delegate.”
C. “Only the physician is liable for errors.”
D. “Delegation means I give up responsibility.”
✅ Answer: B
Rationale: Delegation includes accountability. The RN must supervise and evaluate tasks delegated.
TQ: Most urgent?
A. BP 90/40
B. Temp 101.8°F
C. HR 110
D. RR 10
✅ Answer: D
Rationale: RR of 10 suggests respiratory depression, possibly from meds. Breathing is top priority.
Q: RN’s role after UAP completes task?
A. Nothing
B. Reassign
C. Evaluate patient response
D. Public praise
✅ Answer: C
Rationale: RN must ensure task effectiveness and reassess the patient if needed
Q: What must always be reported?
A. Med error
B. Suspected child abuse
C. Wrong-site surgery
D. Chronic illness
✅ Answer: B
Rationale: Nurses are mandatory reporters for suspected abuse, even without proof.