a nurse is preparing to delegate client care tasks to an assistive personnel ap which of the following tasks should the nurse delegate

ATI RN

ATI Leadership Proctored Exam 2019

1. A healthcare professional is preparing to delegate client care tasks to an assistive personnel (AP). Which of the following tasks should the healthcare professional delegate?

A. Confirming that a client's pain has decreased after receiving an analgesic
B. Ambulating a client who is postoperative
C. Inserting an indwelling urinary catheter for a client
D. Demonstrating the use of an incentive spirometer to a client

Correct answer: A

Rationale: The correct answer is option A: 'Confirming that a client's pain has decreased after receiving an analgesic.' This task involves assessing the effectiveness of the medication, which can be delegated to the assistive personnel. Options B, C, and D involve skills that should be performed by licensed healthcare professionals due to their complexity and potential risks if not done correctly. Ambulating a postoperative client requires monitoring for signs of distress or complications, inserting a urinary catheter involves an invasive procedure with infection risks, and demonstrating the use of medical devices like an incentive spirometer requires specialized knowledge to ensure correct usage.

2. An unresponsive patient with type 2 diabetes is brought to the emergency department and diagnosed with hyperosmolar hyperglycemic syndrome (HHS). The nurse will anticipate the need to

A. give a bolus of 50% dextrose.
B. insert a large-bore IV catheter.
C. initiate oxygen via nasal cannula.
D. administer glargine (Lantus) insulin.

Correct answer: B

Rationale: In a patient with hyperosmolar hyperglycemic syndrome (HHS), severe dehydration and electrolyte imbalances are common. To address these issues, the priority intervention is to insert a large-bore IV catheter for fluid resuscitation and electrolyte replacement. Giving a bolus of 50% dextrose would worsen the hyperglycemia. Initiating oxygen via nasal cannula may be beneficial for respiratory support but is not the priority in this scenario. Administering glargine (Lantus) insulin is not the initial treatment for HHS as it does not address the underlying severe dehydration and electrolyte imbalances.

3. What is the main purpose of the NCLEX examination?

A. Ensure that individuals have passed nursing classes.
B. Provide assurance that nursing schools are part of the service agency.
C. Enable potential students to determine the best nursing schools.
D. Ensure the safety of the public.

Correct answer: D

Rationale: The main purpose of the NCLEX examination is to ensure the safety of the public by determining if candidates have the knowledge and skills necessary to provide safe and effective nursing care. Choice A is incorrect as the exam evaluates if individuals are ready to begin nursing practice, not just passed classes. Choice B is incorrect as the exam is not related to the affiliation of nursing schools with service agencies. Choice C is incorrect as the exam is not designed to help potential students choose the best nursing schools, but rather to assess individual readiness for nursing practice to protect public safety.

4. Which of the following best describes the ethical concept of values?

A. Values are an individual’s feelings about situations.
B. Values are learned through family systems.
C. Values are organized ways of thinking about the meaning of life.
D. Values determine the rightness or wrongness of behavior.

Correct answer: C

Rationale: Values are organized ways of thinking about the meaning of life.

5. Which of the following actions best demonstrates effective delegation by a nurse manager?

A. Retaining all tasks
B. Assigning tasks without supervision
C. Delegating tasks and providing oversight
D. Avoiding delegation

Correct answer: C

Rationale: The correct answer is C: Delegating tasks and providing oversight. Effective delegation by a nurse manager involves appropriately assigning tasks to others while also ensuring proper supervision and follow-up. This allows the nurse manager to distribute workload efficiently while maintaining accountability and quality of care. Choices A and D are incorrect as retaining all tasks or avoiding delegation can lead to burnout, inefficiency, and lack of skill development among team members. Choice B is incorrect as assigning tasks without supervision may result in errors, lack of clarity, and potential patient safety issues.