BSN Prioritization, Delegation, and Assignment 2

Question 1

A nurse is caring for four patients. Which patient should the nurse assess FIRST using the ABCs framework?

Accepted Answer

A patient with oxygen saturation of 88% on room air

Answer

An oxygen saturation of 88% indicates hypoxia and is an immediate airway/breathing emergency that takes priority over the other concerns.

Question 2

Which action by a nursing assistant (NA) during morning care requires the RN to intervene immediately?

Accepted Answer

The NA performs oral care on an unconscious patient with the head of bed flat

Answer

Performing oral care with the head of bed flat on an unconscious patient creates a high aspiration risk and requires immediate intervention.

Question 3

A charge nurse is assigning patients. Which patient is MOST appropriate to assign to a newly licensed RN still on orientation?

Accepted Answer

A patient post-op day 2 following an appendectomy with stable vital signs

Answer

A stable post-op day 2 appendectomy patient represents a predictable, lower-acuity assignment appropriate for a nurse still building clinical competency.

Question 4

Under which circumstance is it appropriate to delegate a task to a licensed practical nurse (LPN)?

Accepted Answer

Administering a routine oral medication to a stable patient

Answer

Administering routine medications to stable patients is within the LPN scope of practice in most states and is an appropriate delegation.

Question 5

A nurse uses the SBAR communication tool when handing off a deteriorating patient. What does the 'R' stand for?

Accepted Answer

Recommendation

Answer

In SBAR, 'R' stands for Recommendation — the nurse's suggested action or plan for addressing the patient's condition.

BSN - Degree Bachelor of Science in Nursing Practice Test

BSN - Degree Bachelor of Science in Nursing Practice Test

BSN Prioritization, Delegation, and Assignment 2