BSN Prioritization, Delegation, and Assignment 4

Question 1

A nurse is evaluating a UAP's performance after delegating blood pressure monitoring. Which finding requires the nurse to re-educate the UAP?

Accepted Answer

The UAP independently decided to administer a PRN antihypertensive based on the reading

Answer

Administering medications — even PRN — is outside the UAP scope of practice; this decision and action belong exclusively to the licensed nurse.

Question 2

Which patient condition is an example of an 'urgent' priority (versus emergent or non-urgent) using triage principles?

Accepted Answer

A stable fracture with pain and swelling but intact circulation and sensation

Answer

A stable fracture with intact neurovascular status is urgent — it needs timely attention but is not immediately life-threatening like cardiac arrest or airway obstruction.

Question 3

A nurse is caring for postpartum patients. Which patient requires the nurse's most immediate assessment?

Accepted Answer

A patient 2 hours post-cesarean delivery with a blood pressure of 80/50 mmHg and heart rate of 120 bpm

Answer

Hypotension and tachycardia at 2 hours post-cesarean indicate possible hemorrhage or other hemodynamic instability requiring immediate assessment.

Question 4

Which action demonstrates appropriate supervision after delegation?

Accepted Answer

Checking in with the delegate mid-task and evaluating the patient's response after task completion

Answer

Checking in during and after task completion ensures the task was performed safely and the patient's condition is as expected.

Question 5

A nurse manager notices consistent conflict between two staff RNs regarding patient assignments. What is the most appropriate first action?

Accepted Answer

Meet with both nurses individually to understand each perspective before facilitating a joint resolution

Answer

Gathering each party's perspective individually is the first step in conflict resolution, allowing the manager to facilitate a fair, informed discussion.

BSN - Degree Bachelor of Science in Nursing Practice Test

BSN - Degree Bachelor of Science in Nursing Practice Test

BSN Prioritization, Delegation, and Assignment 4