NACE Nursing Acceleration Challenge Exam I PN-RN Coordinated Care and Delegation 4

Question 1

A charge nurse is reviewing assignments. Which task is MOST appropriate to delegate to an unlicensed assistive personnel (UAP)?

Accepted Answer

Ambulating a stable post-op patient on day 2

Answer

Ambulating a stable post-operative patient is within the UAP's scope as it does not require assessment or clinical judgment.

Question 2

A PN is coordinating care for a patient being discharged to a skilled nursing facility. Which action is the PN's priority?

Accepted Answer

Ensuring transfer documentation and medication reconciliation are complete

Answer

Complete and accurate transfer documentation and medication reconciliation are essential to ensure continuity and patient safety during transitions of care.

Question 3

When using SBAR for a handoff report, what information is included in the 'Background' component?

Accepted Answer

Relevant medical history, admitting diagnosis, and pertinent lab values

Answer

The Background section of SBAR includes the patient's relevant medical history, diagnosis, and pertinent clinical data that provide context for the current situation.

Question 4

A UAP reports that a patient who was ambulating independently yesterday now refuses to get out of bed and seems confused. What is the PN's best response?

Accepted Answer

Immediately assess the patient, as this change may indicate a new clinical problem

Answer

A sudden change in cognition or functional status may signal an acute clinical deterioration such as infection or delirium, requiring immediate nursing assessment.

Question 5

Which principle BEST describes the nurse's legal accountability when delegating a task to a UAP?

Accepted Answer

The nurse retains accountability for appropriate delegation and must supervise outcomes

Answer

Delegation transfers the task but not the nurse's accountability; the delegating nurse remains responsible for appropriate delegation and oversight.

Nursing Acceleration Challenge Exam (NACE) I PN-RN Practice Test

Nursing Acceleration Challenge Exam (NACE) I PN-RN Practice Test

NACE Nursing Acceleration Challenge Exam I PN-RN Coordinated Care and Delegation 4