NACE Nursing Acceleration Challenge Exam I PN-RN Coordinated Care and Delegation 5

Question 1

A nurse manager notices that a UAP frequently skips reporting changes in patient condition. Which is the MOST appropriate initial action?

Accepted Answer

Privately counsel the UAP on reporting expectations and document the conversation

Answer

The initial response should be direct, private counseling to clarify expectations and correct the behavior, with documentation for accountability.

Question 2

Which situation represents a violation of the five rights of delegation?

Accepted Answer

Directing a UAP to perform a focused neurological assessment on a new stroke patient

Answer

A neurological assessment requires clinical judgment and is outside the UAP's scope of practice, violating the 'right task' component of delegation.

Question 3

A nurse is preparing to discharge a patient. Which member of the healthcare team is MOST appropriate to involve for concerns about the patient's ability to afford medications?

Accepted Answer

Social worker or case manager

Answer

Social workers and case managers specialize in connecting patients with financial assistance programs and community resources for medication affordability.

Question 4

A PN receives a verbal telephone order from a physician for a medication. What is the correct process for handling this order?

Accepted Answer

Write down the order, read it back to the physician for verification, and document it per facility policy

Answer

The read-back process for verbal orders is a Joint Commission-required safety practice to verify accuracy before implementation.

Question 5

Which action by the PN BEST demonstrates effective coordination of care during a patient's hospitalization?

Accepted Answer

Communicating relevant patient updates to all members of the care team at each shift change

Answer

Consistent and thorough communication across all disciplines at each transition ensures continuity and prevents errors in coordinated care.

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 5