Clinical Nurse Specialist CNS Adult Practice Test

Category - AACN Clinical Nurse Specialist Practice Test

Nina the New Nurse is preparing to receive a client who will be transferred from the recovery room to her unit. The recovery room nurse reports the client is awake and alert after colon surgery and vital signs are stable. The patient has no complaints of pain or nausea and has an NG tube to low suction draining serosanguineous fluid. Nina the New Nurse’s team is very busy now; she is trying to determine which task can safely be delegated to the nursing assistant on her team. Which of the following tasks can safely be delegated to the nursing assistant?
  1. Observe the color and record the amount of drainage collected by the NG tube.
  2. Measure and record vital signs every two hours.
  3. Irrigate NG tube as needed.
  4. Perform mouth care, and skin care to nares, as needed.
Explanation
Answer: B and C - A nursing assistant can safely measure and record vital signs, however, it is the nurse’s responsibility to assess the readings and evaluate the client’s status. The nursing assistant can also safely provide mouth care and skin care around the NG tube. The remaining tasks require the advance skills of an LPN or RN.
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