Practice Quiz

CEN Practice Exam (Certified Emergency Nurse)

Category - Professionalism

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You are caring for a heart failure patient who suddenly developed symptoms that include shortness of breath, increased respiratory rate, bilateral crackles and frothy sputum. You have notified the physician and received orders for the patient. Which activity would be appropriate to delegate to a licensed practical nurse?
  1. Start an IV.
  2. Check vital signs every 15 minutes.
  3. Morphine sulfate 2mg IV push
  4. Insert a foley catheter.
Explanation
Answer: D - The RN should delegate the task to the LPN that does not require assessment. Inserting the foley catheter is the least likely to require immediate assessment. The RN should insert the IV and immediately give IV medications. Vital signs that are taken on a deteriorating patient should be taken by the RN so that immediate assessment can be made.
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