Washington State Nurse Delegation Practice Final Exam

What are the five conditions that must be met for nurse delegation?

1. A licensed RN transfers the performance of the task.

2. There are three specific tasks that may not be delegated.

3.Delegation covers a specific task for one client.

4. Only a qualified Nursing Assistant can accept a delegation.

5. Delegation can only happen in four community settings.

List the three specific tasks that CANNOT be delegated.

1. injections, other than insulin

2. sterile procedures

3. Central line maintenance

What are the four requirements to become qualified to receive a delegation?

1. Be a NA-R or NA-C in the State of Washington

2. Have completed the education requirements for delegation.

3. Be willing to perform the specific task to be delegated.

4. Demonstrate to the delegating RN your competence to correctly perform the specific task without direct supervision.

There are four settings in which delegation can occur. What are they?

1. Certified community residential programs for the developmentally disabled

2. Licensed adult family homes

3. Licensed boarding homes

4. In home

Maintenance of a central line can be delegated to a nursing assistant. True or False?

False

A Licensed Practical Nurse (LPN) can delegate a task to a nursing assistant. True or False?

False

List ONE of the things a delegating RN is responsible for in the delegating process.

1. Delegating the task

2. Obtaining written consent from the client.

3. Supervising the delegation

4. Rescinding, or canceling, the delegation

When you receive the delegation what are TWO of the things that you are responsible for?

1. Performing the delegated task according to the instructions

2. Observing the client for medication side effects, reactions to treatments, or complications from diseases

3. Reporting changes in the conditions promptly

4. Reporting to the delegating RN/Supervisor new or changed medications or treatments

The nursing assistant should report changes in the client's condition promptly to the delegating RN. True or false?

True

If you are unable to perform a delegated task for any reason, what should you do?

Notify the delegating RN and your employer as soon as possible when you are unable to complete the delegated task.

What are TWO examples of a developmental disability?

1. mental retardation

2. cerebral palsy

3. epilepsy

4. autism

5. down syndrome

List FOUR of the NINE body systems described in the workbook.

1. Cardiovascular

2. Respiratory

3. Integumentary (skin)

4. Urinary (GenitoUrinary)

5. Gastrointestinal

6. Endocrine

7. Nervous

8. Muscoskeletal

9. Sensory

For each of the four body systems you identified above, list one common disorder.

1.Heart Attack

2. Asthma

3. Burns

4. Urinary Tract Infections (UTI)

5. GERD

6. Hypothyroidism

7. Seizures and Epilepsy

8. Arthritis

9. Vertigo or dizziness

Diabetes Mellitus affects which body system?

Endocrine

What is a medication?

Any compound that changes the chemical activity within the human body.

What are TWO types of medication? List and provide a definition of each.

1. Legend drugs - drugs that can only be sold or given out with a prescription. (i.e. Ritalin/Methylphenadate)

2. Non-Legend drugs - drugs that can be purchased without a prescription. (i.e. Tylenol/Acetaminophen)

Scheduled medications are called controlled substances. They could be dangerous or have a high potential for abuse. ONE example of this type of medication is:

1. Narcotics

2. Depressants

3. Stimulants

4. Psychotropic

What are THREE factors that can affect a medication's action?

1. age

2. sex

3. size

4. genetic inheritance

5. emotional condition

______________ are unintended effects of medications on the body that are not part of the goal of medication therapy.

side effects

A _____________ occurs when the administration of one medication given before, at the same time, or after another medication alters the effect of one or both medications. The effect of one or both medications may be either increased or decreased.

medication interaction

When you have been delegated oral medication administration, you are allowed to put the pill in the client's mouth. True or False?

True

A route of medication administration is the way the medication is given. True or false?

True

Match each of the routes below with the correct definition by drawing a line from the route to the correct definition.

1. Rectal

2. Sublingual

3. Injection

4. Oral

5. Inhalation

6. Vaginal

7. Topical

1. Rectal - inserted into the rectum

2. Sublingual - placed under the tongue

3. Injection - piercing the skin with a needle and putting medication into a muscle, under the skin, or into a vein

4. Oral - taken by mouth and swallowed

5. Inhalation - sprayed or inhaled into the nose, throat, and lungs

6. Vaginal - inserted into the vagina

7. Topical - applied directly to skin or mucous membranes

List TWO of the things that should always be on a medication label.

1. Client name

2. medication name

3. dose

4. route

5. schedule

6. expiration date

List the FIVE rights of medication administration.

1. Right client

2. Right medication

3. Right dose

4. Right route

5. Right time

List the five steps in medication administration process in the right order in the numbered spaces below.

*Document the medication administration.

*Administer the medication.

*Evaluate the client.

*Observe the client for the effects of the medication.

*Set up the medication.

1. Evaluate the client.

2. Set up the medication.

3. Administer the medication.

4. Document the medication administration.

5. Observe the client for the effects of the medication.

There are two important RIGHTS that clients have regarding medication administration.

1. Clients have the _________________ medications or treatments.

2. Clients have the __________________ when medications are administered.

1. right to refuse

2. right to privacy

Refrigerated medication storage should be separated from ________________.

food storage

Glucometer testing measures the ______________ in a person's blood.

sugar (glucose)