Safe and Effective Care Environment: Management of Care
(Questions 1-12)
Question 1
The nurse is delegating tasks to a licensed practical nurse (LPN) and an unregulated care
provider (UCP) on a medical-surgical u
...
Safe and Effective Care Environment: Management of Care
(Questions 1-12)
Question 1
The nurse is delegating tasks to a licensed practical nurse (LPN) and an unregulated care
provider (UCP) on a medical-surgical unit in a Toronto hospital. Which task is most
appropriate to assign to the UCP?
A) Administering oral medications to a stable client
B) Ambulating a client 1 day postoperatively
C) Changing a sterile dressing
D) Performing a initial admission assessment
Answer: B
Rationale: Ambulating a stable client is within the scope of practice for UCPs in Canada.
Medication administration (A) and sterile procedures (C) must be performed by regulated
nurses. Initial assessments (D) require the knowledge and judgment of a regulated nurse
and cannot be delegated .
Question 2
A nurse in a Vancouver community health centre must prioritize care for four clients.
Which client should the nurse assess first?
A) A client reporting chest pain radiating to the left arm
B) A client requesting a prescription renewal
C) A client who needs wound care teaching
D) A client asking for assistance with transportation
Answer: A
Rationale: Chest pain suggests a potential life-threatening cardiac event and should be
prioritized according to ABC (Airway, Breathing, Circulation) principles. The other requests,
while important, are not urgent and can be addressed after the client with potential
cardiac symptoms is assessed .
Question 3
Which action by the nurse demonstrates appropriate client advocacy within the
Canadian healthcare context?
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