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    HESI RN Exit VI Proctored Exam

    The nursing staff on a medical unit includes a registered nurse (RN), practical nurse (PN), and an unlicensed assistive personnel (UAP). Which task should the charge nurse assign to the RN?

    Explanation & Rationale

    A. Administering PRN oral analgesics can be managed by both RNs and PNs, as this task does not require advanced assessment or decision-making. B. Transporting a client who is receiving IV fluids can be safely done by UAPs with appropriate supervision. C. The RN is responsible for the supervision of other nursing staff and the orientation of new hires. Evaluating the competency of a graduate nurse during a complex task like an admission assessment cannot be delegated to a PN or UAP. An "admission assessment" is the initial comprehensive evaluation of a client. In most nursing jurisdictions, the initial assessment and the development of the nursing care plan are strictly the responsibility of the RN. D. While the RN is responsible for the overall care plan of a restrained client, ongoing focused assessments (such as checking circulation, skin integrity, and pulse) for a client in restraints can often be delegated to a PN once the initial assessment and necessity for the restraint have been established by the RN.

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