Sample stem for discussion. Not a scored item from your bank.
A practical nurse is assigned to a group of clients. Which task is most appropriate for the practical nurse to perform?
Correct answer: B. Sterile dressing change within practical-nursing scope is appropriate when policy and competency support it. The practical nurse does not independently titrate IV rates off new orders, author initial care plans, or give first doses of new IV meds without RN context per common scope rules.
Why the other options fail
- A. Pump adjustments after order changes typically stay with RN oversight in many settings.
- C. Initial planning is RN scope in team models covered on exams.
- D. First-dose IV antibiotics usually require RN assessment first.
Clinical takeaway: Exam items love scope edges. When tasks sound similar, pick the one your regulator would list as practical-nurse appropriate in black and white.