PRIORITIZATION DELEGATION AND
ASSIGNMENT BY LACHARITY ACTUAL PAPER
2026 QUESTIONS WITH SOLUTIONS GRADED
A+
◉ 2. Family members are encouraging your client to "tough out the
pain" rather than risk drug addiction to narcotics. The client is
stoically abiding. You recognize that the sociocultural dimension of
pain is the current priority for the client. Which question will you
ask?
1. " Where is the pain located, and does it radiate to other parts of
your body?"
2. " How would you describe the pain, and how is it affecting you?"
3. " What do you believe about pain medication and drug addiction?"
4. " How is the pain affecting your activity level and your ability to
function?"
5. " What information do you need about pain, healing, and
addiction?" Answer: 2. Ans: 3 Beliefs, attitudes, and familial
influence are part of the sociocultural dimension of pain. Location
and radiation of pain address the sensory dimension. Describing
pain and its effects addresses the affective dimension. Activity level
and function address the behavioral dimension. Asking about
knowledge addresses the cognitive dimension. Focus: Prioritization
3.
,LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-
22). Prioritization, Delegation, and Assignment: Practice Excercises
for the NCLEX Exam (p. 3). Elsevier Health Sciences. Kindle Edition.
◉ 3. A client with diabetic neuropathy reports a burning, electrical-
type pain in the lower extremities that is worse at night and not
responding to nonsteroidal anti-inflammatory drugs. Which
medication will you advocate for first?
1. Gabapentin (Neurontin)
2. Corticosteroids
3. Hydromorphone (Dilaudid)
4. Lorazepam (Ativan) Answer: 3. Ans: 1 Gabapentin is an
antiepileptic drug, but it is also used to treat diabetic neuropathy.
Corticosteroids are for pain associated with inflammation.
Hydromorphone is a stronger opioid, and it is not the first choice for
chronic pain that can be managed with other drugs. Lorazepam is an
anxiolytic that may be ordered as an adjuvant nedication. Focus:
Prioritization
LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-
22). Prioritization, Delegation, and Assignment: Practice Excercises
for the NCLEX Exam (p. 3). Elsevier Health Sciences. Kindle Edition.
,◉ 4. Which client is most likely to receive opioids for extended
periods of time?
1. A client with fibromyalgia
2. A client with phantom limb pain in the leg
3. A client with progressive pancreatic cancer
4. A client with trigeminal neuralgia Answer: 4. Ans: 3 Cancer pain
generally worsens with disease progression, and the use of opioids
is more generous. Fibromyalgia is more likely to be treated with
nonopioid and adjuvant medications. Trigeminal neuralgia is treated
with antiseizure medications such as carbamazepine (Tegretol).
Phantom limb pain usually subsides after ambulation begins. Focus:
Prioritization
LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-
22). Prioritization, Delegation, and Assignment: Practice Excercises
for the NCLEX Exam (p. 3). Elsevier Health Sciences. Kindle Edition.
◉ 5. As the charge nurse, you are reviewing the charts of clients who
were assigned to the care of a newly graduated RN. The RN has
correctly charted dose and time of medication, but there is no
documentation regarding nonpharmaceutical measures. What
action should you take first?
1. Make a note in the nurse's file and continue to observe clinical
performance.
2. Refer the new nurse to the in-service education department.
, 3. Quiz the nurse about knowledge of pain management and
pharmacology.
4. Give praise for correctly charting the dose and time and discuss
the deficits in charting. Answer: 5. Ans: 4 In supervision of the new
RN, good performance should be reinforced first and then areas of
improvement can be addressed. Asking the nurse about knowledge
of pain management is also an option; however, it would be a more
indirect and time-consuming approach. Making a note and watching
do not help the nurse to correct the immediate problem. In-service
training might be considered if the problem persists. Focus:
Supervision, delegation
LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-
22). Prioritization, Delegation, and Assignment: Practice Excercises
for the NCLEX Exam (p. 3). Elsevier Health Sciences. Kindle Edition.
◉ 1. You are caring for a patient with esophageal cancer. Which task
could be delegated to a UAP?
1. Assisting the patient with oral hygiene
2. Observing the patient's response to feedings
3. Facilitating expression of grief or anxiety
4. Initiating daily weighings Answer: 1. Ans: 1 Oral hygiene is within
the scope of duties of the UAP. It is the responsibility of the nurse to
observe response to treatments and to help the patient deal with
loss or anxiety. The UAP can be directed to weigh the patient but
ASSIGNMENT BY LACHARITY ACTUAL PAPER
2026 QUESTIONS WITH SOLUTIONS GRADED
A+
◉ 2. Family members are encouraging your client to "tough out the
pain" rather than risk drug addiction to narcotics. The client is
stoically abiding. You recognize that the sociocultural dimension of
pain is the current priority for the client. Which question will you
ask?
1. " Where is the pain located, and does it radiate to other parts of
your body?"
2. " How would you describe the pain, and how is it affecting you?"
3. " What do you believe about pain medication and drug addiction?"
4. " How is the pain affecting your activity level and your ability to
function?"
5. " What information do you need about pain, healing, and
addiction?" Answer: 2. Ans: 3 Beliefs, attitudes, and familial
influence are part of the sociocultural dimension of pain. Location
and radiation of pain address the sensory dimension. Describing
pain and its effects addresses the affective dimension. Activity level
and function address the behavioral dimension. Asking about
knowledge addresses the cognitive dimension. Focus: Prioritization
3.
,LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-
22). Prioritization, Delegation, and Assignment: Practice Excercises
for the NCLEX Exam (p. 3). Elsevier Health Sciences. Kindle Edition.
◉ 3. A client with diabetic neuropathy reports a burning, electrical-
type pain in the lower extremities that is worse at night and not
responding to nonsteroidal anti-inflammatory drugs. Which
medication will you advocate for first?
1. Gabapentin (Neurontin)
2. Corticosteroids
3. Hydromorphone (Dilaudid)
4. Lorazepam (Ativan) Answer: 3. Ans: 1 Gabapentin is an
antiepileptic drug, but it is also used to treat diabetic neuropathy.
Corticosteroids are for pain associated with inflammation.
Hydromorphone is a stronger opioid, and it is not the first choice for
chronic pain that can be managed with other drugs. Lorazepam is an
anxiolytic that may be ordered as an adjuvant nedication. Focus:
Prioritization
LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-
22). Prioritization, Delegation, and Assignment: Practice Excercises
for the NCLEX Exam (p. 3). Elsevier Health Sciences. Kindle Edition.
,◉ 4. Which client is most likely to receive opioids for extended
periods of time?
1. A client with fibromyalgia
2. A client with phantom limb pain in the leg
3. A client with progressive pancreatic cancer
4. A client with trigeminal neuralgia Answer: 4. Ans: 3 Cancer pain
generally worsens with disease progression, and the use of opioids
is more generous. Fibromyalgia is more likely to be treated with
nonopioid and adjuvant medications. Trigeminal neuralgia is treated
with antiseizure medications such as carbamazepine (Tegretol).
Phantom limb pain usually subsides after ambulation begins. Focus:
Prioritization
LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-
22). Prioritization, Delegation, and Assignment: Practice Excercises
for the NCLEX Exam (p. 3). Elsevier Health Sciences. Kindle Edition.
◉ 5. As the charge nurse, you are reviewing the charts of clients who
were assigned to the care of a newly graduated RN. The RN has
correctly charted dose and time of medication, but there is no
documentation regarding nonpharmaceutical measures. What
action should you take first?
1. Make a note in the nurse's file and continue to observe clinical
performance.
2. Refer the new nurse to the in-service education department.
, 3. Quiz the nurse about knowledge of pain management and
pharmacology.
4. Give praise for correctly charting the dose and time and discuss
the deficits in charting. Answer: 5. Ans: 4 In supervision of the new
RN, good performance should be reinforced first and then areas of
improvement can be addressed. Asking the nurse about knowledge
of pain management is also an option; however, it would be a more
indirect and time-consuming approach. Making a note and watching
do not help the nurse to correct the immediate problem. In-service
training might be considered if the problem persists. Focus:
Supervision, delegation
LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-
22). Prioritization, Delegation, and Assignment: Practice Excercises
for the NCLEX Exam (p. 3). Elsevier Health Sciences. Kindle Edition.
◉ 1. You are caring for a patient with esophageal cancer. Which task
could be delegated to a UAP?
1. Assisting the patient with oral hygiene
2. Observing the patient's response to feedings
3. Facilitating expression of grief or anxiety
4. Initiating daily weighings Answer: 1. Ans: 1 Oral hygiene is within
the scope of duties of the UAP. It is the responsibility of the nurse to
observe response to treatments and to help the patient deal with
loss or anxiety. The UAP can be directed to weigh the patient but
