PRIORITIZATION, DELEGATION AND
ASSIGNMENT STUDY SHEET 2026 EXAM
QUESTIONS AND ANSWERS EXPERT
VERIFIED
◉A client is admitted to the unit with a diagnosis of syndrome of
inappropriate antidiuretic hormone secretion (SIADH). For which
electrolyte abnormality would the nurse be sure to monitor?
•Hypokalemia
•Hyperkalemia
•Hyponatremia
•Hypernatremia. Answer: •Hyponatremia
•SIADH results in a relative sodium deficit caused by excessive
retention of water.
◉The charge nurse assigned the care of a client with acute kidney
failure and hypernatremia to a new-graduated RN. Which actions
can the new-graduate RN delegate to the unlicensed assistive
personnel (UAP)? *Select all that apply.*
,•Providing oral care every 3 to 4 hours
•Monitoring for indications of dehydration
•Administering 0.45% saline by IV line
•Record urine output when client voids
•Assessing daily weights for trends
•Help the client change position every 2 hours. Answer: •Providing
oral care every 3 to 4 hours
•Record urine output when client voids
•Help the client change position every 2 hours
•Providing oral care, assisting clients to reposition, and recording
urine output are within the scope of practice of the UAP. Monitoring
and assessing clients, as well as administering IV fluids, require the
additional education and skills of the RN.
◉An experienced LPN/LVN reports to the RN that a client's blood
pressure and heart rate have decreased, and when his face was
assessed, one side twitches. What action should the RN take at this
time?
•Reassess the client's blood pressure and heart rate
•Review the client's morning calcium level
•Request a neurologic consult today
, •Check the client's pupillary reaction to light. Answer: •Review the
client's morning calcium level
•A positive Chvostek sign (facial twitching of one side of the mouth,
nose, and cheek in response to tapping the face just below and in
front of the ear) is a neurologic manifestation of hypocalcemia. The
heart rate may be slower or slightly faster than normal, with a weak,
thready pulse. Severe hypocalcemia causes severe hypotension. The
LPN/LVN is experienced and possesses the skills to accurately
measure vital signs.
◉The nurse is preparing to discharge a client whose calcium level
was low but is now just barely within the normal range (9 to 10.5
mg/dL [2.25 to 2.63 mmol/L]). Which statement by the client
indicates the need for additional teaching?
•"I will call my doctor if I experience muscle twitching or seizures."
•"I will make sure to take my vitamin D with my calcium each day."
•"I will take my calcium citrate pill every morning before breakfast."
•"I will avoid dairy products, broccoli, and spinach when I eat.".
Answer: •"I will avoid dairy products, broccoli, and spinach when I
eat."
•Clients with low calcium levels should be encouraged to eat dairy
products, seafood, nuts, broccoli, and spinach, which are all good
ASSIGNMENT STUDY SHEET 2026 EXAM
QUESTIONS AND ANSWERS EXPERT
VERIFIED
◉A client is admitted to the unit with a diagnosis of syndrome of
inappropriate antidiuretic hormone secretion (SIADH). For which
electrolyte abnormality would the nurse be sure to monitor?
•Hypokalemia
•Hyperkalemia
•Hyponatremia
•Hypernatremia. Answer: •Hyponatremia
•SIADH results in a relative sodium deficit caused by excessive
retention of water.
◉The charge nurse assigned the care of a client with acute kidney
failure and hypernatremia to a new-graduated RN. Which actions
can the new-graduate RN delegate to the unlicensed assistive
personnel (UAP)? *Select all that apply.*
,•Providing oral care every 3 to 4 hours
•Monitoring for indications of dehydration
•Administering 0.45% saline by IV line
•Record urine output when client voids
•Assessing daily weights for trends
•Help the client change position every 2 hours. Answer: •Providing
oral care every 3 to 4 hours
•Record urine output when client voids
•Help the client change position every 2 hours
•Providing oral care, assisting clients to reposition, and recording
urine output are within the scope of practice of the UAP. Monitoring
and assessing clients, as well as administering IV fluids, require the
additional education and skills of the RN.
◉An experienced LPN/LVN reports to the RN that a client's blood
pressure and heart rate have decreased, and when his face was
assessed, one side twitches. What action should the RN take at this
time?
•Reassess the client's blood pressure and heart rate
•Review the client's morning calcium level
•Request a neurologic consult today
, •Check the client's pupillary reaction to light. Answer: •Review the
client's morning calcium level
•A positive Chvostek sign (facial twitching of one side of the mouth,
nose, and cheek in response to tapping the face just below and in
front of the ear) is a neurologic manifestation of hypocalcemia. The
heart rate may be slower or slightly faster than normal, with a weak,
thready pulse. Severe hypocalcemia causes severe hypotension. The
LPN/LVN is experienced and possesses the skills to accurately
measure vital signs.
◉The nurse is preparing to discharge a client whose calcium level
was low but is now just barely within the normal range (9 to 10.5
mg/dL [2.25 to 2.63 mmol/L]). Which statement by the client
indicates the need for additional teaching?
•"I will call my doctor if I experience muscle twitching or seizures."
•"I will make sure to take my vitamin D with my calcium each day."
•"I will take my calcium citrate pill every morning before breakfast."
•"I will avoid dairy products, broccoli, and spinach when I eat.".
Answer: •"I will avoid dairy products, broccoli, and spinach when I
eat."
•Clients with low calcium levels should be encouraged to eat dairy
products, seafood, nuts, broccoli, and spinach, which are all good
