NURS 110: Time Management, Delegation & Teamwork (High
Difficulty) 2026 |WCU
1. A nurse is managing a busy medical-surgical unit. Which task is most
appropriate to delegate to an Unlicensed Assistive Personnel (UAP)?
A. Evaluating a patient’s response to pain medication administered 30 minutes ago.
B. Assisting a stable patient with a bedside commode for the first time post-surgery.
C. Performing an initial skin assessment on a newly admitted geriatric patient.
D. Updating the care plan for a patient with newly diagnosed Type 2 Diabetes.
Answer: B
Rationale: UAPs can assist stable patients with ADLs like mobility. Assessment, evaluation,
and care planning are strictly RN responsibilities.
2. Which of the following actions by the RN represents the ‘Right Direction and
Communication’ in delegation?
A. Telling the UAP to ‘take vital signs on Mrs. Smith every 4 hours and report a systolic BP below 100.’
B. Asking the UAP to ‘check on the patient in room 402 and let me know if they look okay.’
C. Instructing the LPN to ‘handle all the dressing changes for the floor today.’
D. Requesting the UAP to ‘ambulate the patient whenever you have a free moment this afternoon.’
Answer: A
Rationale: Right Direction/Communication requires specific instructions, including the
task, time frame, and specific parameters for reporting.
,3. A nurse is using Maslow’s Hierarchy of Needs to prioritize care. Which patient
should the nurse see first?
A. A patient requesting information about their discharge medications.
B. A patient who is tearful and expressing anxiety about their upcoming biopsy.
C. A patient reporting a pain level of 4 out of 10 in their left knee.
D. A patient with an oxygen saturation of 88% on room air.
Answer: D
Rationale: Physiological needs (oxygenation/breathing) take priority over safety,
love/belonging, and self-actualization according to Maslow.
4. The nurse is caring for a patient who is 2 hours post-thyroidectomy. Which
assessment finding requires immediate intervention?
A. Sore throat when speaking.
B. Laryngeal stridor heard on inspiration.
C. Pain level of 6/10 at the incision site.
D. Calcium level of 9.0 mg/dL.
Answer: B
Rationale: Stridor indicates airway obstruction, a life-threatening emergency (Priority 1:
Airway).
5. Under the ‘Right Circumstance’ of delegation, what must the RN consider
before assigning a task to a Licensed Practical Nurse (LPN)?
A. Whether the LPN has been employed at the facility for more than a year.
B. The LPN’s personal preference for specific nursing tasks.
C. The health status and stability of the patient.
D. The number of patients currently assigned to the RN.
Answer: C
Rationale: Right Circumstance involves ensuring the patient is stable and the setting is
appropriate for the delegated task.
, 6. A nurse is feeling overwhelmed by the workload. Which time management
strategy involves grouping similar tasks together to increase efficiency?
A. Batching
B. Prioritization
C. Delegation
D. Procrastination
Answer: A
Rationale: Batching is the process of grouping similar activities (like all medication passes
or all charting) to reduce transition time and mental fatigue.
7. Which patient should the RN assign to a Licensed Practical Nurse (LPN/LVN)?
A. A patient with chronic stable angina who needs a routine dressing change.
B. A patient who is being discharged to a long-term care facility today.
C. A patient with a newly placed tracheostomy requiring frequent suctioning.
D. A patient in active labor with decelerations on the fetal monitor.
Answer: A
Rationale: LPNs should be assigned stable patients with predictable outcomes. New
tracheostomies, complex discharges, and unstable labor patients require RN assessment.
8. When using the SBAR tool for communication, which information belongs in
the ‘Assessment’ section?
A. ‘I am calling about Mr. Jones in room 305.’
B. ‘I suggest we order a STAT chest X-ray and an EKG.’
C. ‘The patient was admitted two days ago with a diagnosis of heart failure.’
D. ‘The patient’s heart rate has increased to 120 and his skin is cool and clammy.’
Answer: D
Rationale: Assessment (A) in SBAR refers to the nurse’s clinical findings or what the nurse
thinks the problem is based on data.
Difficulty) 2026 |WCU
1. A nurse is managing a busy medical-surgical unit. Which task is most
appropriate to delegate to an Unlicensed Assistive Personnel (UAP)?
A. Evaluating a patient’s response to pain medication administered 30 minutes ago.
B. Assisting a stable patient with a bedside commode for the first time post-surgery.
C. Performing an initial skin assessment on a newly admitted geriatric patient.
D. Updating the care plan for a patient with newly diagnosed Type 2 Diabetes.
Answer: B
Rationale: UAPs can assist stable patients with ADLs like mobility. Assessment, evaluation,
and care planning are strictly RN responsibilities.
2. Which of the following actions by the RN represents the ‘Right Direction and
Communication’ in delegation?
A. Telling the UAP to ‘take vital signs on Mrs. Smith every 4 hours and report a systolic BP below 100.’
B. Asking the UAP to ‘check on the patient in room 402 and let me know if they look okay.’
C. Instructing the LPN to ‘handle all the dressing changes for the floor today.’
D. Requesting the UAP to ‘ambulate the patient whenever you have a free moment this afternoon.’
Answer: A
Rationale: Right Direction/Communication requires specific instructions, including the
task, time frame, and specific parameters for reporting.
,3. A nurse is using Maslow’s Hierarchy of Needs to prioritize care. Which patient
should the nurse see first?
A. A patient requesting information about their discharge medications.
B. A patient who is tearful and expressing anxiety about their upcoming biopsy.
C. A patient reporting a pain level of 4 out of 10 in their left knee.
D. A patient with an oxygen saturation of 88% on room air.
Answer: D
Rationale: Physiological needs (oxygenation/breathing) take priority over safety,
love/belonging, and self-actualization according to Maslow.
4. The nurse is caring for a patient who is 2 hours post-thyroidectomy. Which
assessment finding requires immediate intervention?
A. Sore throat when speaking.
B. Laryngeal stridor heard on inspiration.
C. Pain level of 6/10 at the incision site.
D. Calcium level of 9.0 mg/dL.
Answer: B
Rationale: Stridor indicates airway obstruction, a life-threatening emergency (Priority 1:
Airway).
5. Under the ‘Right Circumstance’ of delegation, what must the RN consider
before assigning a task to a Licensed Practical Nurse (LPN)?
A. Whether the LPN has been employed at the facility for more than a year.
B. The LPN’s personal preference for specific nursing tasks.
C. The health status and stability of the patient.
D. The number of patients currently assigned to the RN.
Answer: C
Rationale: Right Circumstance involves ensuring the patient is stable and the setting is
appropriate for the delegated task.
, 6. A nurse is feeling overwhelmed by the workload. Which time management
strategy involves grouping similar tasks together to increase efficiency?
A. Batching
B. Prioritization
C. Delegation
D. Procrastination
Answer: A
Rationale: Batching is the process of grouping similar activities (like all medication passes
or all charting) to reduce transition time and mental fatigue.
7. Which patient should the RN assign to a Licensed Practical Nurse (LPN/LVN)?
A. A patient with chronic stable angina who needs a routine dressing change.
B. A patient who is being discharged to a long-term care facility today.
C. A patient with a newly placed tracheostomy requiring frequent suctioning.
D. A patient in active labor with decelerations on the fetal monitor.
Answer: A
Rationale: LPNs should be assigned stable patients with predictable outcomes. New
tracheostomies, complex discharges, and unstable labor patients require RN assessment.
8. When using the SBAR tool for communication, which information belongs in
the ‘Assessment’ section?
A. ‘I am calling about Mr. Jones in room 305.’
B. ‘I suggest we order a STAT chest X-ray and an EKG.’
C. ‘The patient was admitted two days ago with a diagnosis of heart failure.’
D. ‘The patient’s heart rate has increased to 120 and his skin is cool and clammy.’
Answer: D
Rationale: Assessment (A) in SBAR refers to the nurse’s clinical findings or what the nurse
thinks the problem is based on data.
