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Exam Solution vc
Prioritization Delegation and Assignment Exercises for vc vc vc vc vc vc
the NCLEX ® Examination 2026 A+ GRADE ASSURED CO
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MPLETE SOLUTIONS AND VERIFIED ANSWERS (7BA50) vc vc vc vc vc
QUESTION 1 vc
Term
ANSWER
Definition
QUESTION 2 vc
3. A client with diabetic neuropathy reports a burning, electrical-
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type pain in the lower extremities that is worse at night and not responding to nonsteroi
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dal anti- vc
inflammatory drugs. Which medication will you advocate for first? 1. Gabapentin (Neuro
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ntin) 2. Corticosteroids 3. Hydromorphone (Dilaudid) 4. Lorazepam (Ativan)
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ANSWER
3. Ans: 1 Gabapentin is an antiepileptic drug, but it is also used to treat diabetic neuropathy. Corticoster
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oids are for pain associated with inflammation. Hydromorphone is a stronger opioid, and it is not the fir
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st choice for chronic pain that can be managed with other drugs. Lorazepam is an anxiolytic that may be
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ordered as an adjuvant nedication. Focus: Prioritization LaCharity, Linda A.; Kumagai, Candice K.; Bartz,
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Barbara (2013-11-
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22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. 3). Elsevier
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Health Sciences. Kindle Edition. vc vc vc
QUESTION 3 vc
4. Which client is most likely to receive opioids for extended periods of time? 1. A client
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with fibromyalgia 2. A client with phantom limb pain in the leg 3. A client with progressi
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ve pancreatic cancer 4. A client with trigeminal neuralgia
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ANSWER
, 4. Ans: 3 Cancer pain generally worsens with disease progression, and the use of opioids is more genero
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us. Fibromyalgia is more likely to be treated with nonopioid and adjuvant medications. Trigeminal neur
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algia is treated with antiseizure medications such as carbamazepine (Tegretol). Phantom limb pain usua
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lly subsides after ambulation begins. Focus: Prioritization LaCharity, Linda A.; Kumagai, Candice K.; Bart
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z, Barbara (2013-11-
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22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. 3). Elsevier
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Health Sciences. Kindle Edition.
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QUESTION 4 vc
1. You are caring for a patient with esophageal cancer. Which task could be delegated to
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a UAP? 1. Assisting the patient with oral hygiene 2. Observing the patient's response to fe
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edings 3. Facilitating expression of grief or anxiety 4. Initiating daily weighings
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ANSWER
1. Ans: 1 Oral hygiene is within the scope of duties of the UAP. It is the responsibility of the nurse to obs
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erve response to treatments and to help the patient deal with loss or anxiety. The UAP can be directed t
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o weigh the patient but should not be expected to know when to initiate that measurement. Focus: Dele
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gation LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-
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22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. 168). Elsevie
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r Health Sciences. Kindle Edition.
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QUESTION 5 vc
3. Which patient is at greatest risk for pancreatic cancer? 1. An elderly African-
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American man who smokes 2. A young white obese woman with gallbladder disease 3. A
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young African- vc
American man with type 1 diabetes 4. An elderly white woman who has pancreatitis
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ANSWER
3. Ans: 1 Pancreatic cancer is more common in African-
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Americans, males, and smokers. Other associated factors include alcohol use, diabetes, obesity, history o
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f pancreatitis, exposure to organic chemicals, consumption of a high-
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fat diet, and previous abdominal irradiation. Focus: Prioritization LaCharity, Linda A.; Kumagai, Candice
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K.; Bartz, Barbara (2013-11-
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22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. 168). Elsevie
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r Health Sciences. Kindle Edition.
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QUESTION 6 vc
2. The client also has the nursing diagnosis Decreased Cardiac Output related to decreas
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ed plasma volume. Which assessment finding supports this nursing diagnosis? 1. Flatten
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ed neck veins when the client is in the supine position 2. Full and bounding pedal and po
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st-
tibial pulses 3. Pitting edema located in the feet, ankles, and calves 4. Shallow respiratio
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ns with crackles on auscultation
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Exam Solution vc
Prioritization Delegation and Assignment Exercises for vc vc vc vc vc vc
the NCLEX ® Examination 2026 A+ GRADE ASSURED CO
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MPLETE SOLUTIONS AND VERIFIED ANSWERS (7BA50) vc vc vc vc vc
QUESTION 1 vc
Term
ANSWER
Definition
QUESTION 2 vc
3. A client with diabetic neuropathy reports a burning, electrical-
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type pain in the lower extremities that is worse at night and not responding to nonsteroi
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dal anti- vc
inflammatory drugs. Which medication will you advocate for first? 1. Gabapentin (Neuro
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ntin) 2. Corticosteroids 3. Hydromorphone (Dilaudid) 4. Lorazepam (Ativan)
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ANSWER
3. Ans: 1 Gabapentin is an antiepileptic drug, but it is also used to treat diabetic neuropathy. Corticoster
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oids are for pain associated with inflammation. Hydromorphone is a stronger opioid, and it is not the fir
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st choice for chronic pain that can be managed with other drugs. Lorazepam is an anxiolytic that may be
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ordered as an adjuvant nedication. Focus: Prioritization LaCharity, Linda A.; Kumagai, Candice K.; Bartz,
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Barbara (2013-11-
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22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. 3). Elsevier
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Health Sciences. Kindle Edition. vc vc vc
QUESTION 3 vc
4. Which client is most likely to receive opioids for extended periods of time? 1. A client
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with fibromyalgia 2. A client with phantom limb pain in the leg 3. A client with progressi
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ve pancreatic cancer 4. A client with trigeminal neuralgia
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ANSWER
, 4. Ans: 3 Cancer pain generally worsens with disease progression, and the use of opioids is more genero
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us. Fibromyalgia is more likely to be treated with nonopioid and adjuvant medications. Trigeminal neur
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algia is treated with antiseizure medications such as carbamazepine (Tegretol). Phantom limb pain usua
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lly subsides after ambulation begins. Focus: Prioritization LaCharity, Linda A.; Kumagai, Candice K.; Bart
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z, Barbara (2013-11-
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22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. 3). Elsevier
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Health Sciences. Kindle Edition.
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QUESTION 4 vc
1. You are caring for a patient with esophageal cancer. Which task could be delegated to
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a UAP? 1. Assisting the patient with oral hygiene 2. Observing the patient's response to fe
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edings 3. Facilitating expression of grief or anxiety 4. Initiating daily weighings
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ANSWER
1. Ans: 1 Oral hygiene is within the scope of duties of the UAP. It is the responsibility of the nurse to obs
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erve response to treatments and to help the patient deal with loss or anxiety. The UAP can be directed t
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o weigh the patient but should not be expected to know when to initiate that measurement. Focus: Dele
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
gation LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-
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22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. 168). Elsevie
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r Health Sciences. Kindle Edition.
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QUESTION 5 vc
3. Which patient is at greatest risk for pancreatic cancer? 1. An elderly African-
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American man who smokes 2. A young white obese woman with gallbladder disease 3. A
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young African- vc
American man with type 1 diabetes 4. An elderly white woman who has pancreatitis
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ANSWER
3. Ans: 1 Pancreatic cancer is more common in African-
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Americans, males, and smokers. Other associated factors include alcohol use, diabetes, obesity, history o
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f pancreatitis, exposure to organic chemicals, consumption of a high-
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fat diet, and previous abdominal irradiation. Focus: Prioritization LaCharity, Linda A.; Kumagai, Candice
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K.; Bartz, Barbara (2013-11-
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22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. 168). Elsevie
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r Health Sciences. Kindle Edition.
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QUESTION 6 vc
2. The client also has the nursing diagnosis Decreased Cardiac Output related to decreas
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ed plasma volume. Which assessment finding supports this nursing diagnosis? 1. Flatten
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ed neck veins when the client is in the supine position 2. Full and bounding pedal and po
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st-
tibial pulses 3. Pitting edema located in the feet, ankles, and calves 4. Shallow respiratio
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ns with crackles on auscultation
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