NCLEX RN prioritization delegation assignment EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

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Exam Solution uy




Prioritization Delegation and Assignment Exercises for uy uy uy uy uy uy




the NCLEX ® Examination 2026 A+ GRADE ASSURED CO
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MPLETE SOLUTIONS AND VERIFIED ANSWERS (6FBBC) uy uy uy uy uy




QUESTION 1 uy




Term
ANSWER

Definition



QUESTION 2 uy




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 nonstero
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idal anti- uy



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. Corticoste
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roids are for pain associated with inflammation. Hydromorphone is a stronger opioid, and it is not the
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first choice for chronic pain that can be managed with other drugs. Lorazepam is an anxiolytic that ma
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y be ordered as an adjuvant nedication. Focus: Prioritization LaCharity, Linda A.; Kumagai, Candice K.;
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Bartz, Barbara (2013-11- uy uy



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 3 uy




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 progress
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ive 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 gener
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ous. Fibromyalgia is more likely to be treated with nonopioid and adjuvant medications. Trigeminal ne
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uralgia is treated with antiseizure medications such as carbamazepine (Tegretol). Phantom limb pain u
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sually subsides after ambulation begins. Focus: Prioritization LaCharity, Linda A.; Kumagai, Candice K.;
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Bartz, 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 uy




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
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feedings 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 o
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bserve response to treatments and to help the patient deal with loss or anxiety. The UAP can be direct
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ed to weigh the patient but should not be expected to know when to initiate that measurement. Focus:
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Delegation 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). Elsevi
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er Health Sciences. Kindle Edition.
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QUESTION 5 uy




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.
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A young African-
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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
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of 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). Elsevi
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er Health Sciences. Kindle Edition.
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QUESTION 6 uy




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 p
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ost-
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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