PRIORITIZATION, DELEGATION, AND ASSIGNMENT IN NURSING NCLEX PRACTICE QUESTIONS AND ANSWERS VERIFIED

PRIORITIZATION, DELEGATION, AND ASSIGNMENT IN NURSING NCLEX PRACTICE QUESTIONS 1. A nurse is planning to delegate tasks to a a licensed practical nurse (LPN). Which of the following entities is important for the nurse to understand when delegating tasks to the LPN? Answers: The state Nurse Practice Act 2. A nurse on a med-surg unit is planning to delegate tasks to an adult volunteer. Which of the following tasks should the charge nurse avoid assigning to the volunteer Answers: observing a postoperative client who is confused 3. A nurse is planning to delegate a task to an assistive personnel. Which of the following actions should the nurse plan to take?Answers: Provide a clear description of the task to the AP 4. At the beginning of the shift, an RN is preparing assignments for a LPN and an AP. Which of the following tasks should the nurse assign to the LPN?Answers: inserting a NG tube for a client 5. A nurse is planning client care for herself and an AP. Which of the following should the nurse perform?Answers: Assessing a client's sacrum for edema 6. A nurse has several tasks to delegate to an AP. Which of the following should the AP perform firstAnswers: take an ABG specimen to the lab (others: transport to radiology, pass water, obtain urine sample) 7. A nurse is caring for four postop clients. The nurse can delegate vital signs to an AP for which of the following clients?Answers: a client who is 3 days postop following gastric bypass surgery (others 1 hr, 2 hr, 3 day craniotomy) 8. A nurse is planning to assign care activities to the AP on her team. Which of the following activities can the nurse assign to the AP?Answers: accompany a client who has depression to occupational therapy, check the position of a client in soft wrist restraints, sit with a client who has alcohol use disorder and whose last drink was 5 days ago 9. A nurse has received change-of-shift report and is delegating tasks to the AP. The nurse should tell the AP to complete which of the following tasks first?Answers: perform blood glucose monitoring of a client who has a prescription for short-acting insulin prior to breakfast (others: apply a condom catheter to a client who is incontinent, feed a client, deliver a clean voided urine specimen) 10. A nurse is caring for a group of clients. She plans to delegate obtaining morning vital signs to an AP on her team. Which of the following actions should the nurse plan to take?Answers: determine the time frame the AP should report the results 11. A nurse is receiving change-of shift report at the start of the shift. Which of the following statements by the nurse giving report indicates to the oncoming nurse that she should assume total care for the client, rather than assigning tasks to the AP?Answers: The client's blood pressure and pulse have been fluctuating throughout the day 12. A nurse in an acute care setting is planning care for a group of clients at the beginning of the shift. Which of the following tasks should the nurse assign to the AP?Answers: monitor vital signs of a client who had an appendectomy 12 hr ago (others: application of an antibiotic, obtaining medical information from a stable client, removal of NG tube) 13. A nurse is planning care for four clients and is assigning tasks to a LPN and an AP. Which of the following should the nurse assign to the LPN?Answers: Reinforce teaching to a client to begin taking enoxaparin at home following a hip arthroplasty (others: admission assessment- RN, measure I&O- AP, Develop a plan of care- RN) 14. A nurse asks the AP to take a specimen to the laboratory and the AP refuses. Which of the following actions should the nurse take?Answers: Ask the AP about her concerns with the assignment 15. An AP reports to the client who is 3 days postop following an abdominal hysterectomy has a dressing that is saturated with blood. Which of the following tasks should the nurse delegate to the AP?Answers: obtain vital signs 16. A charge nurse is reviewing the list of tasks that have been delegated to the AP by the staff nurse. Which of the following tasks should the charge nurse reassign to the licensed nurse?Answers: removing and cleaning the cannula of a client who has a new tracheostomy 17. A nurse is working with an AP to care for a group of clients on the pediatric unit. Which of the following tasks should the nurse have the AP perform first?Answers: check to see if the elbow restraint is in place for an infant who is postop from a surgical correction of cleft palate (others: collect a stool sample, engage a toddler in play, wash hair...) 18. A nurse and an experienced LPN are caring for a group of clients. Which of the following should the nurse delegate to the LPN?Answers: obtain vital signs, administer a tap-water enema to a client who is postop, catheterize a client who has not voided in 8 hr. (others: provide discharge teaching, initiate a plan of care...) 19. An RN is making nursing staff assignments for his team consisting of himself, two LPNs, and an AP. Which of the following clients should he assume responsibility forAnswers: client who is actively dying and requires IV pain medication 20. A nurse is planning to assign tasks for a group of clients. Which of the following tasks should the nurse plan to assign to an AP?Answers: ambulate an older client who has hypertension, weighing a client who has heart failure 21. A nurse is delegating client care assignments for the shift. Which of the following tasks should the nurse delegate to an AP?Answers: measure and record intake and output for a client 22. A nurse has assigned client care activities to an AP. Which of the following statements by the AP indicates a need for assistance in establishing priorities?Answers: "I have my assignment and will start with room 1, and then work my way to room 10"