Prioritization , Delegation , And Assignment Practice Exercises For The NCLEX ® Examination Questions With Correct Answers. 1. hhYou hare hthe hcharge hnurse. hA hclient hwith hchronic hpain hreports hto hyou hthat hthe hnurses hhave hnot hbeen hresponding hto hrequests hfor hpain hmedication. hWhat his hyour hinitial haction? h 1. hCheck hthe hmedication hadministration hrecords h(MARs) hfor hthe hpast hseveral hdays. h 2. hAsk hthe hnurse heducator hto hprovide hin-service htraining habout hpain hmanagement. h 3. hPerform ha hcomplete hpain hassessment hon hthe hclient hand htake ha hpain hhistory. h 4. hHave ha hconference hwith hthe hnurses hresponsible hfor hthe hcare hof hthis hclient. h- h h h hcorrect hanswer.1. hAns: h4 hAs hcharge hnurse, hyou hmust hassess hthe hperformance hand hattitude hof hthe hstaff hin hrelation hto hthis hclient. hAfter hdata hare hgathered hfrom hthe hnurses, hadditional hinformation hcan hbe hobtained hfrom hthe hrecords hand hthe hclient has hnecessary. hThe heducator hmay hbe hof hassistance hif ha hknowledge hdeficit hor hneed hfor hperformance himprovement his hthe hproblem. hFocus: hSupervision, hprioritization LaCharity, hLinda hA.; hKumagai, hCandice hK.; hBartz, hBarbara h(2013 -11-22). hPrioritization, hDelegation, hand hAssignment: hPractice hExcercises hfor hthe hNCLEX hExam h(p. h3). hElsevier hHealth hSciences. hKindle hEdition. 2. hFamily hmembers hare hencouraging hyour hclient hto h"tough hout hthe hpain" hrather hthan hrisk hdrug haddiction hto hnarcotics. hThe hclient his hstoically habiding. hYou hrecognize hthat hthe hsociocultural hdimension hof hpain his hthe hcurrent hpriority hfor hthe hclient. hWhich hquestion hwill hyou hask? h 1. h" hWhere his hthe hpain hlocated, hand hdoes hit hradiate hto hother hparts hof hyour hbody?" h 2. h" hHow hwould hyou hdescribe hthe hpain, hand hhow his hit haffecting hyou?" h 3. h" hWhat hdo hyou hbelieve habout hpain hmedication hand hdrug haddiction?" h 4. h" hHow his hthe hpain haffecting hyour hactivity hlevel hand hyour hability hto hfunction?" h 5. h" hWhat hinformation hdo hyou hneed habout hpain, hhealing, hand haddiction?" h- h h h hcorrect hanswer.2. hAns: h3 hBeliefs, hattitudes, hand hfamilial hinfluence hare hpart hof hthe hsociocultural hdimension hof hpain. hLocation hand hradiation hof hpain haddress hthe hsensory hdimension. hDescribing hpain hand hits heffects haddresses hthe haffective hdimension. hActivity hlevel hand hfunction haddress hthe hbehavioral hdimension. hAsking habout hknowledge haddresses hthe hcognitive hdimension. hFocus: hPrioritization h3. h LaCharity, hLinda hA.; hKumagai, hCandice hK.; hBartz, hBarbara h(2013 -11-22). hPrioritization, hDelegation, hand hAssignment: hPractice hExcercises hfor hthe hNCLEX hExam h(p. h3). hElsevier hHealth hSciences. hKindle hEdition. 3. hA hclient hwith hdiabetic hneuropathy hreports ha hburning, helectrical -type hpain hin hthe hlower hextremities hthat his hworse hat hnight hand hnot hresponding hto hnonsteroidal hanti-inflammatory hdrugs. hWhich hmedication hwill hyou hadvocate hfor hfirst? h 1. hGabapentin h(Neurontin) h 2. hCorticosteroids h 3. hHydromorphone h(Dilaudid) h 4. hLorazepam h(Ativan) h- h h h hcorrect hanswer.3. hAns: h1 hGabapentin his han hantiepileptic hdrug, hbut hit his halso hused hto htreat hdiabetic hneuropathy. hCorticosteroids hare hfor hpain hassociated hwith hinflammation. hHydromorphone his ha hstronger hopioid, hand hit his hnot hthe hfirst hchoice hfor hchronic hpain hthat hcan hbe hmanaged hwith hother hdrugs. hLorazepam his han hanxiolytic hthat hmay hbe hordered has han hadjuvant hnedication. hFocus: hPrioritization LaCharity, hLinda hA.; hKumagai, hCandice hK.; hBartz, hBarbara h(2013 -11-22). hPrioritization, hDelegation, hand hAssignment: hPractice hExcercises hfor hthe hNCLEX hExam h(p. h3). hElsevier hHealth hSciences. hKindle hEdition. 4. hWhich hclient his hmost hlikely hto hreceive hopioids hfor hextended hperiods hof htime? h 1. hA hclient hwith hfibromyalgia h 2. hA hclient hwith hphantom hlimb hpain hin hthe hleg h 3. hA hclient hwith hprogressive hpancreatic hcancer h 4. hA hclient hwith htrigeminal hneuralgia h- h h h hcorrect hanswer.4. hAns: h3 hCancer hpain hgenerally hworsens hwith hdisease hprogression, hand hthe huse hof hopioids his hmore hgenerous. hFibromyalgia his hmore hlikely hto hbe htreated hwith hnonopioid hand hadjuvant hmedications. hTrigeminal hneuralgia his htreated hwith hantiseizure hmedications hsuch has hcarbamazepine h(Tegretol). hPhantom hlimb hpain husually hsubsides hafter hambulation hbegins. hFocus: hPrioritization LaCharity, hLinda hA.; hKumagai, hCandice hK.; hBartz, hBarbara h(2013 -11-22). hPrioritization, hDelegation, hand hAssignment: hPractice hExcercises hfor hthe hNCLEX hExam h(p. h3). hElsevier hHealth hSciences. hKindle hEdition. 5. hAs hthe hcharge hnurse, hyou hare hreviewing hthe hcharts hof hclients hwho hwere hassigned hto hthe hcare hof ha hnewly hgraduated hRN. hThe hRN hhas hcorrectly hcharted hdose hand htime hof hmedication, hbut hthere his hno hdocumentation hregarding hnonpharmaceutical hmeasures. hWhat haction hshould hyou htake hfirst? h 1. hMake ha hnote hin hthe hnurse's hfile hand hcontinue hto hobserve hclinical hperformance. h 2. hRefer hthe hnew hnurse hto hthe hin-service heducation hdepartment. h 3. hQuiz hthe hnurse habout hknowledge hof hpain hmanagement hand hpharmacology. h 4. hGive hpraise hfor hcorrectly hcharting hthe hdose hand htime hand hdiscuss hthe hdeficits hin hcharting. h- h h h hcorrect hanswer.5. hAns: h4 hIn hsupervision hof hthe hnew hRN, hgood hperformance hshould hbe hreinforced hfirst hand hthen hareas hof himprovement hcan hbe haddressed. hAsking hthe hnurse habout hknowledge hof hpain hmanagement his halso han hoption; hhowever, hit hwould hbe ha hmore hindirect hand htime -consuming happroach. hMaking ha hnote hand hwatching hdo hnot hhelp hthe hnurse hto hcorrect hthe himmediate hproblem. hIn-service htraining hmight hbe hconsidered hif hthe hproblem hpersists. hFocus: hSupervision, hdelegation LaCharity, hLinda hA.; hKumagai, hCandice hK.; hBartz, hBarbara h(2013 -11-22). hPrioritization, hDelegation, hand hAssignment: hPractice hExcercises hfor hthe hNCLEX hExam h(p. h3). hElsevier hHealth hSciences. hKindle hEdition. 1. hYou hare hcaring hfor ha hpatient hwith hesophageal hcancer. hWhich htask hcould hbe hdelegated hto ha hUAP? h 1. hAssisting hthe hpatient hwith horal hhygiene h 2. hObserving hthe hpatient's hresponse hto hfeedings h 3. hFacilitating hexpression hof hgrief hor hanxiety h 4. hInitiating hdaily hweighings h- h h h hcorrect hanswer.1. hAns: h1 hOral hhygiene his hwithin hthe hscope hof hduties hof hthe hUAP . hIt his hthe hresponsibility hof hthe hnurse hto hobserve hresponse hto htreatments hand hto hhelp hthe hpatient hdeal hwith hloss hor hanxiety. hThe hUAP hcan hbe hdirected hto hweigh hthe hpatient hbut hshould hnot hbe hexpected hto hknow hwhen hto hinitiate hthat hmeasurement. hFocus: hDelegation LaCharity, hLinda hA.; hKumagai, hCandice hK.; hBartz, hBarbara h(2013 -11-22). hPrioritization, hDelegation, hand hAssignment: hPractice hExcercises hfor hthe hNCLEX hExam h(p. h168). hElsevier hHealth hSciences. hKindle hEdition. 2. hA h56-year -old hpatient hcomes hto hthe hwalk -in hclinic hreporting hscant hrectal hbleeding hand hintermittent hdiarrhea hand hconstipation hfor hthe hpast hseveral hmonths. hThere his ha hhistory hof hpolyps hand ha hfamily hhistory hof hcolorectal hcancer. hWhile hyou hare htrying hto hteach habout hcolonoscopy, hthe hpatient hbecomes hangry hand hthreatens hto hleave. hWhat his hthe hpriority hdiagnosis? h 1. hDiarrhea/ hConstipation hrelated hto haltered hbowel hpatterns h2. hDeficient hKnowledge hrelated hto hthe hdisease hprocess hand hdiagnostic hprocedure h 3. hRisk hfor hDeficient hFluid hVolume hrelated hto hrectal hbleeding hand hdiarrhea h 4. hAnxiety hrelated hto hunknown houtcomes hand hperceived hthreats hto hbody hintegrity h- h h h hcorrect hanswer.2. hAns: h4 hThe hpatient's hphysical hcondition his hcurrently hstable, hbut hemotional hneeds hare haffecting hhis hor hher hability hto hreceive hthe hinformation hrequired hto hmake han hinformed hdecision. hThe hother hdiagnoses hare hrelevant, hbut hif hthe hpatient hleaves hthe hclinic hthe hinterventions hmay hbe hdelayed hor hignored. hFocus: hPrioritization LaCharity, hLinda hA.; hKumagai, hCandice hK.; hBartz, hBarbara h(2013 -11-22). hPrioritization, hDelegation, hand hAssignment: hPractice hExcercises hfor hthe hNCLEX hExam h(p. h168). hElsevier hHealth hSciences. hKindle hEdition. 3. hWhich hpatient his hat hgreatest hrisk hfor hpancreatic hcancer? h1. hAn helderly hAfrican -American hman hwho hsmokes h 2. hA hyoung hwhite hobese hwoman hwith hgallbladder hdisease h3. hA hyoung hAfrican -American hman hwith htype h1 hdiabetes h 4. hAn helderly hwhite hwoman hwho hhas hpancreatitis h- h h h hcorrect hanswer.3. hAns: h1 hPancreatic hcancer his hmore hcommon hin hAfrican -Americans, hmales, hand hsmokers. hOther hassociated hfactors hinclude halcohol huse, hdiabetes, hobesity, hhistory hof hpancreatitis, hexposure hto horganic hchemicals, hconsumption hof ha hhigh -
fat hdiet, hand hprevious habdominal hirradiation. hFocus: hPrioritization LaCharity, hLinda hA.; hKumagai, hCandice hK.; hBartz, hBarbara h(2013 -11-22). hPrioritization, hDelegation, hand hAssignment: hPractice hExcercises hfor hthe hNCLEX hExam h(p. h168). hElsevier hHealth hSciences. hKindle hEdition. 4. hPatients hreceiving hchemotherapy hare hat hrisk hfor hthrombocytopenia hrelated hto hchemotherapy hor hdisease hprocesses. hWhich hactions hare hneeded hfor hpatients hwho hmust hbe hplaced hon hbleeding hprecautions? h(Select hall hthat happly.) h 1. hProvide hmouthwash hwith halcohol hfor horal hrinsing. h 2. hUse hpaper htape hon hfragile hskin. h 3. hProvide ha hsoft htoothbrush hor horal hsponge. h 4. hGently hinsert hrectal hsuppositories. h 5. hAvoid haspirin hor haspirin -containing hproducts. h 6. hAvoid hoverinflation hof hblood hpressure hcuffs. h 7. hPad hsharp hcorners hof hfurniture. h- h h h hcorrect hanswer.4. hAns: h2, h3, h5, h6, h7 hMouthwash hshould hnot hinclude halcohol, hbecause hit hhas ha hdrying haction hthat hleaves hmucous hmembranes hmore hvulnerable.
fat hdiet, hand hprevious habdominal hirradiation. hFocus: hPrioritization LaCharity, hLinda hA.; hKumagai, hCandice hK.; hBartz, hBarbara h(2013 -11-22). hPrioritization, hDelegation, hand hAssignment: hPractice hExcercises hfor hthe hNCLEX hExam h(p. h168). hElsevier hHealth hSciences. hKindle hEdition. 4. hPatients hreceiving hchemotherapy hare hat hrisk hfor hthrombocytopenia hrelated hto hchemotherapy hor hdisease hprocesses. hWhich hactions hare hneeded hfor hpatients hwho hmust hbe hplaced hon hbleeding hprecautions? h(Select hall hthat happly.) h 1. hProvide hmouthwash hwith halcohol hfor horal hrinsing. h 2. hUse hpaper htape hon hfragile hskin. h 3. hProvide ha hsoft htoothbrush hor horal hsponge. h 4. hGently hinsert hrectal hsuppositories. h 5. hAvoid haspirin hor haspirin -containing hproducts. h 6. hAvoid hoverinflation hof hblood hpressure hcuffs. h 7. hPad hsharp hcorners hof hfurniture. h- h h h hcorrect hanswer.4. hAns: h2, h3, h5, h6, h7 hMouthwash hshould hnot hinclude halcohol, hbecause hit hhas ha hdrying haction hthat hleaves hmucous hmembranes hmore hvulnerable.