1
NCLEX PN Exam Bank Time Management and
Delegation in Long Term Settings
Table of Contents
Subtopic 1: Principles of Effective Time Management in Long-Term Care........2
Subtopic 2: Delegation Principles and Legal Boundaries for PNs in Long-Term
Settings............................................................................................................9
Subtopic 3: Communication, Collaboration, and Shift Coordination in
Delegation.....................................................................................................17
Subtopic 4: Prioritization of Care Across Multiple Residents in Long-Term
Settings..........................................................................................................25
Subtopic 5: Delegation and Safety Considerations for High-Risk Residents. .32
Subtopic 6: Managing Time and Delegation in Emergency or Unexpected
Situations.......................................................................................................40
Subtopic 7: Effective Shift Handover and Delegation Across Shifts...............48
, 2
Subtopic 1: Principles of Effective Time
Management in Long-Term Care
Question 1
A practical nurse (PN) working in a long-term care facility is planning care for
four residents. Which task should the nurse complete first?
A. Assist a resident with dressing for breakfast
B. Administer scheduled morning insulin
C. Respond to a resident who is short of breath
D. Document care provided during the night shift
Correct answer: C
Rationale: Airway and breathing take priority according to Maslow’s hierarchy
and the ABCs (Airway, Breathing, Circulation). The nurse should address life-
threatening issues first.
Question 2
Which strategy is most effective for a PN to manage time when caring for
multiple residents?
A. Performing all tasks personally
B. Prioritizing based on the resident’s family expectations
C. Checking off tasks as they are completed
D. Grouping similar tasks for efficiency
Correct answer: D
Rationale: Grouping tasks (e.g., administering medications or taking vital
signs for several residents at once) improves time management and reduces
unnecessary movement.
Question 3
, 3
A PN on the night shift notices that a resident has not received bedtime care.
What is the best initial action?
A. Provide the bedtime care immediately
B. Report the issue to the director of nursing
C. Document the missed care and do nothing
D. Wake up the resident for a full bath
Correct answer: A
Rationale: Providing the missed care promptly ensures resident comfort and
maintains standard care delivery.
Question 4
What is the best way for a PN to ensure all residents receive care in a timely
manner?
A. Focus only on urgent care tasks
B. Create a written schedule of tasks for the shift
C. Ask the nurse manager to assign a care plan
D. Wait until all residents are awake to begin care
Correct answer: B
Rationale: A written schedule organizes tasks, avoids oversight, and helps
the nurse stay focused and efficient.
Question 5
A resident frequently calls the nurse for non-urgent issues. What is the most
time-efficient approach?
A. Ignore the calls
B. Address the resident’s concerns during routine rounds
C. Explain to the resident they are using too much time
D. Request family intervention
, 4
Correct answer: B
Rationale: Combining the response to non-urgent requests with routine
checks promotes efficiency and meets resident needs.
Question 6
Which tool is most helpful to a PN when organizing their shift?
A. A shift worksheet or task checklist
B. A resident’s social calendar
C. A charting schedule
D. Medication administration records only
Correct answer: A
Rationale: A checklist keeps the nurse on track and ensures no tasks are
missed during the shift.
Question 7
A PN is interrupted frequently during documentation. What should they do to
manage time better?
A. Document everything at the end of the shift
B. Find a quiet area to chart during designated times
C. Ask other staff to stop interrupting
D. Complete documentation only if a supervisor asks
Correct answer: B
Rationale: Designating quiet time in a quiet space minimizes interruptions
and ensures accurate documentation.
Question 8
Which task should a PN delegate to a CNA to improve time efficiency?
A. Assisting with morning hygiene for stable residents
NCLEX PN Exam Bank Time Management and
Delegation in Long Term Settings
Table of Contents
Subtopic 1: Principles of Effective Time Management in Long-Term Care........2
Subtopic 2: Delegation Principles and Legal Boundaries for PNs in Long-Term
Settings............................................................................................................9
Subtopic 3: Communication, Collaboration, and Shift Coordination in
Delegation.....................................................................................................17
Subtopic 4: Prioritization of Care Across Multiple Residents in Long-Term
Settings..........................................................................................................25
Subtopic 5: Delegation and Safety Considerations for High-Risk Residents. .32
Subtopic 6: Managing Time and Delegation in Emergency or Unexpected
Situations.......................................................................................................40
Subtopic 7: Effective Shift Handover and Delegation Across Shifts...............48
, 2
Subtopic 1: Principles of Effective Time
Management in Long-Term Care
Question 1
A practical nurse (PN) working in a long-term care facility is planning care for
four residents. Which task should the nurse complete first?
A. Assist a resident with dressing for breakfast
B. Administer scheduled morning insulin
C. Respond to a resident who is short of breath
D. Document care provided during the night shift
Correct answer: C
Rationale: Airway and breathing take priority according to Maslow’s hierarchy
and the ABCs (Airway, Breathing, Circulation). The nurse should address life-
threatening issues first.
Question 2
Which strategy is most effective for a PN to manage time when caring for
multiple residents?
A. Performing all tasks personally
B. Prioritizing based on the resident’s family expectations
C. Checking off tasks as they are completed
D. Grouping similar tasks for efficiency
Correct answer: D
Rationale: Grouping tasks (e.g., administering medications or taking vital
signs for several residents at once) improves time management and reduces
unnecessary movement.
Question 3
, 3
A PN on the night shift notices that a resident has not received bedtime care.
What is the best initial action?
A. Provide the bedtime care immediately
B. Report the issue to the director of nursing
C. Document the missed care and do nothing
D. Wake up the resident for a full bath
Correct answer: A
Rationale: Providing the missed care promptly ensures resident comfort and
maintains standard care delivery.
Question 4
What is the best way for a PN to ensure all residents receive care in a timely
manner?
A. Focus only on urgent care tasks
B. Create a written schedule of tasks for the shift
C. Ask the nurse manager to assign a care plan
D. Wait until all residents are awake to begin care
Correct answer: B
Rationale: A written schedule organizes tasks, avoids oversight, and helps
the nurse stay focused and efficient.
Question 5
A resident frequently calls the nurse for non-urgent issues. What is the most
time-efficient approach?
A. Ignore the calls
B. Address the resident’s concerns during routine rounds
C. Explain to the resident they are using too much time
D. Request family intervention
, 4
Correct answer: B
Rationale: Combining the response to non-urgent requests with routine
checks promotes efficiency and meets resident needs.
Question 6
Which tool is most helpful to a PN when organizing their shift?
A. A shift worksheet or task checklist
B. A resident’s social calendar
C. A charting schedule
D. Medication administration records only
Correct answer: A
Rationale: A checklist keeps the nurse on track and ensures no tasks are
missed during the shift.
Question 7
A PN is interrupted frequently during documentation. What should they do to
manage time better?
A. Document everything at the end of the shift
B. Find a quiet area to chart during designated times
C. Ask other staff to stop interrupting
D. Complete documentation only if a supervisor asks
Correct answer: B
Rationale: Designating quiet time in a quiet space minimizes interruptions
and ensures accurate documentation.
Question 8
Which task should a PN delegate to a CNA to improve time efficiency?
A. Assisting with morning hygiene for stable residents
