Nursing Prioritization, Delegation, Assignment NCLEX-RN Practice Exam 3

Supervising a student nurse with a chest tube, which finding should be reported immediately?

The charge nurse is making assignments for the next shift. Which patient should be assigned to the fairly new nurse (6 months experience) pulled from the surgical unit to the medical unit?

The clinical instructor directed the student nurse to care for a client whose potassium is 6.7 mEq/L. Which intervention is delegated correctly to the student nurse?

The high-pressure alarm on a patient’s ventilator goes off. When you enter the room to assess the patient, who has ARDS, the oxygen saturation monitor reads 87% and the patient is struggling to sit up. Which action should you take next?

The nursing assistant tells you that a patient who is receiving oxygen at a flow rate of 6 L/min by nasal cannula is complaining of nasal passage discomfort. What intervention should you suggest to improve the patient’s comfort?

The patient with COPD has a nursing diagnosis of Ineffective Breathing Pattern. Which is an appropriate action to delegate to the experienced LPN under your supervision?

To improve respiratory status, which medication should you be prepared to administer to the newborn infant with respiratory distress syndrome (RDS)?

To prevent ventilator-associated pneumonia (VAP) in a patient with emphysema, which action is most important?

When a patient with TB is being prepared for discharge, which statement by the patient indicates the need for further teaching?

When assessing a 22-year-old patient who required emergency surgery and multiple transfusion 3 days ago, you find that the patient looks anxious and has labored respirations at the rate of 38 breaths/min. The oxygen saturation is 90% with oxygen delivery at 6 L/min via nasal cannula. Which action is most appropriate?

Which action can be delegated to a nursing assistant for a postoperative thoracotomy patient with Activity Intolerance?

Which action can be delegated to an experienced nursing assistant for a patient receiving mechanical ventilation?

Which client can a new graduate nurse manage independently?

Which client is appropriate for a new graduate nurse?

Which client is the highest priority for a nurse?

Which client requires immediate RN intervention?

Which client should a nurse see first in the morning?

Which client should the nurse assess first?

Which client should the nurse assess first?

Which client should the nurse assess first?