Nursing Prioritization, Delegation, Assignment NCLEX-RN Practice Exam 4

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Question 1 of 10 10% complete

You are reviewing immunizations with the caregiver of a 72-year-old client with cerebrovascular disease. Which immunization is a priority?

a) Hepatitis A vaccine

b) Lyme’s disease vaccine

c) Hepatitis B vaccine

d) Pneumococcal vaccine

You are assessing a patient with chronic emphysema receiving 5 L/min oxygen via nasal cannula. Which finding is most concerning?

a) Fine bibasilar crackles

b) Respiratory rate 8 breaths/min

c) Patient sits up and leans over

d) Large barrel chest

You are admitting a patient for whom pulmonary embolism must be ruled out. Which finding supports the diagnosis?

a) Recently in a motor vehicle accident

b) Participated in aerobic exercise for 6 months

c) Gave birth 1 year ago

d) Bed rest for 6 hours after procedure

Which task is appropriate to delegate to a nursing assistant?

a) Administering oral medications

b) Assisting with feeding a stable patient

c) Performing a sterile dressing change

d) Developing a care plan

Which task is appropriate to delegate to a nursing assistant?

a) Administering oral medications

b) Assisting with feeding a stable patient

c) Performing a sterile dressing change

d) Developing a care plan

Which task is appropriate to delegate to a licensed practical nurse (LPN)?

a) Performing an initial assessment

b) Administering IV push medications

c) Monitoring vital signs of a stable patient

d) Developing a care plan

Which task is appropriate to assign to a nursing assistant?

a) Take vital signs of a stable patient

b) Administer subcutaneous insulin

c) Provide teaching on diet for diabetics

d) Assess for signs of infection at surgical site

Which task can be safely delegated to a nursing assistant for a stable patient?

a) Feeding

b) IV medication administration

c) Patient teaching

d) Performing an assessment

Which task can a registered nurse delegate to a licensed practical nurse (LPN)?

a) Administering IV push medications

b) Performing client teaching for new insulin regimen

c) Monitoring vital signs for a stable client

d) Performing an initial assessment on admission

Which task can a nurse delegate to a nursing assistant?

a) Administering oral medications

b) Assisting with ambulation

c) Performing a head-to-toe assessment

d) Educating a patient on discharge instructions

Which task can a nurse delegate to a nursing assistant?

a) Administering subcutaneous insulin

b) Assisting with ambulation

c) Performing a head-to-toe assessment

d) Educating a patient on discharge instructions

Which task can a nurse delegate to a nursing assistant?

a) Administering oral medications

b) Assessing lung sounds

c) Assisting with a bed bath

d) Developing a care plan

Which task can a nurse delegate to a licensed practical nurse (LPN)?

a) Performing a comprehensive assessment

b) Administering IV push medications

c) Monitoring a stable patient's vital signs

d) Developing a care plan

Which statement reflects correct delegation?

a) “The NA can perform an assessment.”

b) “The LPN will administer IV push medications.”

c) “The NA will assist with ambulation and report any changes.”

d) “The LPN will teach the patient about insulin administration independently.”

Which principle guides delegation in nursing?

a) Always delegate all tasks

b) Delegate tasks within the scope of practice of the person

c) Only delegate routine tasks

d) Never delegate care of unstable clients

Which of the following tasks can be delegated to a nursing assistant (NA)?

a) Administering oral medications

b) Assisting a patient with ambulation

c) Performing a head-to-toe assessment

d) Educating a client about discharge instructions

Which is an appropriate task for an LPN in a long-term care facility?

a) Developing the care plan

b) Administering oral medications

c) Performing initial admission assessment

d) Providing complex client education

Which factor is most important when prioritizing care?

a) Client’s insurance status

b) Client’s social preferences

c) Life-threatening conditions first

d) Convenience of staff

Which cough enhancement intervention can be delegated to a nursing assistant for a patient with pneumonia?

a) Teach about hydration

b) Assist patient to sitting position

c) Remind patient to use incentive spirometer

d) Encourage deep breath and cough

Which client should the nurse see first after receiving report?

a) Client with controlled chronic pain

b) Client with new shortness of breath and low O2 saturation

c) Client needing morning hygiene care

d) Client scheduled for routine lab tests

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