Nursing Prioritization, Delegation, Assignment NCLEX-RN Practice Exam – Mock test 1

Question 1

3-year-old post-tonsillectomy. Which finding requires most immediate follow-up?

Accepted Answer

a) Frequent swallowing

Answer

b) Hypotonic bowel sounds

Answer

c) Complaints of sore throat

Answer

d) Heart rate 112

Question 2

A 16-year-old patient with cystic fibrosis is admitted with increased shortness of breath and possible pneumonia. Which nursing activity is most important to include in the patient’s care?

Accepted Answer

d) Perform postural drainage and chest physiotherapy every 4 hours.

Answer

a) Allow the patient to decide whether she needs aerosolized medications.

Answer

b) Place the patient in a private room to decrease the risk of further infection.

Answer

c) Plan activities to allow at least 8 hours of uninterrupted sleep.

Question 3

A client develops sudden chest pain. Which action should the nurse take first?

Accepted Answer

c) Assess the client’s vital signs and cardiac status

Answer

a) Notify the physician

Answer

b) Administer pain medication

Answer

d) Document the findings

Question 4

A client develops sudden shortness of breath. What is the nurse's first action?

Accepted Answer

b) Administer oxygen

Answer

a) Notify the healthcare provider

Answer

c) Assess lung sounds

Answer

d) Document the finding

Question 5

A client presents to the emergency room with dyspnea, chest pain, and syncope. The nurse notes that the client is pale, diaphoretic, BP 90/60, respirations 33, anxious, and fearing death. Which action should the nurse take first?

Accepted Answer

d) Administer oxygen via nasal cannula

Answer

a) Administer pain medications

Answer

b) Administer IV fluids

Answer

c) Administer dopamine

Question 6

A nurse assigns a task to LPN. Which action by LPN is inappropriate?

Accepted Answer

c) Developing a care plan independently

Answer

a) Administering oral medications

Answer

b) Performing a dressing change on a stable wound

Answer

d) Reporting client response to RN

Question 7

A nurse delegates ambulation to a nursing assistant. Which statement by the NA indicates understanding?

Accepted Answer

b) “I will assist the client with walking in the hallway.”

Answer

a) “I will teach the client to ambulate safely.”

Answer

c) “I will determine how far the client should walk.”

Answer

d) “I will evaluate the client’s endurance and report to you.”

Question 8

A nurse enters a room and finds a patient lying face down on the floor and bleeding from a gash in the head. Which action should the nurse perform first?

Accepted Answer

a) Determine the level of consciousness

Answer

b) Push the call button for help

Answer

c) Turn the client face up to assess

Answer

d) Get the nursing assistant to stay while calling physician

Question 9

A nurse has 4 clients. Which is appropriate to delegate to an LPN?

Accepted Answer

b) Performing a dressing change on a stable post-op patient

Answer

a) Educating a post-op patient about wound care

Answer

c) Developing the care plan for a new admission

Answer

d) Performing a comprehensive assessment

Question 10

A nurse is assigning care for a post-op unit. Which client is most appropriate for a new graduate nurse?

Accepted Answer

b) Post-op day 2, stable with pain management

Answer

a) Post-op day 1, unstable vitals

Answer

c) New admission with chest pain

Answer

d) Client requiring complex IV medication titration

Question 11

A nurse is assigning patients to staff. Which patient is appropriate for a licensed practical nurse (LPN)?

Accepted Answer

b) Patient with a stable condition needing routine care

Answer

a) Patient requiring a comprehensive assessment

Answer

c) Patient with a new diagnosis requiring teaching

Answer

d) Patient requiring complex medication management

Question 12

A nurse is assigning patients to staff. Which patient is appropriate for a licensed practical nurse (LPN)?

Accepted Answer

b) Patient with a stable condition needing routine care

Answer

a) Patient requiring a comprehensive assessment

Answer

c) Patient with a new diagnosis requiring teaching

Answer

d) Patient requiring complex medication management

Question 13

A nurse is assigning patients to staff. Which patient is appropriate for a new graduate nurse?

Accepted Answer

c) Stable patient with routine medication administration

Answer

a) Post-operative patient with unstable vital signs

Answer

b) Patient requiring complex wound care

Answer

d) Patient with a new diagnosis of diabetes

Question 14

A nurse is assigning patients to staff. Which patient is appropriate for a new graduate nurse?

Accepted Answer

c) Stable patient with routine medication administration

Answer

a) Patient with unstable vital signs

Answer

b) Patient requiring complex wound care

Answer

d) Patient with a new diagnosis requiring teaching

Question 15

A nurse is caring for 3 clients. Which client should the nurse see first?

Accepted Answer

c) A client with a sudden change in mental status

Answer

a) A client scheduled for discharge

Answer

b) A client who is anxious about surgery

Answer

d) A client with a dressing change scheduled

Question 16

A nurse is caring for 4 clients. Which client should the nurse see first?

Accepted Answer

b) Client with new-onset shortness of breath

Answer

a) Post-op patient with mild pain

Answer

c) Patient scheduled for discharge today

Answer

d) Client with stable chronic diabetes

Question 17

A nurse is delegating tasks. Which statement is correct?

Accepted Answer

b) “I am delegating this task, but report any abnormal findings to me immediately.”

Answer

a) “You can assess all clients independently.”

Answer

c) “You should teach the patient new discharge instructions.”

Answer

d) “You are responsible for the care plan.”

Question 18

A nurse is prioritizing care for four clients. Which client should the nurse see first?

Accepted Answer

c) Client with a new onset of confusion

Answer

a) Client with chronic pain

Answer

b) Client requesting a bed bath

Answer

d) Client needing assistance with ambulation

Question 19

A nurse is prioritizing care for four clients. Which client should the nurse see first?

Accepted Answer

c) Client with a new onset of confusion

Answer

a) Client with chronic pain

Answer

b) Client requesting a bed bath

Answer

d) Client needing assistance with ambulation

Question 20

A nurse must assign clients on a medical-surgical unit. Which client is most appropriate for an LPN?

Accepted Answer

b) Stable post-op with routine care needs

Answer

a) New post-op with bleeding risk

Answer

c) Client with chest pain

Answer

d) Client requiring complex IV titration