NCLEX RN PRIORITIZATION DELEGATION
AND ASSIGNMENT FINAL REVIEW
MANUAL 2026 TESTED QUESTIONS
CORRECT ANSWERS
● Which clients must be assigned to an experienced RN?
(Select all that
apply.)
1. Client who was in an automobile crash and sustained multiple injuries
2. Client with chronic back pain related to a workplace injury
3. Client who has returned from surgery and has a chest tube in place
4. Client with abdominal cramps related to food poisoning
5. Client with a severe headache of unknown origin
6. Client with chest pain who has a history of arteriosclerosis. Answer:
● You have received the shift report from the night nurse. Prioritize the
order in which you will check on the following clients.
1. Adolescent who is alert and oriented. He was admitted 2 days ago for
treatment of meningitis. He reports a continuous headache that is
partially relieved by medication.
2. Elderly man who underwent total knee replacement surgery 2 days
,ago. He is using the patient-controlled analgesia (PCA) pump
frequently with good relief and occasionally asks for bolus doses.
3. Middle-aged woman who is demanding and needy. She was admitted
for investigation of functional abdominal pain and is scheduled for
diagnostic testing this morning.
4. Elderly woman with advanced Alzheimer disease who requires total
care for all activities of daily living (ADLs). She struggles during any
type of nursing care and it is difficult to assess her subjective
symptoms. She is awaiting transfer to a long-term care facili. Answer:
● On the first day after surgery, a client receiving an analgesic via PCA
pump reports that the pain control is inadequate. What is the first action
you should take?
1. Deliver the bolus dose per standing order.
2. Contact the physician to increase the dose.
3. Try nonpharmacologic comfort measures.
4. Assess the pain for location, quality, and intensity.. Answer:
● Which clients can be appropriately assigned to an LPN/LVN who will
function under the supervision of an RN or team leader? Select all that
apply.)
1. Client who needs preoperative teaching for the use of a PCA pump
,2. Client with a leg cast who needs neurologic and circulatory checks
and PRN hydrocodone
3. Client who underwent a toe amputation and has diabetic neuropathic
pain
4. Client with terminal cancer and severe pain who is refusing
medication
5. Client who reports abdominal pain after being kicked, punched, and
beaten
6. Client with arthritis who needs scheduled pain medications and heat
applications. Answer:
● You are caring for a client who had abdominal surgery yesterday. The
client is restless and anxious and tells you that the pain is getting worse
despite the pain medication. Physical assessment findings include the
following: temperature, 100.3° F (38° C); pulse rate, 110 beats/min;
respiratory rate, 24 breaths/min; and blood pressure, 140/90 mm Hg. The
abdomen is rigid and tender to the touch. You decide to notify the
client's provider. Place the following report information in the correct
order according to the SBAR format.
1. "He is restless and anxious: temperature is 100.3° F (38° C); pulse is
110 beats/min; respiratory rate is 24 breaths/min; blood pressure is
140/90 mm Hg. Abdomen is rigid and tender to touch with hypoactive
bowel sounds."
2. "He had abdominal surgery yesterday. He is on PCA morphine, but he
says the pain is getting progressively worse."
3. "I have tried to make him comfortable and he is willi. Answer:
, ● Which clients can be appropriately assigned to a newly graduated RN
who has recently completed orientation?
(Select all that apply.)
1. Anxious client with chronic pain who frequently uses the call button
2. Client on the second postoperative day who needs pain medication
before dressing changes
3. Client with human immunodeficiency virus (HIV) infection who
reports headache and abdominal and pleuritic chest pain
4. Client with chronic pain who is to be discharged with a new
surgically- implanted catheter
5. Client who is reporting pain at the site of a peripheral IV line
6. Client with a kidney stone who needs frequent PRN pain medication.
Answer:
● A patient needs Klonopin 1 mg PO. The pharmacy delivers clonidine
0.1 mg tablets. A nursing student asks you if Klonopin and clonidine are
two different names for the same drug. Place the following steps in the
correct sequence so that you can teach the nursing student how ti prevent
medication errors.
A. Advise the pharmacy of any corrections as appropriate
B. Recognize the "look-alike, sound-alike" drugs increase the chances of
error
C. Consult a medication book to verify the purpose of the drugs and
generic and brand names
AND ASSIGNMENT FINAL REVIEW
MANUAL 2026 TESTED QUESTIONS
CORRECT ANSWERS
● Which clients must be assigned to an experienced RN?
(Select all that
apply.)
1. Client who was in an automobile crash and sustained multiple injuries
2. Client with chronic back pain related to a workplace injury
3. Client who has returned from surgery and has a chest tube in place
4. Client with abdominal cramps related to food poisoning
5. Client with a severe headache of unknown origin
6. Client with chest pain who has a history of arteriosclerosis. Answer:
● You have received the shift report from the night nurse. Prioritize the
order in which you will check on the following clients.
1. Adolescent who is alert and oriented. He was admitted 2 days ago for
treatment of meningitis. He reports a continuous headache that is
partially relieved by medication.
2. Elderly man who underwent total knee replacement surgery 2 days
,ago. He is using the patient-controlled analgesia (PCA) pump
frequently with good relief and occasionally asks for bolus doses.
3. Middle-aged woman who is demanding and needy. She was admitted
for investigation of functional abdominal pain and is scheduled for
diagnostic testing this morning.
4. Elderly woman with advanced Alzheimer disease who requires total
care for all activities of daily living (ADLs). She struggles during any
type of nursing care and it is difficult to assess her subjective
symptoms. She is awaiting transfer to a long-term care facili. Answer:
● On the first day after surgery, a client receiving an analgesic via PCA
pump reports that the pain control is inadequate. What is the first action
you should take?
1. Deliver the bolus dose per standing order.
2. Contact the physician to increase the dose.
3. Try nonpharmacologic comfort measures.
4. Assess the pain for location, quality, and intensity.. Answer:
● Which clients can be appropriately assigned to an LPN/LVN who will
function under the supervision of an RN or team leader? Select all that
apply.)
1. Client who needs preoperative teaching for the use of a PCA pump
,2. Client with a leg cast who needs neurologic and circulatory checks
and PRN hydrocodone
3. Client who underwent a toe amputation and has diabetic neuropathic
pain
4. Client with terminal cancer and severe pain who is refusing
medication
5. Client who reports abdominal pain after being kicked, punched, and
beaten
6. Client with arthritis who needs scheduled pain medications and heat
applications. Answer:
● You are caring for a client who had abdominal surgery yesterday. The
client is restless and anxious and tells you that the pain is getting worse
despite the pain medication. Physical assessment findings include the
following: temperature, 100.3° F (38° C); pulse rate, 110 beats/min;
respiratory rate, 24 breaths/min; and blood pressure, 140/90 mm Hg. The
abdomen is rigid and tender to the touch. You decide to notify the
client's provider. Place the following report information in the correct
order according to the SBAR format.
1. "He is restless and anxious: temperature is 100.3° F (38° C); pulse is
110 beats/min; respiratory rate is 24 breaths/min; blood pressure is
140/90 mm Hg. Abdomen is rigid and tender to touch with hypoactive
bowel sounds."
2. "He had abdominal surgery yesterday. He is on PCA morphine, but he
says the pain is getting progressively worse."
3. "I have tried to make him comfortable and he is willi. Answer:
, ● Which clients can be appropriately assigned to a newly graduated RN
who has recently completed orientation?
(Select all that apply.)
1. Anxious client with chronic pain who frequently uses the call button
2. Client on the second postoperative day who needs pain medication
before dressing changes
3. Client with human immunodeficiency virus (HIV) infection who
reports headache and abdominal and pleuritic chest pain
4. Client with chronic pain who is to be discharged with a new
surgically- implanted catheter
5. Client who is reporting pain at the site of a peripheral IV line
6. Client with a kidney stone who needs frequent PRN pain medication.
Answer:
● A patient needs Klonopin 1 mg PO. The pharmacy delivers clonidine
0.1 mg tablets. A nursing student asks you if Klonopin and clonidine are
two different names for the same drug. Place the following steps in the
correct sequence so that you can teach the nursing student how ti prevent
medication errors.
A. Advise the pharmacy of any corrections as appropriate
B. Recognize the "look-alike, sound-alike" drugs increase the chances of
error
C. Consult a medication book to verify the purpose of the drugs and
generic and brand names
