1
NCLEX Delegation Questions®
1. You are the charge nurse. A client with chronic pain reports to you that
the nurses have not been responding to requests for pain medication.
What is your initial action?
1. Check the medication administration records (MARs) for the past
several days.
2. Ask the nurse educator to provide in-service training about pain
management.
3. Perform a complete pain assessment on the client and take a pain
history.
4. Have a conference with the nurses responsible for the care of this
client. - -Correct Answer --✔️1. Ans: 4 As charge nurse, you must assess
the performance and attitude of the staff in relation to this client. After
data are gathered from the nurses, additional information can be
obtained from the records and the client as necessary. The educator may
be of assistance if a knowledge deficit or need for performance
improvement is the problem. Focus: Supervision, prioritization
LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22).
Prioritization, Delegation, and Assignment: Practice Excercises for the
NCLEX Exam (p. 3). Elsevier Health Sciences. Kindle Edition.
5. As the charge nurse, you are reviewing the charts of clients who were
assigned to the care of a newly graduated RN. The RN has correctly
charted dose and time of medication, but there is no documentation
regarding nonpharmaceutical measures. What action should you take
first?
1
, 2
1. Make a note in the nurse's file and continue to observe clinical
performance.
2. Refer the new nurse to the in-service education department.
3. Quiz the nurse about knowledge of pain management and
pharmacology.
4. Give praise for correctly charting the dose and time and discuss the
deficits in charting. - -Correct Answer --✔️5. Ans: 4 In supervision of the
new RN, good performance should be reinforced first and then areas of
improvement can be addressed. Asking the nurse about knowledge of
pain management is also an option; however, it would be a more indirect
and time-consuming approach. Making a note and watching do not help
the nurse to correct the immediate problem. In-service training might be
considered if the problem persists. Focus: Supervision, delegation
LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22).
Prioritization, Delegation, and Assignment: Practice Excercises for the
NCLEX Exam (p. 3). Elsevier Health Sciences. Kindle Edition.
1. You are caring for a patient with esophageal cancer. Which task could
be delegated to a UAP?
1. Assisting the patient with oral hygiene
2. Observing the patient's response to feedings
3. Facilitating expression of grief or anxiety
4. Initiating daily weighings - -Correct Answer --✔️1. Ans: 1 Oral hygiene
is within the scope of duties of the UAP. It is the responsibility of the
nurse to observe response to treatments and to help the patient deal
with loss or anxiety. The UAP can be directed to weigh the patient but
should not be expected to know when to initiate that measurement.
Focus: Delegation
2
, 3
LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22).
Prioritization, Delegation, and Assignment: Practice Excercises for the
NCLEX Exam (p. 168). Elsevier Health Sciences. Kindle Edition.
5. When care assignments are being made for patients with alterations
related to gastrointestinal (GI) cancer, which patient would be the most
appropriate to assign to an LPN/ LVN under the supervision of a team
leader RN? 1. A patient with severe anemia secondary to GI bleeding 2. A
patient who needs enemas and antibiotics to control GI bacteria
3. A patient who needs preoperative teaching for bowel resection
surgery
4. A patient who needs central line insertion for chemotherapy - -Correct
Answer --✔️5. Ans: 2 Administering enemas and antibiotics is within the
scope of practice of LPNs/ LVNs. Although some states an facilities may
allow the LPN/ LVN to administer blood, in general, administering blood,
providing preoperative teaching, and assisting with central line insertion
are the responsibilities of the RN. Focus: Assignment
LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22).
Prioritization, Delegation, and Assignment: Practice Excercises for the
NCLEX Exam (p. 168). Elsevier Health Sciences. Kindle Edition.
1. A few minutes after you have given an intradermal injection of an
allergen to a patient who is undergoing skin testing for allergies, the
patient reports feeling anxious, short of breath, and dizzy. Which action
included in the emergency protocol should you take first?
1. Start oxygen at 4 L/ min using a nasal cannula.
2. Obtain IV access with a large-bore IV catheter.
3
, 4
3. Give epinephrine (Adrenalin) 0.3 mL intramuscularly.
4. Administer 3 mL of nebulized albuterol (Proventil) 0.083%. - -Correct
Answer --✔️1. Ans: 3 Epinephrine is the initial drug of choice for
treatment of anaphylaxis. Giving epinephrine rapidly at the onset of an
anaphylactic reaction may prevent or reverse cardiovascular collapse as
well as airway narrowing caused by bronchospasm and inflammation.
Oxygen use is also appropriate, but oxygen would be administered using
a nonrebreather mask in order to achieve a fraction of inspired oxygen
closer to 100%. Albuterol may also be administered to decrease airway
narrowing but would not be the first therapy used for anaphylaxis. IV
access will take longer to establish and should not be the first
intervention. Focus: Prioritization
LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22).
Prioritization, Delegation, and Assignment: Practice Excercises for the
NCLEX Exam (p. 170). Elsevier Health Sciences. Kindle Edition.
2. As the nurse manager in a public health department, you are
implementing a plan to reduce the incidence of infection with human
immunodeficiency virus (HIV) in the community. Which nursing action
will you delegate to health assistants working for the agency?
1. Supplying injection drug users with sterile injection equipment such as
needles and syringes
2. Interviewing patients about behaviors that indicate a need for annual
HIV testing
3. Teaching high-risk community members about the use of condoms in
preventing HIV infection
4. Assessing the community to determine which population groups to
target for education
4
NCLEX Delegation Questions®
1. You are the charge nurse. A client with chronic pain reports to you that
the nurses have not been responding to requests for pain medication.
What is your initial action?
1. Check the medication administration records (MARs) for the past
several days.
2. Ask the nurse educator to provide in-service training about pain
management.
3. Perform a complete pain assessment on the client and take a pain
history.
4. Have a conference with the nurses responsible for the care of this
client. - -Correct Answer --✔️1. Ans: 4 As charge nurse, you must assess
the performance and attitude of the staff in relation to this client. After
data are gathered from the nurses, additional information can be
obtained from the records and the client as necessary. The educator may
be of assistance if a knowledge deficit or need for performance
improvement is the problem. Focus: Supervision, prioritization
LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22).
Prioritization, Delegation, and Assignment: Practice Excercises for the
NCLEX Exam (p. 3). Elsevier Health Sciences. Kindle Edition.
5. As the charge nurse, you are reviewing the charts of clients who were
assigned to the care of a newly graduated RN. The RN has correctly
charted dose and time of medication, but there is no documentation
regarding nonpharmaceutical measures. What action should you take
first?
1
, 2
1. Make a note in the nurse's file and continue to observe clinical
performance.
2. Refer the new nurse to the in-service education department.
3. Quiz the nurse about knowledge of pain management and
pharmacology.
4. Give praise for correctly charting the dose and time and discuss the
deficits in charting. - -Correct Answer --✔️5. Ans: 4 In supervision of the
new RN, good performance should be reinforced first and then areas of
improvement can be addressed. Asking the nurse about knowledge of
pain management is also an option; however, it would be a more indirect
and time-consuming approach. Making a note and watching do not help
the nurse to correct the immediate problem. In-service training might be
considered if the problem persists. Focus: Supervision, delegation
LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22).
Prioritization, Delegation, and Assignment: Practice Excercises for the
NCLEX Exam (p. 3). Elsevier Health Sciences. Kindle Edition.
1. You are caring for a patient with esophageal cancer. Which task could
be delegated to a UAP?
1. Assisting the patient with oral hygiene
2. Observing the patient's response to feedings
3. Facilitating expression of grief or anxiety
4. Initiating daily weighings - -Correct Answer --✔️1. Ans: 1 Oral hygiene
is within the scope of duties of the UAP. It is the responsibility of the
nurse to observe response to treatments and to help the patient deal
with loss or anxiety. The UAP can be directed to weigh the patient but
should not be expected to know when to initiate that measurement.
Focus: Delegation
2
, 3
LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22).
Prioritization, Delegation, and Assignment: Practice Excercises for the
NCLEX Exam (p. 168). Elsevier Health Sciences. Kindle Edition.
5. When care assignments are being made for patients with alterations
related to gastrointestinal (GI) cancer, which patient would be the most
appropriate to assign to an LPN/ LVN under the supervision of a team
leader RN? 1. A patient with severe anemia secondary to GI bleeding 2. A
patient who needs enemas and antibiotics to control GI bacteria
3. A patient who needs preoperative teaching for bowel resection
surgery
4. A patient who needs central line insertion for chemotherapy - -Correct
Answer --✔️5. Ans: 2 Administering enemas and antibiotics is within the
scope of practice of LPNs/ LVNs. Although some states an facilities may
allow the LPN/ LVN to administer blood, in general, administering blood,
providing preoperative teaching, and assisting with central line insertion
are the responsibilities of the RN. Focus: Assignment
LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22).
Prioritization, Delegation, and Assignment: Practice Excercises for the
NCLEX Exam (p. 168). Elsevier Health Sciences. Kindle Edition.
1. A few minutes after you have given an intradermal injection of an
allergen to a patient who is undergoing skin testing for allergies, the
patient reports feeling anxious, short of breath, and dizzy. Which action
included in the emergency protocol should you take first?
1. Start oxygen at 4 L/ min using a nasal cannula.
2. Obtain IV access with a large-bore IV catheter.
3
, 4
3. Give epinephrine (Adrenalin) 0.3 mL intramuscularly.
4. Administer 3 mL of nebulized albuterol (Proventil) 0.083%. - -Correct
Answer --✔️1. Ans: 3 Epinephrine is the initial drug of choice for
treatment of anaphylaxis. Giving epinephrine rapidly at the onset of an
anaphylactic reaction may prevent or reverse cardiovascular collapse as
well as airway narrowing caused by bronchospasm and inflammation.
Oxygen use is also appropriate, but oxygen would be administered using
a nonrebreather mask in order to achieve a fraction of inspired oxygen
closer to 100%. Albuterol may also be administered to decrease airway
narrowing but would not be the first therapy used for anaphylaxis. IV
access will take longer to establish and should not be the first
intervention. Focus: Prioritization
LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22).
Prioritization, Delegation, and Assignment: Practice Excercises for the
NCLEX Exam (p. 170). Elsevier Health Sciences. Kindle Edition.
2. As the nurse manager in a public health department, you are
implementing a plan to reduce the incidence of infection with human
immunodeficiency virus (HIV) in the community. Which nursing action
will you delegate to health assistants working for the agency?
1. Supplying injection drug users with sterile injection equipment such as
needles and syringes
2. Interviewing patients about behaviors that indicate a need for annual
HIV testing
3. Teaching high-risk community members about the use of condoms in
preventing HIV infection
4. Assessing the community to determine which population groups to
target for education
4
