NURSING PRIORITIZATION DELEGATION
AND ASSIGNMENT NCLEX ACTUAL
QUESTIONS AND CORRECT ANSWERS
COMPLETE STUDY GUIDE
●● 2. Family members are encouraging your client to "tough out the
pain" rather than risk drug addiction to narcotics. The client is stoically
abiding. You recognize that the sociocultural dimension of pain is the
current priority for the client. Which question will you ask?
1. " Where is the pain located, and does it radiate to other parts of your
body?"
2. " How would you describe the pain, and how is it affecting you?"
3. " What do you believe about pain medication and drug addiction?"
4. " How is the pain affecting your activity level and your ability to
function?"
5. " What information do you need about pain, healing, and addiction?"
Answer: 2. Ans: 3 Beliefs, attitudes, and familial influence are part of
the sociocultural dimension of pain. Location and radiation of pain
address the sensory dimension. Describing pain and its effects addresses
the affective dimension. Activity level and function address the
behavioral dimension. Asking about knowledge addresses the cognitive
dimension. Focus: Prioritization 3.
,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.
●● 3. A client with diabetic neuropathy reports a burning, electrical-type
pain in the lower extremities that is worse at night and not responding to
nonsteroidal anti-inflammatory drugs. Which medication will you
advocate for first?
1. Gabapentin (Neurontin)
2. Corticosteroids
3. Hydromorphone (Dilaudid)
4. Lorazepam (Ativan)
Answer: 3. Ans: 1 Gabapentin is an antiepileptic drug, but it is also used
to treat diabetic neuropathy. Corticosteroids are for pain associated with
inflammation. Hydromorphone is a stronger opioid, and it is not the first
choice for chronic pain that can be managed with other drugs.
Lorazepam is an anxiolytic that may be ordered as an adjuvant
nedication. Focus: 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.
●● 4. Which client is most likely to receive opioids for extended periods
of time?
1. A client with fibromyalgia
,2. A client with phantom limb pain in the leg
3. A client with progressive pancreatic cancer
4. A client with trigeminal neuralgia
Answer: 4. Ans: 3 Cancer pain generally worsens with disease
progression, and the use of opioids is more generous. Fibromyalgia is
more likely to be treated with nonopioid and adjuvant medications.
Trigeminal neuralgia is treated with antiseizure medications such as
carbamazepine (Tegretol). Phantom limb pain usually subsides after
ambulation begins. Focus: 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. 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.
, 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
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
AND ASSIGNMENT NCLEX ACTUAL
QUESTIONS AND CORRECT ANSWERS
COMPLETE STUDY GUIDE
●● 2. Family members are encouraging your client to "tough out the
pain" rather than risk drug addiction to narcotics. The client is stoically
abiding. You recognize that the sociocultural dimension of pain is the
current priority for the client. Which question will you ask?
1. " Where is the pain located, and does it radiate to other parts of your
body?"
2. " How would you describe the pain, and how is it affecting you?"
3. " What do you believe about pain medication and drug addiction?"
4. " How is the pain affecting your activity level and your ability to
function?"
5. " What information do you need about pain, healing, and addiction?"
Answer: 2. Ans: 3 Beliefs, attitudes, and familial influence are part of
the sociocultural dimension of pain. Location and radiation of pain
address the sensory dimension. Describing pain and its effects addresses
the affective dimension. Activity level and function address the
behavioral dimension. Asking about knowledge addresses the cognitive
dimension. Focus: Prioritization 3.
,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.
●● 3. A client with diabetic neuropathy reports a burning, electrical-type
pain in the lower extremities that is worse at night and not responding to
nonsteroidal anti-inflammatory drugs. Which medication will you
advocate for first?
1. Gabapentin (Neurontin)
2. Corticosteroids
3. Hydromorphone (Dilaudid)
4. Lorazepam (Ativan)
Answer: 3. Ans: 1 Gabapentin is an antiepileptic drug, but it is also used
to treat diabetic neuropathy. Corticosteroids are for pain associated with
inflammation. Hydromorphone is a stronger opioid, and it is not the first
choice for chronic pain that can be managed with other drugs.
Lorazepam is an anxiolytic that may be ordered as an adjuvant
nedication. Focus: 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.
●● 4. Which client is most likely to receive opioids for extended periods
of time?
1. A client with fibromyalgia
,2. A client with phantom limb pain in the leg
3. A client with progressive pancreatic cancer
4. A client with trigeminal neuralgia
Answer: 4. Ans: 3 Cancer pain generally worsens with disease
progression, and the use of opioids is more generous. Fibromyalgia is
more likely to be treated with nonopioid and adjuvant medications.
Trigeminal neuralgia is treated with antiseizure medications such as
carbamazepine (Tegretol). Phantom limb pain usually subsides after
ambulation begins. Focus: 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. 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.
, 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
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
