NCLEX ® Delegation Questions WITH
Answers 100% Pass
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. -
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
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
,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
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
,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
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
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 3
, 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 - 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. Give epinephrine (Adrenalin) 0.3 mL intramuscularly.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 4
Answers 100% Pass
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. -
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
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
,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
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
,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
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
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 3
, 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 - 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. Give epinephrine (Adrenalin) 0.3 mL intramuscularly.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 4
