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Prioritization, Delegation, And Assignment Practice Exercises For The NCLEX ® Examination Questions With Correct Answers

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Prioritization, Delegation, And Assignment Practice Exercises For The NCLEX ® Examination Questions With Correct Answers

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Prioritization, Delegation, And
Assignment Practice Exercises For The
NCLEX ® Examination Questions With
Correct Answers

1. bYou bare bthe bcharge bnurse. bA bclient bwith bchronic bpain breports bto byou bthat bthe
bnurses bhave bnot bbeen bresponding bto brequests bfor bpain bmedication. bWhat bis byour
binitial baction? b
1. bCheck bthe bmedication badministration brecords b(MARs) bfor bthe bpast bseveral
bdays. b
2. bAsk bthe bnurse beducator bto bprovide bin-service btraining babout bpain bmanagement.
b
3. bPerform ba bcomplete bpain bassessment bon bthe bclient band btake ba bpain bhistory. b
4. bHave ba bconference bwith bthe bnurses bresponsible bfor bthe bcare bof bthis bclient. b-
bcorrect banswer✔✔1. bAns: b4 bAs bcharge bnurse, byou bmust bassess bthe bperformance
band battitude bof bthe bstaff bin brelation bto bthis bclient. bAfter bdata bare bgathered bfrom
bthe bnurses, badditional binformation bcan bbe bobtained bfrom bthe brecords band bthe
bclient bas bnecessary. bThe beducator bmay bbe bof bassistance bif ba bknowledge bdeficit
bor bneed bfor bperformance bimprovement bis bthe bproblem. bFocus: bSupervision,
bprioritization


LaCharity, bLinda bA.; bKumagai, bCandice bK.; bBartz, bBarbara b(2013-11-22).
bPrioritization, bDelegation, band bAssignment: bPractice bExcercises bfor bthe bNCLEX
bExam b(p. b3). bElsevier bHealth bSciences. bKindle bEdition.


2. bFamily bmembers bare bencouraging byour bclient bto b"tough bout bthe bpain" brather
bthan brisk bdrug baddiction bto bnarcotics. bThe bclient bis bstoically babiding. bYou
brecognize bthat bthe bsociocultural bdimension bof bpain bis bthe bcurrent bpriority bfor bthe
bclient. bWhich bquestion bwill byou bask? b
1. b" bWhere bis bthe bpain blocated, band bdoes bit bradiate bto bother bparts bof byour
bbody?" b
2. b" bHow bwould byou bdescribe bthe bpain, band bhow bis bit baffecting byou?" b
3. b" bWhat bdo byou bbelieve babout bpain bmedication band bdrug baddiction?" b

,4. b" bHow bis bthe bpain baffecting byour bactivity blevel band byour bability bto bfunction?" b
5. b" bWhat binformation bdo byou bneed babout bpain, bhealing, band baddiction?" b- bcorrect
banswer✔✔2. bAns: b3 bBeliefs, battitudes, band bfamilial binfluence bare bpart bof bthe
bsociocultural bdimension bof bpain. bLocation band bradiation bof bpain baddress bthe
bsensory bdimension. bDescribing bpain band bits beffects baddresses bthe baffective
bdimension. bActivity blevel band bfunction baddress bthe bbehavioral bdimension. bAsking
babout bknowledge baddresses bthe bcognitive bdimension. bFocus: bPrioritization b3. b


LaCharity, bLinda bA.; bKumagai, bCandice bK.; bBartz, bBarbara b(2013-11-22).
bPrioritization, bDelegation, band bAssignment: bPractice bExcercises bfor bthe bNCLEX
bExam b(p. b3). bElsevier bHealth bSciences. bKindle bEdition.


3. bA bclient bwith bdiabetic bneuropathy breports ba bburning, belectrical-type bpain bin bthe
blower bextremities bthat bis bworse bat bnight band bnot bresponding bto bnonsteroidal banti-
inflammatory bdrugs. bWhich bmedication bwill byou badvocate bfor bfirst? b
1. bGabapentin b(Neurontin) b
2. bCorticosteroids b
3. bHydromorphone b(Dilaudid) b
4. bLorazepam b(Ativan) b- bcorrect banswer✔✔3. bAns: b1 bGabapentin bis ban
bantiepileptic bdrug, bbut bit bis balso bused bto btreat bdiabetic bneuropathy. bCorticosteroids
bare bfor bpain bassociated bwith binflammation. bHydromorphone bis ba bstronger bopioid,
band bit bis bnot bthe bfirst bchoice bfor bchronic bpain bthat bcan bbe bmanaged bwith bother
bdrugs. bLorazepam bis ban banxiolytic bthat bmay bbe bordered bas ban badjuvant
bnedication. bFocus: bPrioritization


LaCharity, bLinda bA.; bKumagai, bCandice bK.; bBartz, bBarbara b(2013-11-22).
bPrioritization, bDelegation, band bAssignment: bPractice bExcercises bfor bthe bNCLEX
bExam b(p. b3). bElsevier bHealth bSciences. bKindle bEdition.


4. bWhich bclient bis bmost blikely bto breceive bopioids bfor bextended bperiods bof btime? b
1. bA bclient bwith bfibromyalgia b
2. bA bclient bwith bphantom blimb bpain bin bthe bleg b
3. bA bclient bwith bprogressive bpancreatic bcancer b
4. bA bclient bwith btrigeminal bneuralgia b- bcorrect banswer✔✔4. bAns: b3 bCancer bpain
bgenerally bworsens bwith bdisease bprogression, band bthe buse bof bopioids bis bmore
bgenerous. bFibromyalgia bis bmore blikely bto bbe btreated bwith bnonopioid band badjuvant
bmedications. bTrigeminal bneuralgia bis btreated bwith bantiseizure bmedications bsuch bas
bcarbamazepine b(Tegretol). bPhantom blimb bpain busually bsubsides bafter bambulation
bbegins. bFocus: bPrioritization


LaCharity, bLinda bA.; bKumagai, bCandice bK.; bBartz, bBarbara b(2013-11-22).
bPrioritization, bDelegation, band bAssignment: bPractice bExcercises bfor bthe bNCLEX
bExam b(p. b3). bElsevier bHealth bSciences. bKindle bEdition.


5. bAs bthe bcharge bnurse, byou bare breviewing bthe bcharts bof bclients bwho bwere
bassigned bto bthe bcare bof ba bnewly bgraduated bRN. bThe bRN bhas bcorrectly bcharted

,bdose band btime bof bmedication, bbut bthere bis bno bdocumentation bregarding
bnonpharmaceutical bmeasures. bWhat baction bshould byou btake bfirst? b
1. bMake ba bnote bin bthe bnurse's bfile band bcontinue bto bobserve bclinical bperformance. b
2. bRefer bthe bnew bnurse bto bthe bin-service beducation bdepartment. b
3. bQuiz bthe bnurse babout bknowledge bof bpain bmanagement band bpharmacology. b
4. bGive bpraise bfor bcorrectly bcharting bthe bdose band btime band bdiscuss bthe bdeficits
bin bcharting. b- bcorrect banswer✔✔5. bAns: b4 bIn bsupervision bof bthe bnew bRN, bgood
bperformance bshould bbe breinforced bfirst band bthen bareas bof bimprovement bcan bbe
baddressed. bAsking bthe bnurse babout bknowledge bof bpain bmanagement bis balso ban
boption; bhowever, bit bwould bbe ba bmore bindirect band btime-consuming bapproach.
bMaking ba bnote band bwatching bdo bnot bhelp bthe bnurse bto bcorrect bthe bimmediate
bproblem. bIn-service btraining bmight bbe bconsidered bif bthe bproblem bpersists. bFocus:
bSupervision, bdelegation


LaCharity, bLinda bA.; bKumagai, bCandice bK.; bBartz, bBarbara b(2013-11-22).
bPrioritization, bDelegation, band bAssignment: bPractice bExcercises bfor bthe bNCLEX
bExam b(p. b3). bElsevier bHealth bSciences. bKindle bEdition.


1. bYou bare bcaring bfor ba bpatient bwith besophageal bcancer. bWhich btask bcould bbe
bdelegated bto ba bUAP? b
1. bAssisting bthe bpatient bwith boral bhygiene b
2. bObserving bthe bpatient's bresponse bto bfeedings b
3. bFacilitating bexpression bof bgrief bor banxiety b
4. bInitiating bdaily bweighings b- bcorrect banswer✔✔1. bAns: b1 bOral bhygiene bis bwithin
bthe bscope bof bduties bof bthe bUAP. bIt bis bthe bresponsibility bof bthe bnurse bto bobserve
bresponse bto btreatments band bto bhelp bthe bpatient bdeal bwith bloss bor banxiety. bThe
bUAP bcan bbe bdirected bto bweigh bthe bpatient bbut bshould bnot bbe bexpected bto bknow
bwhen bto binitiate bthat bmeasurement. bFocus: bDelegation


LaCharity, bLinda bA.; bKumagai, bCandice bK.; bBartz, bBarbara b(2013-11-22).
bPrioritization, bDelegation, band bAssignment: bPractice bExcercises bfor bthe bNCLEX
bExam b(p. b168). bElsevier bHealth bSciences. bKindle bEdition.


2. bA b56-year-old bpatient bcomes bto bthe bwalk-in bclinic breporting bscant brectal
bbleeding band bintermittent bdiarrhea band bconstipation bfor bthe bpast bseveral bmonths.
bThere bis ba bhistory bof bpolyps band ba bfamily bhistory bof bcolorectal bcancer. bWhile
byou bare btrying bto bteach babout bcolonoscopy, bthe bpatient bbecomes bangry band
bthreatens bto bleave. bWhat bis bthe bpriority bdiagnosis? b
1. bDiarrhea/ bConstipation brelated bto baltered bbowel bpatterns b2. bDeficient bKnowledge
brelated bto bthe bdisease bprocess band bdiagnostic bprocedure b
3. bRisk bfor bDeficient bFluid bVolume brelated bto brectal bbleeding band bdiarrhea b
4. bAnxiety brelated bto bunknown boutcomes band bperceived bthreats bto bbody bintegrity b-
bcorrect banswer✔✔2. bAns: b4 bThe bpatient's bphysical bcondition bis bcurrently bstable,
bbut bemotional bneeds bare baffecting bhis bor bher bability bto breceive bthe binformation
brequired bto bmake ban binformed bdecision. bThe bother bdiagnoses bare brelevant, bbut bif

, bthe bpatient bleaves bthe bclinic bthe binterventions bmay bbe bdelayed bor bignored.
bFocus: bPrioritization


LaCharity, bLinda bA.; bKumagai, bCandice bK.; bBartz, bBarbara b(2013-11-22).
bPrioritization, bDelegation, band bAssignment: bPractice bExcercises bfor bthe bNCLEX
bExam b(p. b168). bElsevier bHealth bSciences. bKindle bEdition.


3. bWhich bpatient bis bat bgreatest brisk bfor bpancreatic bcancer? b1. bAn belderly bAfrican-
American bman bwho bsmokes b
2. bA byoung bwhite bobese bwoman bwith bgallbladder bdisease b3. bA byoung bAfrican-
American bman bwith btype b1 bdiabetes b
4. bAn belderly bwhite bwoman bwho bhas bpancreatitis b- bcorrect banswer✔✔3. bAns: b1
bPancreatic bcancer bis bmore bcommon bin bAfrican-Americans, bmales, band bsmokers.
bOther bassociated bfactors binclude balcohol buse, bdiabetes, bobesity, bhistory bof
bpancreatitis, bexposure bto borganic bchemicals, bconsumption bof ba bhigh-fat bdiet, band
bprevious babdominal birradiation. bFocus: bPrioritization


LaCharity, bLinda bA.; bKumagai, bCandice bK.; bBartz, bBarbara b(2013-11-22).
bPrioritization, bDelegation, band bAssignment: bPractice bExcercises bfor bthe bNCLEX
bExam b(p. b168). bElsevier bHealth bSciences. bKindle bEdition.


4. bPatients breceiving bchemotherapy bare bat brisk bfor bthrombocytopenia brelated bto
bchemotherapy bor bdisease bprocesses. bWhich bactions bare bneeded bfor bpatients bwho
bmust bbe bplaced bon bbleeding bprecautions? b(Select ball bthat bapply.) b
1. bProvide bmouthwash bwith balcohol bfor boral brinsing. b
2. bUse bpaper btape bon bfragile bskin. b
3. bProvide ba bsoft btoothbrush bor boral bsponge. b
4. bGently binsert brectal bsuppositories. b
5. bAvoid baspirin bor baspirin-containing bproducts. b
6. bAvoid boverinflation bof bblood bpressure bcuffs. b
7. bPad bsharp bcorners bof bfurniture. b- bcorrect banswer✔✔4. bAns: b2, b3, b5, b6, b7
bMouthwash bshould bnot binclude balcohol, bbecause bit bhas ba bdrying baction bthat
bleaves bmucous bmembranes bmore bvulnerable. bInsertion bof bsuppositories, bprobes,
bor btampons binto bthe brectal bor bvaginal bcavity bis bnot brecommended. bAll bother
boptions bare bappropriate. bFocus: bPrioritization, bknowledge


LaCharity, bLinda bA.; bKumagai, bCandice bK.; bBartz, bBarbara b(2013-11-22).
bPrioritization, bDelegation, band bAssignment: bPractice bExcercises bfor bthe bNCLEX
bExam b(p. b168). bElsevier bHealth bSciences. bKindle bEdition.


5. bWhen bcare bassignments bare bbeing bmade bfor bpatients bwith balterations brelated
bto bgastrointestinal b(GI) bcancer, bwhich bpatient bwould bbe bthe bmost bappropriate bto
bassign bto ban bLPN/ bLVN bunder bthe bsupervision bof ba bteam bleader bRN? b1. bA
bpatient bwith bsevere banemia bsecondary bto bGI bbleeding b2. bA bpatient bwho bneeds
benemas band bantibiotics bto bcontrol bGI bbacteria b
3. bA bpatient bwho bneeds bpreoperative bteaching bfor bbowel bresection bsurgery b

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