**THE PRIORITIZATION & DELEGATION
INTENSIVE 2025/2026**
**1200+ LEADERSHIP, SAFETY, AND CLINICAL
JUDGMENT DRILLS**
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Question 1
A charge nurse is assigning clients on a medical-surgical unit. Which client should be assigned to a float
RN from the postpartum unit?
A. Client with pneumonia requiring IV antibiotics
B. Client with new-onset atrial fibrillation
C. Client with diabetic ketoacidosis on an insulin drip
D. Client with a chest tube for pneumothorax
💫RATIONALE✔️✔️: The float RN can safely care for stable clients requiring routine IV antibiotics;
unstable telemetry or ICU-level clients need experienced staff.
💫ANSWER✔️✔️: A. Client with pneumonia requiring IV antibiotics
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Question 2
A nurse on a busy telemetry unit receives report on 4 clients. Which should be seen first?
A. Client with chest pain rated 4/10, troponin elevated
B. Client with heart failure, oxygen saturation 91% on 2L
C. Client post-cardiac catheterization with groin hematoma expanding
D. Client with atrial fibrillation, heart rate 110/min
,💫RATIONALE✔️✔️: Expanding groin hematoma indicates active arterial bleeding and potential
hemorrhage, an immediate threat.
💫ANSWER✔️✔️: C. Client post-cardiac catheterization with groin hematoma expanding
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Question 3
A nurse is delegating to unlicensed assistive personnel (UAP). Which task is appropriate?
A. Assess a client’s pain level
B. Measure intake and output for a client with heart failure
C. Evaluate effectiveness of a PRN pain medication
D. Teach a client how to use a bedpan
💫RATIONALE✔️✔️: UAP can measure and record I&O; assessment, evaluation, and teaching require RN
judgment.
💫ANSWER✔️✔️: B. Measure intake and output for a client with heart failure
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Question 4
A nurse manager is reviewing fall prevention. Which intervention requires correction?
A. Keeping the bed in lowest position with brakes locked
B. Placing a fall risk client in a room near the nurse station
C. Using a vest restraint for a confused client who climbs out of bed
D. Ensuring the call light is within reach at all times
💫RATIONALE✔️✔️: Restraints are last resort and require a provider order; they do not prevent falls and
can cause injury.
💫ANSWER✔️✔️: C. Using a vest restraint for a confused client who climbs out of bed
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, Question 5
A nurse is triaging clients after a mass casualty event. Which client should be tagged red (immediate)?
A. Client with a minor laceration, walking and talking
B. Client with a crushed leg, absent pedal pulse, conscious
C. Client with no pulse, no breathing, pupils fixed
D. Client with a fractured arm, crying in pain
💫RATIONALE✔️✔️: A crushed leg with absent pulse indicates compromised circulation and risk of limb
loss, requiring immediate intervention.
💫ANSWER✔️✔️: B. Client with a crushed leg, absent pedal pulse, conscious
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Question 6
A charge nurse is making assignments. Which client is most appropriate for a new graduate nurse on
orientation?
A. Client with a chest tube for hemothorax
B. Client with a new tracheostomy requiring suctioning q1h
C. Client with a hip fracture awaiting surgery, stable vital signs
D. Client receiving IV heparin for pulmonary embolism
💫RATIONALE✔️✔️: The stable preoperative client with no complex devices is appropriate for a new
graduate with supervision.
💫ANSWER✔️✔️: C. Client with a hip fracture awaiting surgery, stable vital signs
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Question 7
A nurse is caring for a client with a living will that states “no CPR.” The client goes into pulseless
ventricular tachycardia. What should the nurse do?
A. Initiate CPR immediately
INTENSIVE 2025/2026**
**1200+ LEADERSHIP, SAFETY, AND CLINICAL
JUDGMENT DRILLS**
---
Question 1
A charge nurse is assigning clients on a medical-surgical unit. Which client should be assigned to a float
RN from the postpartum unit?
A. Client with pneumonia requiring IV antibiotics
B. Client with new-onset atrial fibrillation
C. Client with diabetic ketoacidosis on an insulin drip
D. Client with a chest tube for pneumothorax
💫RATIONALE✔️✔️: The float RN can safely care for stable clients requiring routine IV antibiotics;
unstable telemetry or ICU-level clients need experienced staff.
💫ANSWER✔️✔️: A. Client with pneumonia requiring IV antibiotics
---
Question 2
A nurse on a busy telemetry unit receives report on 4 clients. Which should be seen first?
A. Client with chest pain rated 4/10, troponin elevated
B. Client with heart failure, oxygen saturation 91% on 2L
C. Client post-cardiac catheterization with groin hematoma expanding
D. Client with atrial fibrillation, heart rate 110/min
,💫RATIONALE✔️✔️: Expanding groin hematoma indicates active arterial bleeding and potential
hemorrhage, an immediate threat.
💫ANSWER✔️✔️: C. Client post-cardiac catheterization with groin hematoma expanding
---
Question 3
A nurse is delegating to unlicensed assistive personnel (UAP). Which task is appropriate?
A. Assess a client’s pain level
B. Measure intake and output for a client with heart failure
C. Evaluate effectiveness of a PRN pain medication
D. Teach a client how to use a bedpan
💫RATIONALE✔️✔️: UAP can measure and record I&O; assessment, evaluation, and teaching require RN
judgment.
💫ANSWER✔️✔️: B. Measure intake and output for a client with heart failure
---
Question 4
A nurse manager is reviewing fall prevention. Which intervention requires correction?
A. Keeping the bed in lowest position with brakes locked
B. Placing a fall risk client in a room near the nurse station
C. Using a vest restraint for a confused client who climbs out of bed
D. Ensuring the call light is within reach at all times
💫RATIONALE✔️✔️: Restraints are last resort and require a provider order; they do not prevent falls and
can cause injury.
💫ANSWER✔️✔️: C. Using a vest restraint for a confused client who climbs out of bed
---
, Question 5
A nurse is triaging clients after a mass casualty event. Which client should be tagged red (immediate)?
A. Client with a minor laceration, walking and talking
B. Client with a crushed leg, absent pedal pulse, conscious
C. Client with no pulse, no breathing, pupils fixed
D. Client with a fractured arm, crying in pain
💫RATIONALE✔️✔️: A crushed leg with absent pulse indicates compromised circulation and risk of limb
loss, requiring immediate intervention.
💫ANSWER✔️✔️: B. Client with a crushed leg, absent pedal pulse, conscious
---
Question 6
A charge nurse is making assignments. Which client is most appropriate for a new graduate nurse on
orientation?
A. Client with a chest tube for hemothorax
B. Client with a new tracheostomy requiring suctioning q1h
C. Client with a hip fracture awaiting surgery, stable vital signs
D. Client receiving IV heparin for pulmonary embolism
💫RATIONALE✔️✔️: The stable preoperative client with no complex devices is appropriate for a new
graduate with supervision.
💫ANSWER✔️✔️: C. Client with a hip fracture awaiting surgery, stable vital signs
---
Question 7
A nurse is caring for a client with a living will that states “no CPR.” The client goes into pulseless
ventricular tachycardia. What should the nurse do?
A. Initiate CPR immediately
