Florida NCLEX Prioritization, Delegation, and Assignment
Practice Exam IV Updated Exam 2026 WITH Recent Newest
Verified And Well Analyzed Exam Questions (Actual Exam
2026-2027) Correct Detailed & Verified ANSWERS (100%
Accurate Solutions) ALREADY GRADED A+||NEWEST
VERSION Of The Exam Guarantee Pass!!
1. The nurse is receiving change-of-shift report. Which client should be assessed first?
A. A client with chronic heart failure reporting fatigue after ambulation.
B. A client who received insulin 30 minutes ago and is now diaphoretic.
C. A client with osteoarthritis requesting pain medication.
D. A client scheduled for discharge in one hour.
Answer: B. A client who received insulin 30 minutes ago and is now diaphoretic.
Rationale: Diaphoresis after insulin administration suggests hypoglycemia, which is an
immediate, life-threatening complication requiring prompt assessment and treatment.
Fatigue, chronic pain, and discharge planning are important but are lower priorities than a
potentially unstable airway, breathing, circulation, or neurologic emergency.
2. The RN is assigning tasks to the licensed practical nurse (LPN). Which client is most
appropriate?
A. A client requiring admission assessment for chest pain.
B. A client receiving the first dose of intravenous antibiotics.
C. A client with stable diabetes requiring routine wound care.
D. A client experiencing new-onset confusion.
Answer: C. A client with stable diabetes requiring routine wound care.
Rationale: Stable clients requiring predictable care are appropriate assignments for the
LPN. Admission assessments, initial medication administration with high-risk potential,
and unstable neurological changes remain the RN's responsibility.
3. Which task may the RN safely delegate to the unlicensed assistive personnel (UAP)?
, A. Evaluate a client's pain after medication.
B. Reinforce discharge teaching.
C. Measure and document routine intake and output.
D. Assess breath sounds.
Answer: C. Measure and document routine intake and output.
Rationale: Measuring intake and output is within the UAP's scope because it does not
require nursing judgment. Assessment, evaluation, and patient teaching are
responsibilities of the licensed nurse.
4. Which client should the emergency department nurse see first?
A. A client with ankle pain after twisting the ankle.
B. A client with sudden facial drooping and slurred speech.
C. A client requesting a refill of blood pressure medication.
D. A client with chronic low back pain.
Answer: B. A client with sudden facial drooping and slurred speech.
Rationale: Sudden neurological deficits indicate a possible acute stroke, requiring
immediate evaluation and intervention. Early treatment greatly improves outcomes.
5. A nurse has four assigned clients. Which client should be reassessed first?
A. A client who received IV morphine 15 minutes ago.
B. A client awaiting lunch.
C. A client requesting assistance to the bathroom.
D. A client reading quietly.
Answer: A. A client who received IV morphine 15 minutes ago.
Rationale: Intravenous opioids can rapidly depress respirations and consciousness. The
nurse should reassess pain relief, respiratory status, sedation level, and adverse effects
shortly after administration.
6. Which assignment requires intervention by the charge nurse?
A. RN assigned to a client receiving blood transfusion.
B. LPN assigned to stable postoperative dressing changes.
Practice Exam IV Updated Exam 2026 WITH Recent Newest
Verified And Well Analyzed Exam Questions (Actual Exam
2026-2027) Correct Detailed & Verified ANSWERS (100%
Accurate Solutions) ALREADY GRADED A+||NEWEST
VERSION Of The Exam Guarantee Pass!!
1. The nurse is receiving change-of-shift report. Which client should be assessed first?
A. A client with chronic heart failure reporting fatigue after ambulation.
B. A client who received insulin 30 minutes ago and is now diaphoretic.
C. A client with osteoarthritis requesting pain medication.
D. A client scheduled for discharge in one hour.
Answer: B. A client who received insulin 30 minutes ago and is now diaphoretic.
Rationale: Diaphoresis after insulin administration suggests hypoglycemia, which is an
immediate, life-threatening complication requiring prompt assessment and treatment.
Fatigue, chronic pain, and discharge planning are important but are lower priorities than a
potentially unstable airway, breathing, circulation, or neurologic emergency.
2. The RN is assigning tasks to the licensed practical nurse (LPN). Which client is most
appropriate?
A. A client requiring admission assessment for chest pain.
B. A client receiving the first dose of intravenous antibiotics.
C. A client with stable diabetes requiring routine wound care.
D. A client experiencing new-onset confusion.
Answer: C. A client with stable diabetes requiring routine wound care.
Rationale: Stable clients requiring predictable care are appropriate assignments for the
LPN. Admission assessments, initial medication administration with high-risk potential,
and unstable neurological changes remain the RN's responsibility.
3. Which task may the RN safely delegate to the unlicensed assistive personnel (UAP)?
, A. Evaluate a client's pain after medication.
B. Reinforce discharge teaching.
C. Measure and document routine intake and output.
D. Assess breath sounds.
Answer: C. Measure and document routine intake and output.
Rationale: Measuring intake and output is within the UAP's scope because it does not
require nursing judgment. Assessment, evaluation, and patient teaching are
responsibilities of the licensed nurse.
4. Which client should the emergency department nurse see first?
A. A client with ankle pain after twisting the ankle.
B. A client with sudden facial drooping and slurred speech.
C. A client requesting a refill of blood pressure medication.
D. A client with chronic low back pain.
Answer: B. A client with sudden facial drooping and slurred speech.
Rationale: Sudden neurological deficits indicate a possible acute stroke, requiring
immediate evaluation and intervention. Early treatment greatly improves outcomes.
5. A nurse has four assigned clients. Which client should be reassessed first?
A. A client who received IV morphine 15 minutes ago.
B. A client awaiting lunch.
C. A client requesting assistance to the bathroom.
D. A client reading quietly.
Answer: A. A client who received IV morphine 15 minutes ago.
Rationale: Intravenous opioids can rapidly depress respirations and consciousness. The
nurse should reassess pain relief, respiratory status, sedation level, and adverse effects
shortly after administration.
6. Which assignment requires intervention by the charge nurse?
A. RN assigned to a client receiving blood transfusion.
B. LPN assigned to stable postoperative dressing changes.
