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1. The registered nurse (RN) is assigning care for four clients. Which task is most appropriate to
delegate to the unlicensed assistive personnel (UAP)?
A. Assess a client admitted with chest pain.
B. Teach a client how to use an incentive spirometer.
C. Assist a stable client with bathing.
D. Evaluate a client's pain medication effectiveness.
Answer: C. Assist a stable client with bathing.
Rationale: Bathing is a routine, noninvasive task appropriate for delegation to a UAP.
Assessment, teaching, and evaluation are responsibilities that require RN judgment and cannot
be delegated.
2. Which client should the nurse assess first at the beginning of the shift?
A. A client requesting a sleep aid.
B. A client with a blood glucose of 48 mg/dL who is diaphoretic.
C. A client awaiting discharge instructions.
D. A client scheduled for physical therapy.
Answer: B. A client with a blood glucose of 48 mg/dL who is diaphoretic.
Rationale: Airway, breathing, circulation, and immediate physiological threats take priority.
Severe hypoglycemia is an emergency that can rapidly progress to seizures or loss of
consciousness if untreated.
3. Which task can the RN safely delegate to a licensed practical nurse (LPN)?
A. Develop a nursing care plan.
B. Perform the initial admission assessment.
,C. Reinforce teaching about prescribed medications.
D. Evaluate client outcomes after treatment.
Answer: C. Reinforce teaching about prescribed medications.
Rationale: LPNs may reinforce education already provided by the RN and perform focused
assessments within their scope of practice. Initial assessments, care planning, and evaluation
remain RN responsibilities.
4. Which client should the nurse see first?
A. A postoperative client reporting pain rated 8/10.
B. A client with COPD whose oxygen saturation dropped from 94% to 84%.
C. A client requesting assistance to the bathroom.
D. A client asking about dietary restrictions.
Answer: B. A client with COPD whose oxygen saturation dropped from 94% to 84%.
Rationale: Compromised oxygenation is an immediate threat to life. The client experiencing
hypoxemia requires prompt assessment and intervention before addressing other concerns.
5. Which task is appropriate for delegation to the UAP?
A. Administer oral medications.
B. Measure and record intake and output.
C. Assess lung sounds.
D. Provide discharge teaching.
Answer: B. Measure and record intake and output.
Rationale: Measuring intake and output is a routine task suitable for UAPs. Medication
administration, assessments, and education require licensed nursing personnel.
6. A nurse is caring for four clients. Which client should receive priority?
A. A client with a temperature of 100.2°F (37.9°C).
B. A client who suddenly becomes confused after surgery.
C. A client requesting pain medication.
D. A client awaiting breakfast.
Answer: B. A client who suddenly becomes confused after surgery.
, Rationale: Sudden confusion may indicate hypoxia, stroke, or another serious complication
requiring immediate assessment and intervention.
7. Which task is appropriate for the RN to delegate to the LPN?
A. Perform an initial neurological assessment.
B. Administer routine oral medications to stable clients.
C. Develop discharge teaching materials.
D. Interpret laboratory results.
Answer: B. Administer routine oral medications to stable clients.
Rationale: LPNs commonly administer medications to stable clients. Initial assessments,
interpretation of diagnostic findings, and client education planning remain RN responsibilities.
8. Which action should the nurse perform first when caring for multiple clients?
A. Complete discharge paperwork.
B. Respond to a client with new-onset chest pain.
C. Refill a water pitcher.
D. Return a family member's phone call.
Answer: B. Respond to a client with new-onset chest pain.
Rationale: Chest pain may indicate myocardial ischemia or infarction and requires immediate
assessment according to ABC and priority principles.
9. Which client is most appropriate for assignment to the LPN?
A. A client admitted with diabetic ketoacidosis.
B. A stable client receiving routine wound care.
C. A client requiring extensive discharge teaching.
D. A client experiencing respiratory distress.
Answer: B. A stable client receiving routine wound care.
Rationale: Stable clients with predictable outcomes are appropriate assignments for LPNs.
Unstable clients and those requiring comprehensive assessment or teaching should remain under
RN care.