NURSING PRIORITIZATION DELEGATION
AND ASSIGNMENT NCLEX UPDATED
QUESTIONS AND ANSWERS FULL
SOLUTION REVIEW MATERIAL
●● The RN is leading a team of an NA and an LPN in the care of a
group of clients. Which tasks should the nurse assign to the NA and
LPN?
1. NA to perform two simple dressing changes; LPN to assess and care
for two non-complex clients
2. NA to empty and record urinary catheter bag drainage; LPN to
administer oral and IM medications
3. NA to assist clients with hygiene; LPN to provide postmortem care
and meet with a deceased client's family
4. NA to take and document vital signs on all clients; LPN to complete
the discharge paperwork to be reviewed with two clients
Answer: 2. The scope of practice for the NA includes measuring and
recording I&O and for the LPN includes administering oral and IM
medications
●● The nurse is supervising the experienced NA who is new to the unit.
Which question is best to evaluate the NA's knowledge and skill in
obtaining the client's fingerstick blood glucose, which is a permissible
NA-performed skill within the facility?
,1. "How many times did you perform a fingerstick blood glucose
measurement on the unit in which you previously worked?"
2. "How would you obtain a blood specimen and perform the procedure
for measuring the client's blood glucose?"
3. When was the last time you were observed by a RN performing a
blood glucose measurement on the client?"
4. "When was the last time you obtained a blood glucose measurement
that was out of the normal ranges, and what did you do about this?"
Answer: 2. The NA describing the procedure is one method of
evaluating the NA's knowledge and skills. Using an open-ended question
elicits conversation and details.
●● The NA's job responsibilities include totaling the I&O records for
clients at the end of an 8-hour shift. Near the end of the shift, the LPN
reports to the RN that the new NA on the unit has not completed the
task. What is the RN's best action?
1. Ask the LPN to complete this task because the information is needed
to give report.
2. Remind the NA that the task needs to be completed as quickly as
possible
3. Notify the charge nurse that the NA needs more orientation on job
responsibilities
4. Go to the NA to discuss the collection of I&O data and how to total
I&O records
Answer: 4. Delegation of assigned tasks includes determining the
delegate's knowledge and ability to perform the task correctly.
,Discussing the task with the NA may clarify what the NA knows and
where additional teaching is needed regarding the task.
●● The RN is informed by the NA that the client, hospitalized last
evening with chest pain, plans to leave right now because the pain is
gone and "nobody has done anything anyway". Which is the nurse's best
action?
1. Thank the NA for the information and then call the client's doctor
regarding the situation
2. Tell the NA that the client has the right to leave and send the NA to
help the client pack
3. Talk with the client to discuss the client's concerns and explain the
plan of care
4. Tell the NA to inform the client that it is unsafe to leave; the RN will
see the client shortly
Answer: 3. Seeing the client provides an opportunity for further
assessment and client teaching. The nurse's responsibility is to inform
clients of the status of their care.
●● The nurse determines that the NA did not complete assigned tasks.
Which statement is best?
1. "All four of the clients' rooms assigned to you today are messy with a
lot of trash in them. You really need to finish your assignment before
you leave".
, 2. "I am concerned that you didn't complete your work assignments
today. What responsibilities interfered with completing the tasks I
assigned?"
3. "I checked with the four clients you were assigned to ambulate, and
you didn't ambulate anyone. This cannot happen again".
4. "Family members are upset today because you didn't get all the clients
bathed yet. Why didn't you let me know you needed help?"
Answer: 2. This statement is best. Giving the NA an opportunity to
provide a rationale fosters team communication.
●● The new nurse is discussing the organization of client care with the
mentor. Which statement made by the new nurse requires immediate
follow-up by the mentor?
1. "I delegated all the stable vital signs to an unlicensed assistive
personnel (UAP) and most of the treatments to the LPN
2. "I had the LPN bring the urinary catheterization supplies into the
room so everything would be available when I got there"
3. "I was taking vitals on one client and having a second client dangle
while I had a third client sit on the bedside commode"
4. "I believe my organizational skills are improving and I am able to
complete all the client cares myself"
Answer: 3. This statement may appear that the new nurse is organized.
However, leaving the client dangling and another on a bedside commode
while taking vital signs on another client is unsafe and indicates that the
new nurse is not properly delegating tasks. This statement would require
AND ASSIGNMENT NCLEX UPDATED
QUESTIONS AND ANSWERS FULL
SOLUTION REVIEW MATERIAL
●● The RN is leading a team of an NA and an LPN in the care of a
group of clients. Which tasks should the nurse assign to the NA and
LPN?
1. NA to perform two simple dressing changes; LPN to assess and care
for two non-complex clients
2. NA to empty and record urinary catheter bag drainage; LPN to
administer oral and IM medications
3. NA to assist clients with hygiene; LPN to provide postmortem care
and meet with a deceased client's family
4. NA to take and document vital signs on all clients; LPN to complete
the discharge paperwork to be reviewed with two clients
Answer: 2. The scope of practice for the NA includes measuring and
recording I&O and for the LPN includes administering oral and IM
medications
●● The nurse is supervising the experienced NA who is new to the unit.
Which question is best to evaluate the NA's knowledge and skill in
obtaining the client's fingerstick blood glucose, which is a permissible
NA-performed skill within the facility?
,1. "How many times did you perform a fingerstick blood glucose
measurement on the unit in which you previously worked?"
2. "How would you obtain a blood specimen and perform the procedure
for measuring the client's blood glucose?"
3. When was the last time you were observed by a RN performing a
blood glucose measurement on the client?"
4. "When was the last time you obtained a blood glucose measurement
that was out of the normal ranges, and what did you do about this?"
Answer: 2. The NA describing the procedure is one method of
evaluating the NA's knowledge and skills. Using an open-ended question
elicits conversation and details.
●● The NA's job responsibilities include totaling the I&O records for
clients at the end of an 8-hour shift. Near the end of the shift, the LPN
reports to the RN that the new NA on the unit has not completed the
task. What is the RN's best action?
1. Ask the LPN to complete this task because the information is needed
to give report.
2. Remind the NA that the task needs to be completed as quickly as
possible
3. Notify the charge nurse that the NA needs more orientation on job
responsibilities
4. Go to the NA to discuss the collection of I&O data and how to total
I&O records
Answer: 4. Delegation of assigned tasks includes determining the
delegate's knowledge and ability to perform the task correctly.
,Discussing the task with the NA may clarify what the NA knows and
where additional teaching is needed regarding the task.
●● The RN is informed by the NA that the client, hospitalized last
evening with chest pain, plans to leave right now because the pain is
gone and "nobody has done anything anyway". Which is the nurse's best
action?
1. Thank the NA for the information and then call the client's doctor
regarding the situation
2. Tell the NA that the client has the right to leave and send the NA to
help the client pack
3. Talk with the client to discuss the client's concerns and explain the
plan of care
4. Tell the NA to inform the client that it is unsafe to leave; the RN will
see the client shortly
Answer: 3. Seeing the client provides an opportunity for further
assessment and client teaching. The nurse's responsibility is to inform
clients of the status of their care.
●● The nurse determines that the NA did not complete assigned tasks.
Which statement is best?
1. "All four of the clients' rooms assigned to you today are messy with a
lot of trash in them. You really need to finish your assignment before
you leave".
, 2. "I am concerned that you didn't complete your work assignments
today. What responsibilities interfered with completing the tasks I
assigned?"
3. "I checked with the four clients you were assigned to ambulate, and
you didn't ambulate anyone. This cannot happen again".
4. "Family members are upset today because you didn't get all the clients
bathed yet. Why didn't you let me know you needed help?"
Answer: 2. This statement is best. Giving the NA an opportunity to
provide a rationale fosters team communication.
●● The new nurse is discussing the organization of client care with the
mentor. Which statement made by the new nurse requires immediate
follow-up by the mentor?
1. "I delegated all the stable vital signs to an unlicensed assistive
personnel (UAP) and most of the treatments to the LPN
2. "I had the LPN bring the urinary catheterization supplies into the
room so everything would be available when I got there"
3. "I was taking vitals on one client and having a second client dangle
while I had a third client sit on the bedside commode"
4. "I believe my organizational skills are improving and I am able to
complete all the client cares myself"
Answer: 3. This statement may appear that the new nurse is organized.
However, leaving the client dangling and another on a bedside commode
while taking vital signs on another client is unsafe and indicates that the
new nurse is not properly delegating tasks. This statement would require
