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NCLEX-RN NGN Comprehensive Practice
Test Bank | Practice Questions &
Answers Version 2
CHAPTER 1 — SAFE AND EFFECTIVE CARE ENVIRONMENT: MANAGEMENT OF
CARE
**Q1.** Which action demonstrates appropriate delegation by a registered
nurse to an unlicensed assistive personnel (UAP)?
A. Assigning the UAP to perform a sterile wound dressing change
B. Delegating the administration of oral medications to the UAP
C. Asking the UAP to obtain a routine blood pressure reading on a stable
patient
D. Directing the UAP to provide initial teaching about insulin administration
**Correct Answer:** C
**Rationale:** Delegation involves transferring responsibility for a task to
another person while retaining accountability. A UAP may obtain routine vital
signs on stable patients. Wound care, medication administration, and patient
teaching require licensed nursing judgment and cannot be delegated to UAP.
---
**Q2.** A patient with a do-not-resuscitate (DNR) order experiences
respiratory arrest. What is the nurse's priority action?
, 4
A. Initiate CPR immediately
B. Call the healthcare provider for clarification
C. Provide comfort measures and support to the family
D. Transfer the patient to the intensive care unit
**Correct Answer:** C
**Rationale:** A valid DNR order indicates that resuscitative measures should
not be initiated. The nurse should respect the patient's advance directive and
provide comfort measures. The nurse should not initiate CPR or transfer the
patient for aggressive treatment when a DNR order is in place.
---
**Q3.** What is the most appropriate initial response when a patient
expresses dissatisfaction with their care and requests to speak with someone
about a concern?
A. Tell the patient to submit a written complaint
B. Explain that the nurse is busy and will address it later
C. Listen attentively, acknowledge the concern, and offer to contact the
patient advocate or hospital ombudsman
D. Refer the patient directly to the hospital's legal department
**Correct Answer:** C
**Rationale:** Patient advocacy includes listening to concerns,
acknowledging them, and facilitating appropriate channels for resolution. The
nurse should not dismiss concerns, delay response unnecessarily, or escalate
,2
, 3
NCLEX-RN NGN Comprehensive Practice
Test Bank | Practice Questions &
Answers Version 2
CHAPTER 1 — SAFE AND EFFECTIVE CARE ENVIRONMENT: MANAGEMENT OF
CARE
**Q1.** Which action demonstrates appropriate delegation by a registered
nurse to an unlicensed assistive personnel (UAP)?
A. Assigning the UAP to perform a sterile wound dressing change
B. Delegating the administration of oral medications to the UAP
C. Asking the UAP to obtain a routine blood pressure reading on a stable
patient
D. Directing the UAP to provide initial teaching about insulin administration
**Correct Answer:** C
**Rationale:** Delegation involves transferring responsibility for a task to
another person while retaining accountability. A UAP may obtain routine vital
signs on stable patients. Wound care, medication administration, and patient
teaching require licensed nursing judgment and cannot be delegated to UAP.
---
**Q2.** A patient with a do-not-resuscitate (DNR) order experiences
respiratory arrest. What is the nurse's priority action?
, 4
A. Initiate CPR immediately
B. Call the healthcare provider for clarification
C. Provide comfort measures and support to the family
D. Transfer the patient to the intensive care unit
**Correct Answer:** C
**Rationale:** A valid DNR order indicates that resuscitative measures should
not be initiated. The nurse should respect the patient's advance directive and
provide comfort measures. The nurse should not initiate CPR or transfer the
patient for aggressive treatment when a DNR order is in place.
---
**Q3.** What is the most appropriate initial response when a patient
expresses dissatisfaction with their care and requests to speak with someone
about a concern?
A. Tell the patient to submit a written complaint
B. Explain that the nurse is busy and will address it later
C. Listen attentively, acknowledge the concern, and offer to contact the
patient advocate or hospital ombudsman
D. Refer the patient directly to the hospital's legal department
**Correct Answer:** C
**Rationale:** Patient advocacy includes listening to concerns,
acknowledging them, and facilitating appropriate channels for resolution. The
nurse should not dismiss concerns, delay response unnecessarily, or escalate
