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Test Bank & Study Guide
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150+ Questions & Answers for NCLEX Success
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| 2026/2027 Updated Edition
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SECTION 1: DELEGATION & ASSIGNMENT (Questions 1-20)
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Question 1: = =
A nurse on a medical-surgical unit has received change-of-
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shift report and will care for four clients. Which of the following clie
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nt needs may the nurse assign to an assistive personnel (AP)?
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A) Feeding a client who was admitted 24 hours ago with aspiration
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pneumonia
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B) Reinforcing teaching with a client who is learning to walk using a
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quad cane = =
C) Reapplying a condom catheter for a client who has urinary incon
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tinence =
D) Applying a sterile dressing to a pressure ulcer
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,Answer: C) Reapplying a condom catheter for a client who has u
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rinary incontinence = =
Rationale: The application of a condom catheter is a noninvasive, r
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outine procedure that may be delegated to an AP. Feeding a client
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with aspiration pneumonia requires assessment and monitoring by li
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censed staff. Reinforcing teaching and sterile dressing changes req
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uire nursing judgment and are beyond the AP's scope .
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Question 2: = =
An RN is making assignments for client care to an LPN at the beginni
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ng of the shift. Which of the following assignments should the LPN q
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uestion? =
A) Assisting a client who is 24 hours post-= = = = = = =
op to use an incentive spirometer
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B) Collecting a clean- = =
catch urine specimen from a client C) Providing nasopharyngeal
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suctioning for a client who has pneumonia
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D) Replacing the cartridge and tubing on a PCA pump
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, Answer: D) Replacing the cartridge and tubing on a PCA pump
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Rationale: The RN is responsible for managing the PCA pump, inclu
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ding replacing the cartridge and tubing, because it involves medica
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tion administration and client-
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controlled analgesia management. The other tasks are within the LP
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N's scope of practice .
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Question 3: = =
A nurse is delegating the ambulation of a client who had a knee art
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hroplasty 5 days ago to an AP. Which information should the nurse
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share with the AP? (Select all that apply)
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A) The roommate is up independently.
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B) The client ambulates with slippers on over antiembolic stockings.
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C) The client uses a front-wheeled walker when ambulating.
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D) The client had pain medication 30 minutes ago.
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E) The client is allergic to codeine.
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F) The client ate 50% of breakfast.
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Answer: B, C, D = = = =
Rationale: When delegating ambulation, the nurse must communica
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te the client's specific ambulation aids (C), footwear requirements (
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