LATTEST UPDATE FOR
Priority & Delegation
Practice WITH LATIFIED
QUESTIONS AND
RECTIFIED ANSWERS
100% CORRECT.
1. A nurse receives report on four clients.
Which client should be assessed first?
A. Client with COPD using accessory muscles
B. Client with stable angina reporting chest pain
2/10
,C. Client with diabetes requesting morning
insulin
D. Client scheduled for discharge teaching
Answer: A
Rationale: Respiratory distress takes priority
over stable or routine care due to
airway/breathing risk.
2. Which task is appropriate to delegate to a
UAP?
A. Assess pain in a post-op patient
B. Monitor IV potassium infusion
C. Assist a client with bathing
D. Teach incentive spirometry
Answer: C
Rationale: UAPs can assist with ADLs but cannot
assess, teach, or administer IV medications.
,3. A client suddenly develops slurred speech
and right-sided weakness. What is the nurse’s
first action?
A. Check blood glucose
B. Notify provider
C. Activate stroke alert
D. Obtain vital signs
Answer: C
Rationale: Suspected stroke requires immediate
activation of emergency response to reduce
brain injury.
4. Which client can be assigned to a new
graduate nurse?
A. Client with unstable heart failure
B. Client 2 days post-appendectomy stable
, condition
C. Client with DKA on insulin drip
D. Client with GI bleeding
Answer: B
Rationale: Stable post-op clients are
appropriate assignments for novice nurses.
5. What is the priority action for a client with
anaphylaxis?
A. Administer diphenhydramine
B. Give epinephrine
C. Apply oxygen
D. Start IV fluids
Answer: B
Rationale: Epinephrine is the first-line life-saving
intervention for anaphylaxis.
Priority & Delegation
Practice WITH LATIFIED
QUESTIONS AND
RECTIFIED ANSWERS
100% CORRECT.
1. A nurse receives report on four clients.
Which client should be assessed first?
A. Client with COPD using accessory muscles
B. Client with stable angina reporting chest pain
2/10
,C. Client with diabetes requesting morning
insulin
D. Client scheduled for discharge teaching
Answer: A
Rationale: Respiratory distress takes priority
over stable or routine care due to
airway/breathing risk.
2. Which task is appropriate to delegate to a
UAP?
A. Assess pain in a post-op patient
B. Monitor IV potassium infusion
C. Assist a client with bathing
D. Teach incentive spirometry
Answer: C
Rationale: UAPs can assist with ADLs but cannot
assess, teach, or administer IV medications.
,3. A client suddenly develops slurred speech
and right-sided weakness. What is the nurse’s
first action?
A. Check blood glucose
B. Notify provider
C. Activate stroke alert
D. Obtain vital signs
Answer: C
Rationale: Suspected stroke requires immediate
activation of emergency response to reduce
brain injury.
4. Which client can be assigned to a new
graduate nurse?
A. Client with unstable heart failure
B. Client 2 days post-appendectomy stable
, condition
C. Client with DKA on insulin drip
D. Client with GI bleeding
Answer: B
Rationale: Stable post-op clients are
appropriate assignments for novice nurses.
5. What is the priority action for a client with
anaphylaxis?
A. Administer diphenhydramine
B. Give epinephrine
C. Apply oxygen
D. Start IV fluids
Answer: B
Rationale: Epinephrine is the first-line life-saving
intervention for anaphylaxis.
