NURSING EXIT EXAM | ASSIGNMENT IN NURSING PRACTICE |
HESI & NCLEX RN TEST BANK | CLINICALLY CHALLENGING
QUESTIONS WITH ANSWERS AT THE END
Question 1
You are the charge nurse on a medical-surgical unit with four clients. Which client is appropriate
to assign to an LPN to manage independently?
A. A stable post-op client needing routine oral medications
B. A client with new-onset chest pain and shortness of breath
C. A client with fluctuating vital signs post-abdominal surgery
D. A client requiring initial discharge teaching
Question 2
A UAP reports that a client is unsteady during ambulation. How should the RN assign the care
for this client?
A. RN should personally assist and supervise ambulation
B. Assign another UAP to handle ambulation independently
C. Allow the client to attempt walking on their own
D. Delegate ambulation to the LPN without supervision
Question 3
A client requires routine vital signs and assistance with feeding. Which assignment is
appropriate?
A. Assign to a UAP under RN supervision
B. Assign to LPN with minimal oversight
C. RN should perform both tasks personally
D. Assign to another RN for observation only
Question 4
A client develops new confusion and restlessness on the unit. Which nurse should assess this
patient first?
A. The RN who is assigned to this client
B. The LPN assigned to stable clients
, C. UAP caring for post-op stable clients
D. RN supervising only routine ADLs
Question 5
A client is post-op day 1 following laparoscopic surgery. Which tasks can be assigned to a UAP?
A. Assisting with toileting and hygiene
B. Assessing incision for signs of infection
C. Monitoring new-onset hypotension
D. Educating the client on pain management
Question 6
You are assigning care for four clients. Which client should the RN see first?
A. A client reporting sudden shortness of breath and SpO₂ of 84%
B. A client requesting assistance with a meal
C. A client scheduled for routine lab draw
D. A stable post-op client needing routine vitals
Question 7
Which task is appropriate for delegation to an LPN?
A. Administering routine oral medications to stable clients
B. Performing initial admission assessment
C. Teaching a client how to self-administer insulin
D. Evaluating the effectiveness of IV antibiotic therapy
Question 8
A UAP is reporting a client is stumbling while walking. Who should manage this client?
A. The RN assigned to supervise the client
B. Another UAP
C. The LPN assigned to stable clients
D. The client’s family member
HESI & NCLEX RN TEST BANK | CLINICALLY CHALLENGING
QUESTIONS WITH ANSWERS AT THE END
Question 1
You are the charge nurse on a medical-surgical unit with four clients. Which client is appropriate
to assign to an LPN to manage independently?
A. A stable post-op client needing routine oral medications
B. A client with new-onset chest pain and shortness of breath
C. A client with fluctuating vital signs post-abdominal surgery
D. A client requiring initial discharge teaching
Question 2
A UAP reports that a client is unsteady during ambulation. How should the RN assign the care
for this client?
A. RN should personally assist and supervise ambulation
B. Assign another UAP to handle ambulation independently
C. Allow the client to attempt walking on their own
D. Delegate ambulation to the LPN without supervision
Question 3
A client requires routine vital signs and assistance with feeding. Which assignment is
appropriate?
A. Assign to a UAP under RN supervision
B. Assign to LPN with minimal oversight
C. RN should perform both tasks personally
D. Assign to another RN for observation only
Question 4
A client develops new confusion and restlessness on the unit. Which nurse should assess this
patient first?
A. The RN who is assigned to this client
B. The LPN assigned to stable clients
, C. UAP caring for post-op stable clients
D. RN supervising only routine ADLs
Question 5
A client is post-op day 1 following laparoscopic surgery. Which tasks can be assigned to a UAP?
A. Assisting with toileting and hygiene
B. Assessing incision for signs of infection
C. Monitoring new-onset hypotension
D. Educating the client on pain management
Question 6
You are assigning care for four clients. Which client should the RN see first?
A. A client reporting sudden shortness of breath and SpO₂ of 84%
B. A client requesting assistance with a meal
C. A client scheduled for routine lab draw
D. A stable post-op client needing routine vitals
Question 7
Which task is appropriate for delegation to an LPN?
A. Administering routine oral medications to stable clients
B. Performing initial admission assessment
C. Teaching a client how to self-administer insulin
D. Evaluating the effectiveness of IV antibiotic therapy
Question 8
A UAP is reporting a client is stumbling while walking. Who should manage this client?
A. The RN assigned to supervise the client
B. Another UAP
C. The LPN assigned to stable clients
D. The client’s family member
