NCLEX RN prioritization delegation assignment EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

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Exam Solution zm




Prioritization Delegation and Assignment Exercises for zm zm zm zm zm




the NCLEX ® Examination 2026 A+ GRADE ASSURED C
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OMPLETE SOLUTIONS AND VERIFIED ANSWERS (B494 zm zm zm zm zm




B)




QUESTION 1 zm




Term
ANSWER

Definition



QUESTION 2 zm




3. A client with diabetic neuropathy reports a burning, electrical-
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type pain in the lower extremities that is worse at night and not responding to nonste
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inflammatory drugs. Which medication will you advocate for first? 1. Gabapentin (Neu
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rontin) 2. Corticosteroids 3. Hydromorphone (Dilaudid) 4. Lorazepam (Ativan)
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ANSWER

3. Ans: 1 Gabapentin is an antiepileptic drug, but it is also used to treat diabetic neuropathy. Cortico
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steroids are for pain associated with inflammation. Hydromorphone is a stronger opioid, and it is no
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t the first choice for chronic pain that can be managed with other drugs. Lorazepam is an anxiolytic
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mthat may be ordered as an adjuvant nedication. Focus: Prioritization LaCharity, Linda A.; Kumagai, C
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andice K.; Bartz, Barbara (2013-11-
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22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. 3). Elsevi
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er Health Sciences. Kindle Edition.
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QUESTION 3 zm




4. Which client is most likely to receive opioids for extended periods of time? 1. A clie
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nt with fibromyalgia 2. A client with phantom limb pain in the leg 3. A client with pro
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gressive pancreatic cancer 4. A client with trigeminal neuralgia
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, ANSWER

4. Ans: 3 Cancer pain generally worsens with disease progression, and the use of opioids is more ge
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nerous. Fibromyalgia is more likely to be treated with nonopioid and adjuvant medications. Trigemin
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al neuralgia is treated with antiseizure medications such as carbamazepine (Tegretol). Phantom limb
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mpain usually subsides after ambulation begins. Focus: Prioritization LaCharity, Linda A.; Kumagai, Ca
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ndice K.; Bartz, Barbara (2013-11-
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22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. 3). Elsevi
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er Health Sciences. Kindle Edition.
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QUESTION 4 zm




1. You are caring for a patient with esophageal cancer. Which task could be delegated
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to a UAP? 1. Assisting the patient with oral hygiene 2. Observing the patient's respons
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e to feedings 3. Facilitating expression of grief or anxiety 4. Initiating daily weighings
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ANSWER

1. Ans: 1 Oral hygiene is within the scope of duties of the UAP. It is the responsibility of the nurse
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to observe response to treatments and to help the patient deal with loss or anxiety. The UAP can be
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directed to weigh the patient but should not be expected to know when to initiate that measureme
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nt. Focus: Delegation LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-
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22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. 168). Els
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evier Health Sciences. Kindle Edition.
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QUESTION 5 zm




3. Which patient is at greatest risk for pancreatic cancer? 1. An elderly African-
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American man who smokes 2. A young white obese woman with gallbladder disease 3.
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A young African-
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American man with type 1 diabetes 4. An elderly white woman who has pancreatitis
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ANSWER

3. Ans: 1 Pancreatic cancer is more common in African-
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Americans, males, and smokers. Other associated factors include alcohol use, diabetes, obesity, histor
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y of pancreatitis, exposure to organic chemicals, consumption of a high-
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fat diet, and previous abdominal irradiation. Focus: Prioritization LaCharity, Linda A.; Kumagai, Candi
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ce K.; Bartz, Barbara (2013-11-
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22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. 168). Els
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evier Health Sciences. Kindle Edition.
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QUESTION 6 zm




2. The client also has the nursing diagnosis Decreased Cardiac Output related to decre
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ased plasma volume. Which assessment finding supports this nursing diagnosis? 1. Fla
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ttened neck veins when the client is in the supine position 2. Full and bounding pedal
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