NCLEX Prioritization and Delegation
Questions with Correct Answers
The NA's job responsibilities include totaling the I&O records for clients at the end of an 8-hour
shift. Near the end of the shift, the LPN reports to the RN that the new NA on the unit has not
completed the task. What is the RN's best action?
1. Ask the LPN to complete this task because the information is needed to give report.
2. Remind the NA that the task needs to be completed as quickly as possible
3. Notify the charge nurse that the NA needs more orientation on job responsibilities
4. Go to the NA to discuss the collection of I&O data and how to total I&O records 4.
Delegation of assigned tasks includes determining the delegate's knowledge and ability to
perform the task correctly. Discussing the task with the NA may clarify what the NA knows and
where additional teaching is needed regarding the task.
The RN is informed by the NA that the client, hospitalized last evening with chest pain, plans to
leave right now because the pain is gone and "nobody has done anything anyway". Which is the
nurse's best action?
1. Thank the NA for the information and then call the client's doctor regarding the situation
2. Tell the NA that the client has the right to leave and send the NA to help the client pack
3. Talk with the client to discuss the client's concerns and explain the plan of care
,4. Tell the NA to inform the client that it is unsafe to leave; the RN will see the client shortly
3. Seeing the client provides an opportunity for further assessment and client teaching.
The nurse's responsibility is to inform clients of the status of their care.
The nurse determines that the NA did not complete assigned tasks. Which statement is best?
1. "All four of the clients' rooms assigned to you today are messy with a lot of trash in them. You
really need to finish your assignment before you leave".
2. "I am concerned that you didn't complete your work assignments today. What responsibilities
interfered with completing the tasks I assigned?"
3. "I checked with the four clients you were assigned to ambulate, and you didn't ambulate
anyone. This cannot happen again".
4. "Family members are upset today because you didn't get all the clients bathed yet. Why didn't
you let me know you needed help?" 2. This statement is best. Giving the NA an
opportunity to provide a rationale fosters team communication.
The new nurse is discussing the organization of client care with the mentor. Which statement
made by the new nurse requires immediate follow-up by the mentor?
1. "I delegated all the stable vital signs to an unlicensed assistive personnel (UAP) and most of
the treatments to the LPN
,2. "I had the LPN bring the urinary catheterization supplies into the room so everything would be
available when I got there"
3. "I was taking vitals on one client and having a second client dangle while I had a third client
sit on the bedside commode"
4. "I believe my organizational skills are improving and I am able to complete all the client cares
myself" 3. This statement may appear that the new nurse is organized. However, leaving
the client dangling and another on a bedside commode while taking vital signs on another client
is unsafe and indicates that the new nurse is not properly delegating tasks. This statement would
require immediate follow-up by the mentor because these actions increase the client's risk for
falls.
The RN is working with the UAP and the LPN in providing care to a group of clients. Which
tasks should the nurse plan to delegate? Select all that apply.
1. LPN to administer oral and IM medications
2. UAP to perform chest tube dressing changes
3. LPN to assess and care for two non-complex clients
4. UAP to empty and record urinary catheter bag drainage
5. UAP to take and document vital signs on all clients
6. LPN to initiate the discharge paperwork for two clients 1, 4, & 5
1. It is within the LPN's scope of practice to administer oral and IM medications
, 4. It is acceptable practice for the UAP to empty and record urinary catheter bag drainage
5. It is acceptable practice for the UAP to check and document vital signs on all clients
The RN is working with the LPN in providing care to the client. Place the nurse responsibilities
associated with delegation, supervision, and evaluation in the order that these should be
completed by the nurse.
1. Following and incident, discuss importance of verifying the gag reflex prior to allowing the
client who was sedated to have anything by mouth
2. Intervene when the LPN allows the client who had been sedated for a procedure to have
food/drink by mouth prior to verifying gag reflex
3. Inform the LPN of tasks pertaining to the clients that should be completed
4. Write a brief anecdotal note regarding appraisal of encounter with the LPN 3, 2, 1, 4
3. Inform the LPN of tasks pertaining to the clients that should be completed should be the first
action after giving or receiving report on the clients. The RN is delegating tasks to the LPN
2. Intervene when the LPN allows the client who had seen sedated for a procedure to have
food/drink by mouth prior to verifying gag reflex is the second action. This involves supervision
1. Following an incident, discuss the importance of verifying the gag reflex prior to allowing the
client who was sedated to have anything by mouth is third. Supervision includes providing
feedback
Questions with Correct Answers
The NA's job responsibilities include totaling the I&O records for clients at the end of an 8-hour
shift. Near the end of the shift, the LPN reports to the RN that the new NA on the unit has not
completed the task. What is the RN's best action?
1. Ask the LPN to complete this task because the information is needed to give report.
2. Remind the NA that the task needs to be completed as quickly as possible
3. Notify the charge nurse that the NA needs more orientation on job responsibilities
4. Go to the NA to discuss the collection of I&O data and how to total I&O records 4.
Delegation of assigned tasks includes determining the delegate's knowledge and ability to
perform the task correctly. Discussing the task with the NA may clarify what the NA knows and
where additional teaching is needed regarding the task.
The RN is informed by the NA that the client, hospitalized last evening with chest pain, plans to
leave right now because the pain is gone and "nobody has done anything anyway". Which is the
nurse's best action?
1. Thank the NA for the information and then call the client's doctor regarding the situation
2. Tell the NA that the client has the right to leave and send the NA to help the client pack
3. Talk with the client to discuss the client's concerns and explain the plan of care
,4. Tell the NA to inform the client that it is unsafe to leave; the RN will see the client shortly
3. Seeing the client provides an opportunity for further assessment and client teaching.
The nurse's responsibility is to inform clients of the status of their care.
The nurse determines that the NA did not complete assigned tasks. Which statement is best?
1. "All four of the clients' rooms assigned to you today are messy with a lot of trash in them. You
really need to finish your assignment before you leave".
2. "I am concerned that you didn't complete your work assignments today. What responsibilities
interfered with completing the tasks I assigned?"
3. "I checked with the four clients you were assigned to ambulate, and you didn't ambulate
anyone. This cannot happen again".
4. "Family members are upset today because you didn't get all the clients bathed yet. Why didn't
you let me know you needed help?" 2. This statement is best. Giving the NA an
opportunity to provide a rationale fosters team communication.
The new nurse is discussing the organization of client care with the mentor. Which statement
made by the new nurse requires immediate follow-up by the mentor?
1. "I delegated all the stable vital signs to an unlicensed assistive personnel (UAP) and most of
the treatments to the LPN
,2. "I had the LPN bring the urinary catheterization supplies into the room so everything would be
available when I got there"
3. "I was taking vitals on one client and having a second client dangle while I had a third client
sit on the bedside commode"
4. "I believe my organizational skills are improving and I am able to complete all the client cares
myself" 3. This statement may appear that the new nurse is organized. However, leaving
the client dangling and another on a bedside commode while taking vital signs on another client
is unsafe and indicates that the new nurse is not properly delegating tasks. This statement would
require immediate follow-up by the mentor because these actions increase the client's risk for
falls.
The RN is working with the UAP and the LPN in providing care to a group of clients. Which
tasks should the nurse plan to delegate? Select all that apply.
1. LPN to administer oral and IM medications
2. UAP to perform chest tube dressing changes
3. LPN to assess and care for two non-complex clients
4. UAP to empty and record urinary catheter bag drainage
5. UAP to take and document vital signs on all clients
6. LPN to initiate the discharge paperwork for two clients 1, 4, & 5
1. It is within the LPN's scope of practice to administer oral and IM medications
, 4. It is acceptable practice for the UAP to empty and record urinary catheter bag drainage
5. It is acceptable practice for the UAP to check and document vital signs on all clients
The RN is working with the LPN in providing care to the client. Place the nurse responsibilities
associated with delegation, supervision, and evaluation in the order that these should be
completed by the nurse.
1. Following and incident, discuss importance of verifying the gag reflex prior to allowing the
client who was sedated to have anything by mouth
2. Intervene when the LPN allows the client who had been sedated for a procedure to have
food/drink by mouth prior to verifying gag reflex
3. Inform the LPN of tasks pertaining to the clients that should be completed
4. Write a brief anecdotal note regarding appraisal of encounter with the LPN 3, 2, 1, 4
3. Inform the LPN of tasks pertaining to the clients that should be completed should be the first
action after giving or receiving report on the clients. The RN is delegating tasks to the LPN
2. Intervene when the LPN allows the client who had seen sedated for a procedure to have
food/drink by mouth prior to verifying gag reflex is the second action. This involves supervision
1. Following an incident, discuss the importance of verifying the gag reflex prior to allowing the
client who was sedated to have anything by mouth is third. Supervision includes providing
feedback
