NCLEX Practice Exam/Test - Leadership and Management Practice Test

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1. A registered nurse is planning for the client assignment for the day. Which of the following is the most appropriate assignment for a nursing assistant?

A. a client requires tap water enemas
B. a client requiring colostomy irrigation
C. a client requiring continuous tube feeding
D. a client with difficulty swallowing food and fluid

2. A registered nurse employed in long-term care facility is planning assignments for the clients on a nursing unit. The RN needs to assign four clients and has a licensed practical (vocational) nurse and three nursing assistants on a nursing team. Which of the following clients would the nurse most appropriately assign to LPN

A. a client who requires a 24-hour urine collection
B. an elderly client requiring assistance with bed bad and frequent ambulation
C. a client who requires a fleet and an oil retention enema
D. a client with an abdominal wound that requires irrigation and dressing changes every 3 hours

3. A registered nurse has received the assignment for the day shift. After making initial rounds and checking all the assigned clients, which will the RN plan to care for first?

A. a client who is ambulatory
B. a client who has fever and who is diaphoretic and restless
C. a client scheduled for physical therapy at 1:00 pm
D. a post-operative client who has received pain medications

4. A nurse is assigned to care for four clients. In planning client rounds, which client would the nurse assess first?

A. a client receiving oxygen via nasal cannula who had difficulty breathing the previous shift
B. a post-operative client for discharge
C. a client scheduled for x-ray
D. a client requiring daily dressing changes



ANSWERS AND RATIONALE

1) A

- The nursing assistant can perform enema. Option B, C, and D will be done by the LVN/LPN

2) D

- the LVN can perform more complicated procedures like wound care. Option A, B, and C tasks done by nursing assistants

3) B

- patients with unstable condition should be given highest priority by the nurse. The client who has fever, and who is diaphoretic and restless is with unstable condition

4) A

- the client with problem with airways and whose condition is unstable should be given first priority by the nurse. "ABC" is a priority.


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