NCLEX Review on Delegation and Prioritization Questions (1-5)

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1. A nurse from medical-surgical unit is asked to work on the orthopedic unit. The medical-surgical nurse has no orthopedic nursing experience. Which client should be assigned to the medical-surgical nurse?a) a client with a cast for a fractured femur and who has numbness and discoloration of the toes
b) a client with balanced skeletal traction and who needs assistance with morning care
c) a client who had an above-the-knee amputation yesterday and has a temperature of 101.4F
d) a client who had a total hip replacement 2 days ago and needs blood glucose monitoring


2. The nurse plans care for a client undergoing a colposcopy. Which of the following actions should the nurse take first?

a) discuss the client's fear regarding potential cervical cancer
b) assist with silver nitrate application to the cervix to control bleeding
c) provide instructions regarding douching and sexual relations
d) administer pain medication

3. A nurse is caring for four clients and is preparing to do her initial rounds. Which client should the nurse assess first?

a) a client with diabetes being discharged today
b) a client with tracheostomy and copious secretions
c) a client scheduled for physical therapy this morning
d) a client with a pressure ulcer that needs dressing change

4. A nurse enters a room and finds a client lying on the floor. Which action should the nurse perform first?

a) call for help to get the client back in bed
b) establish whether the client is responsive
c) assist the client back to bed
d) ask the client what happened


5. A nurse preceptor is working with a new nurse and notes that the new nurse is reluctant to delegate tasks to members of the care team. The nurse preceptor recognizes that this reluctance most likely is due to:

a) role modeling behaviors of the preceptor
b) the philosophy of the new nurse's school of nursing
c) the orientation provided to the new nurse
d) lack of trust in the team members




NCLEX Review on Delegation and Prioritization Questions:
ANSWERS AND RATIONALE

1) D

- a nurse from medical-surgical unit floated to the orthopedic unit should be given clients with stable condition, and those whose care are similar to her training and experience. A client who is 2-day postop is more likely to be on stable condition. And the medical-surgical unit nurse is competent in monitoring blood glucose.

2) B

- the priority nursing action when caring for a client who will undergo colposcopy is to assist in controlling potential bleeding by applying silver nitrate to the cervix.

3) B

- a patient with problem of the airway should be given highest priority. ABC is a priority.

4) B

- assessing for responsiveness is the first nursing action when performing CPR.

5) D

- lack of trust is the most common reason for reluctance in delegating tasks among members of the team.



Related Topics:

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