NCLEX Review on Delegation and Prioritization Questions (26-30)

NCLEX Review on Delegation and Prioritization Questions

26. A nurse recently started working in a hospital that employs unlicensed assistant personnel (UAP). Which of the following are essential to effective delegation?

a) give the UAP written instructions for assignments
b) make frequent walking rounds to assess clients
c) delegate tasks based on the experience of the UAP
d) take frequent mini-reports from the UAP
e) have the UAP repeat instructions
f) explain unexpected outcomes of delegated tasks to the UAP  

27. A nurse is teaching a class regarding lead poisoning in children to student nurses. The nursing students learn to target which priority group of children for screening?

a) those with sickle cell anemia
b) those who live in homes built in the 1960's
c) those who live in low-income families
d) adolescents living in the inner city

28. A nurse is attending an In-service training class on delegation. The nurse learns that proper delegation can involve which of the following? Select all that apply

a) giving authority
b) delegating nursing process
c) delegating tasks
d) delegating accountability
e) delegating responsibility
f) giving orders

29. When developing the plan of care for a client with suicidal ideation, which of the following would the nurse anticipate as the priority?

a)Self-esteem
b)Sleep
c)Hygiene
d)Safety

30. A client in early labor is receiving oxytocin. When observing late decelerations in the fetal heart rate, the nurse should first:

a) Administer oxygen
b) Place her on her left side
c) Check the blood pressure
d) Discontinue the oxytocin infusion




NCLEX Review on Delegation and Prioritization Questions:
ANSWERS AND RATIONALE

26) A, B, C, D, E, F
- all of these aspects are essential fro effective delegation.

27) C
- lead poisoning is common in old houses (built in 1950's), and in places with unsanitary conditions including soil, dust, vehicles using leaded gas. These factors are common among low-income families.

28) A, C, and E
- proper delegation involves giving authority, delegating tasks, and delegating responsibility. Nursing process, accountability and giving orders are to be done by the RN, and not to be delegated.

29) D
- for the client with suicidal ideation, client safety is the priority. The nurse protects the client from self-harm or self-destruction. Although self-esteem, sleep and hygiene are common areas that require intervention for a client with suicidal ideation, ensuring the client’s safety is the most immediate and serious concern.

30) D
- the infusion should be stopped because it is placing the fetus in danger.




Go to the next page ---> NCLEX Review on Delegation and Prioritization Questions (31-35)  

Or go back to NCLEX Review on Delegation and Prioritization Questions (1-5) to start the test in the beginning