Welcome to NCLEX Study Course about Delegation and Prioritization Questions. Before you begin answering the questions, you may first want to take a peek about the material that will surely help you the pass the NCLEX examination :
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96. A registered nurse (RN) employed in a 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 nurse (LPN) and three nursing assistants on a nursing team. Which of the following clients would the nurse appropriately assign to the LPN?
a) a client with a right leg amputation who requires assistance with a shower
b) a client requiring a bed bath and frequent ambulation with a walker
c) a client who requires frequent temperatures taken
d) a client with a decubitus ulcer that requires a wound irrigation and dressing change
97. A registered nurse (RN) has received the assignment for the day shift. After making initial rounds and checking all the assigned clients, which client will the RN plan to care for first?
a) a postoperative client with chest tubes who has just received pain medication
b) a client scheduled for a chest x-ray at 11:00 AM
c) a client who is scheduled for surgery at 1:00 PM
d) a client who is self-care
98. A nurse is assigned to care for four clients. In planning client rounds, which client would the nurse assess first?
a) a client admitted on the previous shift with a diagnosis of gastroenteritis
b) a client in skeletal traction
c) a client attached to a ventilator
d) a postoperative client preparing for discharge
99. A nurse on the day shift is assigned to care for four clients. Following report from the night shift, which client will the nurse plan to asses first?
a) client scheduled for a cardiac catheterization at 10:00 AM
b) client newly diagnosed with diabetes mellitus who is scheduled for discharge to home
c) client with pulmonary edema who was treated with furosemide (Lasix) at 5:00 AM
d) client scheduled to have an electrocardiogram (ECG) at 9:00 AM
100. A registered nurse (RN) is planning the client assignments for the day. The RN assigns which of the following clients to the nursing assistant?
a) a client who needs range-of-motion exercises every 4 hours
b) a client who needs to be catheterized every 12 hours
c) a client who needs to be suctioned as needed (PRN)
d) a client who needs a dressing change performed every 4 hours
NCLEX Study Course:
Answers and Rationale
96) D
- When delegating nursing assignments, the nurse needs to consider the skills and educational levels of the nursing staff. The nursing assistant can most appropriately give a shower, give a bed bath, ambulate a client with a walker, and take an oral temperature. The LPN can administer the rectal suppository to the client requiring the enema. The LPN is skilled in wound irrigations and dressing changes, and this client would most appropriately be assigned to this staff member.97) C
- The RN would plan to care for the client who is scheduled for surgery at 1:00 PM first. There are several items that need to be addressed preoperatively, including client preparation (physically and emotionally) and physician orders that need to be carried out. This preparation takes time. Additionally, often the operating room makes late changes in the schedule, depending on room and physician availability, and requests an earlier surgical time. Therefore, it is best to ensure that this client is prepared. It is best to wait for pain medication to take effect before providing care to the postoperative client. The client who is self-care and the client scheduled for an x-ray later in the morning do not have priority needs related to care.98) C
- Airway is always a high priority, and the nurse would assess the client attached to a ventilator first. The clients described in options A, B, and D have needs that would be identified as intermediate priorities.99) C
- Airway is always a high priority, and the nurse would assess the client with pulmonary edema who was treated with furosemide at 5:00 am first. The nurse would next assess the client scheduled for the cardiac catheterization, followed by the client scheduled for discharge and the client scheduled for an ECG.100) A
- When a nurse delegates aspects of a client's care to another staff member, the nurse assigning the tasks is responsible for ensuring that each task is appropriately assigned on the basis of the educational level and competency of the staff member. Noninvasive interventions can be assigned to a nursing assistant. Options B, C, and D can be assigned to a licensed practical nurse or another RN because these staff members can perform certain invasive procedures.After you reviewed your answers through its rationale, you can also go back to the first page to start from the beginning:
NCLEX Study Course about Delegation and Prioritization Questions 1-5
Or proceed to the next set of questions:
NCLEX Study Course about Delegation and Prioritization Questions (101-105)
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