Prioritization Delegation And Assignment Questions And Answers

Here’s another set of NCLEX questions about Nursing Delegation and Prioritization! Let’s do another set, this time with 15 challenging questions. Also, take the first part of this exam via this link.

When you delegate work to the member of the team, your job is to clearly frame success and describe the objectives. —Steven Sinofsky

Topics

Included topics in this exam are:

  • Prioritization
  • Delegation and Assignment

Guidelines

Follow the guidelines below to make the most out of this exam:

  • Read each question carefully and choose the best answer.
  • You are given one minute per question. Spend your time wisely!
  • Answers and rationales are given below. Be sure to read them.
  • If you need more clarifications, please direct them to the comments section.

Questions

Exam Mode

In Exam Mode: All questions are shown in random and the results, answers and rationales (if any) will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 15 minutes in this quiz.

NCLEX Exam: Nursing Prioritization, Delegation and Assignment 2 (15 Items)

Congratulations - you have completed NCLEX Exam: Nursing Prioritization, Delegation and Assignment 2 (15 Items).

You scored %%SCORE%% out of %%TOTAL%%.

Your performance has been rated as %%RATING%%


Your answers are highlighted below.

  • 1. 

    You are making a home visit to a 50-year old patient who was recently hospitalized with a right leg deep vein thrombosis and a pulmonary embolism. The patient’s only medication is enoxaparin (Lovenox) subcutaneously. Which assessment information will you need to communicate to the physician?

    • A. 

      The patient says that her right leg aches all night

    • B. 

      The right calf is warm to the touch and is larger than the left calf

    • C. 

      The patient is unable to remember her husband’s first name

    • D. 

      There are multiple ecchymotic areas on the patient’s arms

  • 2. 

    Avoid foods prepared with monosodium glutamate (MSG)

    • A. 

      Avoid potential environmental asthma triggers such as smoke

    • B. 

      Use the inhaler 30 minutes before exercising to prevent bronchospasm

    • C. 

      Wash all bedding in cold water to reduce and destroy dust mites.

    • D. 

      Be sure to get at least 8 hours of rest and sleep every night.

    • E. 

      Avoid foods prepared with monosodium glutamate (MSG)

  • 3. 

    You are providing nursing care for a newborn infant with respiratory distress syndrome (RDS) who is receiving nasal CPAP ventilation. What complications should you monitor for this infant?

    • A. 

    • B. 

    • C. 

    • D. 

  • 4. 

    You are responsible for the care of a postoperative patient with a thoracotomy. The patient has been given a nursing diagnosis of Activity Intolerance. Which action should you delegate to the nursing assistant?

    • A. 

      Instructing the patient to alternate rest and activity periods

    • B. 

      Encouraging. monitoring. and recording nutritional intake

    • C. 

      Monitoring cardiorespiratory response to activity

    • D. 

      Planning activities for periods when the patient has the most energy

  • 5. 

    You are supervising a nursing student who is providing care for a thoracotomy patient with a chest tube. What finding would you clearly instruct the nursing student to notify you about immediately?

    • A. 

      Chest tube drainage of 10 to 15 mL/hr

    • B. 

      Continuous bubbling in the water seal chamber

    • C. 

      Complaints of pain at the chest tube site

    • D. 

      Chest tube dressing dated yesterday

  • 6. 

    You are supervising a student nurse who is performing tracheostomy care for a patient. For which action by the student should you intervene

    • A. 

      Suctioning the tracheostomy tube before performing tracheostomy care

    • B. 

      Removing old dressings and cleaning off excess secretions

    • C. 

      Removing the inner cannula and cleaning using universal precautions

    • D. 

      Replacing the inner cannula and cleaning the stoma site.

    • E. 

      Changing the soiled tracheostomy ties and securing the tube in place

  • 7. 

    You are supervising an RN who was pulled from the medical-surgical floor to the emergency department. The nurse is providing care for a patient admitted with anterior epistaxis (nosebleed). Which of these directions would you clearly proved to the RN? (Select all that apply)

    • A. 

      Position the patient supine and turned on his side

    • B. 

      Apply direct lateral pressure to the nose for 5 minutes

    • C. 

      Maintain universal body substances precautions.

    • D. 

      Apply ice or cool compresses to the nose

    • E. 

      Instruct the patient not to blow the nose for several hours.

  • 8. 

    You are the preceptor for an RN who is undergoing orientation to the intensive care unit. The RN is providing care for a patient with ARDS who has just been intubated in preparation for mechanical ventilation. You observe the nurse perform all of these actions. For which action must you intervene immediately?

    • A. 

      Assessing for bilateral breath sounds and symmetrical chest movements

    • B. 

      Auscultating over the stomach to rule out esophageal intubation

    • C. 

      Marking the tube 1 cm from where it touches the incisor tooth or nares

    • D. 

      Ordering a chest radiograph to verify that tube placement is correct

  • 9. 

    You have just finished assisting the physician with a thoracentesis for a patient with recurrent left pleural effusion caused by lung cancer. The thoracentesis removed 1800 mL of fluid. Which patient assessment information is important to report to the physician?

    • A. 

      The patient starts crying and says she can’t go on with treatment much longer

    • B. 

      The patient complains of sharp. stabbing chest pain with every deep breath

    • C. 

      The patient’s blood pressure is 100/48 mm Hg and her heart rate is 102 beats/ min

    • D. 

      The patient’s dressing at the thoracentesis site has 1 cm of bloody drainage

  • 10. 

    You have obtained the following assessment information about a 3-year old who has just returned to the pediatric unit after having a tonsillectomy. Which finding requires the most immediate follow-up?

    • A. 

    • B. 

    • C. 

      Complaints of a sore throat

    • D. 

      Heart rate of 112 beats/min

  • Comments

    Leave a Reply

    Your email address will not be published. Required fields are marked *