NCLEX Exam: Nursing Prioritization, Delegation and Assignment 2

Question 1

Jenna is a nurse from the medical-surgical unit of a tertiary hospital.
She was asked to float on the orthopedic in which she has no prior experience on working on.
Which client should be assigned to her?

Accepted Answer

A client who had a total hip replacement two days ago and needs blood glucose monitoring.

Answer

A client with a cast for a fractured femur and who has numbness and discoloration of the toes.

Answer

A client with balanced skeletal traction and needs assistance with morning care.

Answer

A client who had an above-the-knee amputation yesterday and has currently has a temperature of 101.4ºF.

Question 2

Sally is a nurse working in an emergency department and receives a client after a radiological incident. Which task is utmost priority for the nurse to do first?

Accepted Answer

Decontaminate the open wound on the client’s thigh.

Answer

Decontaminate the client’s clothing.

Answer

Decontaminate the examination room the client is placed in.

Answer

Save the client’s vomitus for analysis by the radiation safety staff.

Question 3

The nurse plans care for a client in the post anesthesia care unit. The nurse should assess first the client’s:

Accepted Answer

respiratory status.

Answer

level of consciousness.

Answer

level of pain.

Answer

reflexes and movement of extremities.

Question 4

Nurse Jackie is reviewing the diet of a 28-year-old female who reports several months of intermittent abdominal pain, abdominal bloating, and flatulence. The nurse should tell the client to avoid:

Accepted Answer

broccoli.

Answer

fiber.

Answer

yogurt

Answer

simple carbohydrates.

Question 5

Nurse Joriz of Nurseslabs Medical Center is planning care for a client who will undergo a colposcopy. Which of the following actions should Joriz take first?

Accepted Answer

Assist with silver nitrate application to the cervix to control bleeding.

Answer

Discuss the client’s fear regarding potential cervical cancer.

Answer

Give instructions regarding douching and sexual relations.

Answer

Administer pain medications.

Question 6

Nurse Channing is caring for four clients and is preparing to do his initial rounds. Which client should the nurse assess first?

Accepted Answer

A 35-year-old male with tracheostomy and copious secretions.

Answer

A client with diabetes being discharged today.

Answer

A teenager scheduled for physical therapy this morning.

Answer

A 78-year-old female client with pressure ulcer that needs dressing change.

Question 7

Nurse Janus enters a room and finds a client lying on the floor. Which of the following actions should the nurse perform first?

Accepted Answer

Establish whether the client is responsive.

Answer

Call for help to get the client back in bed.

Answer

Assist the client back to bed.

Answer

Ask the client what happened.

Question 8

Paige is a nurse preceptor who is working with a new nurse Joyce. She notes that the Joyce is reluctant to delegate tasks to members of the care team. Paige recognizes that this reluctance is mostly likely due to:

Accepted Answer

Lack of trust to the members of the healthcare team.

Answer

Role modeling behaviors of the preceptor.

Answer

The philosophy of the new nurse’s school of nursing.

Answer

The orientation provided to the new nurse.

Question 9

Nurse Paul is developing a care plan for a client after bariatric surgery for morbid obesity. The nurse should include which of the following on the care plan as the priority complication to prevent:

Accepted Answer

wound infection.

Answer

pain

Answer

depression.

Answer

thrombophlebitis.

Question 10

Examples are: guaranteeing the availability of necessary equipment, collaborating with other healthcare professionals, and reporting a change in shift

Accepted Answer

Indirect care

Answer

Direct care

Answer

Delegation

Answer

Referrals

Jenna is a nurse from the medical-surgical unit of a tertiary hospital.She was asked to float on the orthopedic in which she has no prior experience on working on.Which client should be assigned to her?

Jenna is a nurse from the medical-surgical unit of a tertiary hospital.
She was asked to float on the orthopedic in which she has no prior experience on working on.
Which client should be assigned to her?