NCLEX® Delegation Questions and Answer A+ Guide 2024-2025, Exams of Nursing

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Answer A+ Guide 2024-

1. You are the charge nurse. A client with chronic pain reports to you that the nurses have not been responding to requests for pain medication. What is your initial action?
2. Check the medication administration records (MARs) for the past several days.
3. Ask the nurse educator to provide in-service training about pain management.
4. Perform a complete pain assessment on the client and take a pain history.
5. Have a conference with the nurses responsible for the care of this client. - correct answer ✅✅ 1. Ans: 4 As charge nurse, you must assess the performance and attitude of the staff in relation to this client. After data are gathered from the nurses, additional information can be obtained from the records and the client as necessary. The educator may be of assistance if a knowledge deficit or need for performance improvement is the problem. Focus: Supervision, prioritization LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. 3). Elsevier Health Sciences. Kindle Edition.

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5. As the charge nurse, you are reviewing the charts of clients who were assigned to the care of a newly graduated RN. The RN has correctly charted dose and time of medication, but there is no documentation regarding nonpharmaceutical measures. What action should you take first?
6. Make a note in the nurse's file and continue to observe clinical performance.
7. Refer the new nurse to the in-service education department.
8. Quiz the nurse about knowledge of pain management and pharmacology.
9. Give praise for correctly charting the dose and time and discuss the deficits in charting. - correct answer ✅✅ 5. Ans: 4 In supervision of the new RN, good performance should be reinforced first and then areas of improvement can be addressed. Asking the nurse about knowledge of pain management is also an option; however, it would be a more indirect and time-consuming approach. Making a note and watching do not help the nurse to correct the immediate problem. In-service training might be considered if the problem persists. Focus: Supervision, delegation LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22). Prioritization, Delegation, and Assignment:

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Practice Excercises for the NCLEX Exam (p. 3). Elsevier Health Sciences. Kindle Edition.

1. You are caring for a patient with esophageal cancer. Which task could be delegated to a UAP?
2. Assisting the patient with oral hygiene
3. Observing the patient's response to feedings
4. Facilitating expression of grief or anxiety
5. Initiating daily weighings - correct answer ✅✅ 1. Ans: 1 Oral hygiene is within the scope of duties of the UAP. It is the responsibility of the nurse to observe response to treatments and to help the patient deal with loss or anxiety. The UAP can be directed to weigh the patient but should not be expected to know when to initiate that measurement. Focus: Delegation LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. 168). Elsevier Health Sciences. Kindle Edition.
6. When care assignments are being made for patients with alterations related to gastrointestinal (GI) cancer, which patient would be the most appropriate to assign to an LPN/ LVN under the supervision of a team leader RN?

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1. A patient with severe anemia secondary to GI bleeding
2. A patient who needs enemas and antibiotics to control GI bacteria
3. A patient who needs preoperative teaching for bowel resection surgery
4. A patient who needs central line insertion for chemotherapy - correct answer ✅✅ 5. Ans: 2 Administering enemas and antibiotics is within the scope of practice of LPNs/ LVNs. Although some states an facilities may allow the LPN/ LVN to administer blood, in general, administering blood, providing preoperative teaching, and assisting with central line insertion are the responsibilities of the RN. Focus: Assignment LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. 168). Elsevier Health Sciences. Kindle Edition.
5. A few minutes after you have given an intradermal injection of an allergen to a patient who is undergoing skin testing for allergies, the patient reports feeling anxious, short of breath, and dizzy. Which action included in the emergency protocol should you take first?
6. Start oxygen at 4 L/ min using a nasal cannula.
7. Obtain IV access with a large-bore IV catheter.

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3. Give epinephrine (Adrenalin) 0.3 mL intramuscularly.
4. Administer 3 mL of nebulized albuterol (Proventil) 0.083%. - correct answer ✅✅ 1. Ans: 3 Epinephrine is the initial drug of choice for treatment of anaphylaxis. Giving epinephrine rapidly at the onset of an anaphylactic reaction may prevent or reverse cardiovascular collapse as well as airway narrowing caused by bronchospasm and inflammation. Oxygen use is also appropriate, but oxygen would be administered using a nonrebreather mask in order to achieve a fraction of inspired oxygen closer to 100%. Albuterol may also be administered to decrease airway narrowing but would not be the first therapy used for anaphylaxis. IV access will take longer to establish and should not be the first intervention. Focus: Prioritization LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. 170). Elsevier Health Sciences. Kindle Edition.
5. As the nurse manager in a public health department, you are implementing a plan to reduce the incidence of infection with human immunodeficiency virus (HIV) in the community. Which nursing action will you delegate to health assistants working for the agency?

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1. Supplying injection drug users with sterile injection equipment such as needles and syringes
2. Interviewing patients about behaviors that indicate a need for annual HIV testing
3. Teaching high-risk community members about the use of condoms in preventing HIV infection
4. Assessing the community to determine which population groups to target for education LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. 18). Elsevier Health Sciences. Kindle Edition. - correct answer ✅✅ 2. Ans: 1 Supplying sterile injection supplies to patients who are at risk for HIV infection can be done by staff members with health assistant education. Assessing for high-risk behaviors, education, and community assessment are RN-level skills. Focus: Delegation LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. 171). Elsevier Health Sciences. Kindle Edition.
5. You are working with a student nurse to care for an HIV-positive patient with severe esophagitis caused by

Answer A+ Guide 2024-

Candida albicans. Which action by the student indicates that you need to intervene most quickly?

1. Putting on a mask and gown before entering the patient's room
2. Giving the patient a glass of water after administering the ordered oral nystatin (Mycostatin) suspension
3. Suggesting that the patient should order chile con carne or chicken soup for the next meal
4. Placing a "No Visitors" sign on the door of the patient's room - correct answer ✅✅ 3. Ans: 2 Nystatin should be in contact with the oral and esophageal tissues as long as possible for maximum effect. The other actions are also inappropriate and should be discussed with the student but do not require action as quickly. HIV-positive patients do not require droplet/ contact precautions or visitor restrictions to prevent opportunistic infections. Hot or spicy foods are not usually well tolerated by patients with oral or esophageal fungal infections. Focus: Prioritization LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. 171). Elsevier Health Sciences. Kindle Edition.
5. You are evaluating an HIV-positive patient who is receiving IV pentamidine (Pentam) as a treatment for

Answer A+ Guide 2024-

Pneumocystis jiroveci (PCP) pneumonia. Which information is most important to communicate to the physician?

1. The patient is reporting pain at the site of the infusion.
2. The patient is not taking in an adequate amount of oral fluids.
3. Blood pressure is 104/ 76 mm Hg after pentamidine administration.
4. Blood glucose level is 55 mg/ dL after medication administration. - correct answer ✅✅ 4. Ans: 4 Pentamidine can cause fatal hypoglycemia, so the low blood glucose level indicates a need for a change in therapy. The low blood pressure suggests that the pentamidine infusion rate may need to be slowed. The other responses indicate a need for independent nursing actions (such as establishing a new IV site and encouraging oral intake) but are not associated with pentamidine infusion. Focus: Prioritization LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. 171). Elsevier Health Sciences. Kindle Edition.

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1. The client's nursing diagnosis is Deficient Fluid Volume related to excessive fluid loss. Which action related to fluid management should be delegated to a UAP?
2. Administering IV fluids as prescribed by the physician
3. Providing straws and offering fluids between meals
4. Developing a plan for added fluid intake over 24 hours
5. Teaching family members to assist the client with fluid intake - correct answer ✅✅ 1. Ans: 2 UAPs can reinforce additional fluid intake once it is part of the care plan. Administering IV fluids, developing plans, and teaching families require additional education and skills that are within the scope of practice of an RN. Focus: Delegation, supervision LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (pp. 171-172). Elsevier Health Sciences. Kindle Edition.
6. The nursing care plan for the client with dehydration includes interventions for oral health. Which interventions are within the scope of practice for an LPN/ LVN being supervised by a nurse? (Select all that apply.)
7. Reminding the client to avoid commercial mouthwashes
8. Encouraging mouth rinsing with warm saline

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3. Observing the lips, tongue, and mucous membranes 4. Providing mouth care every 2 hours while the client is awake
4. Seeking a dietary consult to increase fluids on meal trays - correct answer ✅✅ 3. Ans: 1, 2, 3, 4 The LPN/ LVN scope of practice and educational preparation includes oral care and routine observation. State practice acts vary as to whether LPNs/ LVNs are permitted to perform assessment. The client should be reminded to avoid most commercial mouthwashes, which contain alcohol, a drying agent. Initiating a dietary consult is within the purview of the RN or physician. Focus: Delegation, supervision LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. 172). Elsevier Health Sciences. Kindle Edition.
5. You are preparing to leave the room after performing oral suctioning on a client who is on contact and airborne precautions. In which order will you perform the following actions?
6. Remove N95 respirator.
7. Take off goggles.
8. Remove gloves.

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4. Take off gown.
5. Perform hand hygiene. _____, _____, _____, _____, - correct answer ✅✅ 3. Ans: 3, 2, 4, 1, 5 This sequence will prevent contact of the contaminated gloves and gown with areas (such as your hair) that cannot be easily cleaned after client contact and stop transmission of microorganisms to you and your other clients. The correct method for donning and removal of personal protective equipment (PPE) has been standardized by agencies such as the CDC and the Occupational Safety and Health Administration. Focus: Prioritization LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. 173). Elsevier Health Sciences. Kindle Edition.
6. You are working as the triage nurse in the ED when the following four clients arrive. Which client requires the most rapid action to protect other clients in the ED from infection?
7. 3-year-old who has paroxysmal coughing and whose sibling has pertussis
8. 5-year-old who has a new pruritic rash and a possible chickenpox infection

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3. 62-year-old who has a history of a methicillin-resistant Staphylococcus aureus (MRSA) abdominal wound infection
4. 74-year-old who needs tuberculosis (TB) testing after being exposed to TB during a recent international airplane flight - correct answer ✅✅ 5. Ans: 2 Varicella (chickenpox) is spread by airborne means and could be rapidly transmitted to other clients in the ED. The child with the rash should be quickly isolated from the other ED clients through placement in a negative-pressure room. Droplet and/ or contact precautions should be instituted for the clients with possible pertussis and MRSA infection, but this can be done after isolating the child with possible chickenpox. The client who has been exposed to TB does not place other clients at risk for infection because there are no symptoms of active TB. Focus: Prioritization LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. 173). Elsevier Health Sciences. Kindle Edition.
5. An experienced LPN/ LVN, under the supervision of the team leader RN, is providing nursing care for a patient with a respiratory problem. Which actions are appropriate to the scope of practice of an experienced LPN/ LVN? (Select all that apply.)

Answer A+ Guide 2024-

1. Auscultating breath sounds
2. Administering medications via metered-dose inhaler (MDI)
3. Completing in-depth admission assessment
4. Checking oxygen saturation using pulse oximetry
5. Developing the nursing care plan
6. Evaluating the patient's technique for using MDIs - correct answer ✅✅ 1. Ans: 1, 2, 4 The experienced LPN/ LVN is capable of gathering data and making observations, including noting breath sounds and performing pulse oximetry. Administering medications, such as those delivered via MDIs, is within the scope of practice of the LPN/ LVN. Independently completing the admission assessment, developing the nursing care plan, and evaluating a patient's abilities require additional education and skills within the scope of practice of the professional RN. LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. 175). Elsevier Health Sciences. Kindle Edition.
7. The UAP tells you that a patient who is receiving oxygen at a flow rate of 6 L/ min by nasal cannula is reporting nasal passage discomfort. What intervention

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should you suggest to improve the patient's comfort for this problem?

1. Humidify the patient's oxygen.
2. Use a simple face mask instead of a nasal cannula.
3. Provide the patient with an extra pillow.
4. Have the patient sit up in a chair at the bedside. - correct answer ✅✅ 3. Ans: 1 When the oxygen flow rate is higher than 4 L/ min, the mucous membranes can be dried out. The best treatment is to add humidification to the oxygen delivery system. Applying water-soluble jelly to the nares can also help decrease mucosal irritation. None of the other options will treat the problem. Focus: Prioritization LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. 175). Elsevier Health Sciences. Kindle Edition.
5. You are supervising a student nurse who is performing tracheostomy care for a patient. Which action by the student would cause you to intervene?
6. Suctioning the tracheostomy tube before performing tracheostomy care

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2. Removing old dressings and cleaning off excess secretions
3. Removing the inner cannula and cleaning using standard precautions
4. Replacing the inner cannula and cleaning the stoma site - correct answer ✅✅ 4. Ans: 3 When tracheostomy care is performed, a sterile field is set up and sterile technique is used. Standard precautions such as washing hands must also be maintained but are not enough when performing tracheostomy care. The presence of a tracheostomy tube provides direct access to the lungs for organisms, so sterile technique is used to prevent infection. All of the other steps are correct and appropriate. Focus: Delegation, supervision LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. 175). Elsevier Health Sciences. Kindle Edition.
5. You are supervising an RN who floated from the medical-surgical unit to the emergency department. The nurse is providing care for a patient admitted with anterior epistaxis (nosebleed). Which directions would you clearly provide to the RN? (Select all that apply.)
6. Position the patient supine and turned on his side.

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2. Apply direct lateral pressure to the nose for 5 minutes.
3. Maintain standard body substance precautions.
4. Apply ice or cool compresses to the nose.
5. Instruct the patient not to blow the nose for several hours. - correct answer ✅✅ 5. Ans: 2, 3, 4, 5 The correct position for a patient with an anterior nosebleed is upright and leaning forward to prevent blood from entering the stomach and to avoid aspiration. All of the other instructions are appropriate according to best practice for emergency care of a patient with an anterior nosebleed. Focus: Delegation, supervision, assignment LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. 175). Elsevier Health Sciences. Kindle Edition.
6. The health care provider prescribes these actions for a client who was admitted with acute substernal chest pain. Which actions are appropriate to delegate to an experienced LPN/ LVN who is working with you in the ED? (Select all that apply.)
7. Attaching cardiac monitor leads
8. Giving heparin 5000 units IV push
9. Administering morphine sulfate 4 mg IV

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4. Obtaining a 12-lead electrocardiogram (ECG)
5. Asking the client about pertinent medical history
6. Having the client chew and swallow aspirin 162 mg - correct answer ✅✅ 3. Ans: 1, 4, 6 Attaching cardiac monitor leads, obtaining an ECG, and administering oral medications are within the scope of practice for LPN/ LVNs. An experienced ED LPN/ LVN would be familiar with these activities. Although anticoagulants and narcotics may be administered by LPNs/ LVNs to stable clients, these are high-alert medications that should be given by the RN to this unstable client. Obtaining a pertinent medical history requires RN-level education and scope of practice. Focus: Delegation LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. 178). Elsevier Health Sciences. Kindle Edition.
7. You are providing orientation for a new RN who is preparing to administer packed red blood cells (PRBCs) to a patient who had blood loss during surgery. Which action by the new RN requires that you intervene immediately?
8. Waiting 20 minutes after obtaining the PRBCs before starting the infusion

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2. Starting an IV line for the transfusion using a 22-gauge catheter
3. Priming the transfusion set using 5% dextrose in lactated Ringer's solution
4. Telling the patient that the PRBCs may cause a serious transfusion reaction - correct answer ✅✅ 2. Ans: 3 Normal saline, an isotonic solution, should be used when priming the IV line to avoid causing hemolysis of red blood cells (RBCs). Ideally, blood products should be infused as soon as possible after they are obtained; however, a 20-minute delay would not be unsafe. Large- bore IV catheters are preferable for blood administration; if a smaller catheter must be used, normal saline may be used to dilute the RBCs. Although the new RN should avoid increasing patient anxiety by indicating that a serious transfusion reaction may occur, this action is not as high a concern as using an inappropriate fluid for priming the IV tubing. Focus: Prioritization LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. 180). Elsevier Health Sciences. Kindle Edition.
5. These activities are included in the care plan for a 78- year-old patient admitted to the hospital with anemia

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caused by possible gastrointestinal bleeding. Which activity can you delegate to an experienced UAP?

1. Obtaining stool specimens for fecal blood test (Hemoccult) slides
2. Having the patient sign a colonoscopy consent form
3. Giving the prescribed polyethylene glycol electrolyte solution (GoLYTELY)
4. Checking for allergies to contrast dye or shellfish - correct answer ✅✅ 4. Ans: 1 An experienced UAP will have been taught how to obtain a stool specimen for the Hemoccult slide test, because this is a common screening test for hospitalized patients. Having the patient sign an informed consent form should be done by the physician who will be performing the colonoscopy. Administering medications and checking for allergies are within the scope of practice of licensed nursing staff. Focus: Delegation LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. 181). Elsevier Health Sciences. Kindle Edition.
5. As charge nurse, you are making the daily assignments on the medical-surgical unit. Which patient is best

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assigned to a float nurse who has come from the postanesthesia care unit (PACU)?

1. 30-year-old patient with thalassemia major who has an order for subcutaneous infusion of deferoxamine (Desferal)
2. 43-year-old patient with multiple myeloma who requires discharge teaching
3. 52-year-old patient with chronic gastrointestinal bleeding who has returned to the unit after a colonoscopy
4. 65-year-old patient with pernicious anemia who has just been admitted to the unit - correct answer ✅✅ 5. Ans: 3 A nurse who works in the PACU will be familiar with the monitoring needed for a patient who has just returned from a procedure such as a colonoscopy, which requires conscious sedation. Care of the other patients requires staff with more experience with various types of hematologic disorders and would be better to assign to nursing personnel who regularly work on the medical- surgical unit. Focus: Assignment 6. Ans: 1 Patients with pancytopenia are at higher risk for infection. The patient with digoxin toxicity presents the least risk of infecting the new patient. Viral pneumonia, shingles, and cellulitis are infectious processes. Focus: Prioritization LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22). Prioritization, Delegation, and Assignment:

Answer A+ Guide 2024-2025

Practice Excercises for the NCLEX Exam (p. 181). Elsevier Health Sciences. Kindle Edition.

3. After a client has a seizure, which action can you delegate to the UAP?
4. Documenting the seizure
5. Performing neurologic checks
6. Taking the client's vital signs
7. Restraining the client for protection - correct answer ✅✅ 3. Ans: 3 Measurement of vital signs is within the education and scope of practice of UAPs. The nurse should perform neurologic checks and document the seizure. Clients with seizures should not be restrained; however, the nurse may guide the client's movements if necessary. Focus: Delegation, supervision LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. 182). Elsevier Health Sciences. Kindle Edition.
8. You are preparing to admit a client with a seizure disorder. Which actions can you delegate to an LPN/ LVN?
9. Completing the admission assessment
10. Setting up oxygen and suction equipment

Answer A+ Guide 2024-2025

3. Placing a padded tongue blade at the bedside
4. Padding the side rails before the client arrives - correct answer ✅✅ 4. Ans: 2 The LPN/ LVN can set up the equipment for oxygen and suctioning. The RN should perform the complete initial assessment. Controversy exists as to whether padded side rails actually provide safety, and their use may embarrass the client and family. Tongue blades should not be at the bedside and should never be inserted into the client's mouth after a seizure begins. Focus: Delegation, supervision LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. 182). Elsevier Health Sciences. Kindle Edition.
5. Which tasks are appropriate to delegate to an LPN/ LVN who is functioning under the supervision of an RN? (Select all that apply.)
6. Assessing the sexual implications for a client with oculogenital-type Chlamydia trachomatis infection
7. Administering sulfacetamide sodium 10% (Sulf-10 Ophthalmic) to a child with conjunctivitis
8. Reviewing hand-washing and hygiene practices with clients who have eye infections

Answer A+ Guide 2024-2025

4. Showing clients how to gently cleanse eyelid margins to remove crusting
5. Assessing nutritional factors for a client with age- related macular degeneration
6. Reviewing the health history of a client to identify risk for ocular manifestations
7. Performing a routine check of a client's visual acuity using the Snellen eye chart - correct answer ✅✅ 5. Ans: 2, 3, 4, 7 Administering medications, reviewing and demonstrating standard procedures, and performing standardized assessments with predictable outcomes in noncomplex cases are within the scope of the LPN/ LVN. Assessing for systemic manifestations and behaviors, risk factors, and nutritional factors is the responsibility of the RN. Focus: Delegation LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. 185). Elsevier Health Sciences. Kindle Edition.
8. You are initiating a nursing care plan for a patient with osteoporosis. All of these nursing interventions apply to the nursing diagnosis Risk for Falls. Which intervention should you delegate to the UAP?

Answer A+ Guide 2024-2025

1. Identifying environmental factors that increase risk for falls
2. Monitoring gait, balance, and fatigue level with ambulation
3. Collaborating with the physical therapist (PT) to provide the patient with a walker
4. Assisting the patient with ambulation to the bathroom and in the halls - correct answer ✅✅ 1. Ans: 4 Assisting with activities of daily living (ADLs) is within the scope of the UAP's practice. The other three interventions require additional educational preparation and are within the scope of practice of licensed nurses. Focus: Delegation, supervision LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. 186). Elsevier Health Sciences. Kindle Edition.
5. The charge nurse observes an LPN/ LVN providing all of these interventions for a patient with Paget disease. Which action requires that the charge nurse intervene?
6. Administering 600 mg of ibuprofen (Advil) to the patient 2. Encouraging the patient to perform PT- recommended exercises

Answer A+ Guide 2024-2025

3. Applying ice and gentle massage to the patient's lower extremities
4. Reminding the patient to drink milk and eat cottage cheese - correct answer ✅✅ 4. Ans: 3 Applying heat, not ice, is the appropriate measure to help reduce the patient's pain. Ibuprofen is useful to manage mild to moderate pain. Exercise prescribed by the PT would be nonimpact in nature and provide strengthening for the patient. A diet rich in calcium promotes bone health. Focus: Delegation, supervision LaCharity, Linda A.; Kumagai, Candice K.; Bartz, Barbara (2013-11-22). Prioritization, Delegation, and Assignment: Practice Excercises for the NCLEX Exam (p. 186). Elsevier Health Sciences. Kindle Edition.
5. As charge nurse, you are making assignments for the day shift. Which patient would you assign to the nurse who was floated from the postanesthesia care unit (PACU) for the day?
6. 35-year-old with osteomyelitis who needs teaching before hyperbaric oxygen therapy
7. 62-year-old with osteomalacia who is being discharged to a long-term care facility
8. 68-year-old with osteoporosis given a new orthotic device whose knowledge of its use must be assessed