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NCLEX ® Delegation Questions and Answers Graded A+
1.
You
are
the
charge
nurse.
A
client
with
chronic
pain
re-
ports
to
you
that
the
nurses
have
not
been
responding
to
requests for pain medication. What is your initial action?
1.
Check
the
medication
administration
records
(MARs)
for the past several days.
2.
Ask the nurse educator to provide in-service training
about pain management.
3.
Perform a complete pain assessment on the client and
take a pain history.
4.
Have a conference with the nurses responsible for the
care of this client.
5.
As the charge nurse, you are reviewing the charts of
clients who were assigned to the care of a newly grad-
uated 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?
1.
Make a note in the nurse's file and continue to observe
clinical performance.
2.
Refer the new nurse to the in-service education depart-
ment.
3.
Quiz the nurse about knowledge of pain management
and pharmacology.
4.
Give praise for correctly charting the dose and time and
discuss the deficits in charting.
1.
You are caring for a patient with esophageal cancer.
Which task could be delegated to a UAP?
1.
Assisting
the
patient
with
oral
hygiene
1. Ans: 4 As charge nurse, you must assess the perfor-
mance and attitude of the statt in relation to this client.
After data are gathered from the nurses, additional infor-
mation can be obtained from the records and the client as
necessary. The educator may be of assistance if a knowl-
edge 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.
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
im-
mediate
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:
Practice Excercises for the NCLEX Exam (p. 3). Elsevier
Health Sciences. Kindle Edition.
1.
Ans: 1 Oral hygiene is within the scope of duties of the
UAP. It is the responsibility of the nurse to observe re-
sponse 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
