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Old 07-05-2011, 09:23 PM
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Default NCLEX Questions ~ Nursing Delegation

1. You are caring for a patient with an acute MI. You want to assign a certified nursing assistant to the patient. Which of the following would be an appropriate job to give the CNA?
a. teaching the patient about a low salt diet
b. helping the patient to bathe
c. assessing their pain
d. nothing


2. You are caring for a patient with extreme malnutrition and suspect anorexia nervosa. Which of the following would be an appropriate job to give an LPN/LVN?
a. Daily weight
b. Oral hygiene
c. IV medications
d. Teaching proper nutrition


3. From the following list of patients which one can be assigned to a nursing assistant/CNA?
a. A patient with sudden unexplained bleeding
b. A patient with unresolved pain over the past 8 hour shift
c. A patient scheduled to have a chest x-ray done
d. A patient who has multiple allergies to medications?


4. You are the charge nurse and have a new nurse on the floor. Which of the following patients would you assign to the new nurse? There is more than one answer.
a. A woman with unstable diabetes who is scheduled for a pancreatic cat scan.
b. A man with a history of chest pain who was admitted with shortness of breath.
c. A young black woman with sickle cell anemia who has multiple IV medications ordered.
d. An 83 year old woman with a history of leukemia, with temp and shortness of breath.
e. A woman who is one day post-op for a lap choly.


5. At the end of the shift, the new nurse lets you now that she has not completed charting her medications for the shift. What do you tell her?
a. ask her why she has not completed her med charting.
b. help her document so you can both go home
c. grant her overtime so she can get it done
d. notify her nurse manager and make sure to include it on her evaluation.


6. Which of the following is a direct patient care task?
a. restocking supplies
b. transporting patients
c. clerical activities
d. performing an EKG


7. Which nurse still needs help in setting priorities and relies on rules and protocols?
a. novice nurse
b. advanced beginner
c. competent nurse
d. proficient nurse


8. You are listening as one of your co-workers, an RN, giving out assignments to her team with includes 2 LPN/LVN's and 2 nursing assistants. You know that one of the tasks she is assigning to the CNA should only be done by a licensed nurse. What should you do?
a. Tell the charge nurse who is in a meeting.
b. Discuss it at the next staff meeting
c. Openly ask her about it and tell her that she is wrong and report her.
d. Discuss with her why the task is not appropriate for the CNA.
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Old 07-05-2011, 09:26 PM
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1. The answer is: Helping the patient to bathe

2. The answer is: Oral hygiene

3. The answer is: A patient scheduled to have a chest x-ray done

4. The answer is: The only patient you wouldn't give the new nurse is the patient in sickle cell crisis with multiple IV medications.

5. The answer is: Ask her why she hasn't completed her med charting.

6. The answer is: Performing an EKG

7. The answer is: Advanced beginner

8. The answer is: Discuss with her why the task is not appropriate for the CNA.
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Old 07-06-2011, 05:57 AM
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Good stuff Dutchie, good to review these questions and great for our students.
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Old 07-06-2011, 09:07 PM
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The NCLEX goes heavy on delegation and when I was searching I couldn't find delegation problems to study from. I am looking for more!
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Old 07-06-2011, 09:30 PM
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Funny talking to my students they struggle with delegation, these are good questions.
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