Delegation & Prioritization NCLEX Questions - 2023 Practice Test
Nursing is a demanding profession that requires strong critical thinking, effective communication, and efficient time management skills. As a nurse, one must be adept at handling multiple tasks and responsibilities while ensuring the delivery of safe and quality patient care. Delegation and prioritization are two crucial aspects of nursing practice, and mastering these skills is essential for success in the nursing field, especially if you’re planning to take the NCLEX exam.
In this blog, we will delve into some delegation and prioritization NCLEX questions to help you get prepared for this important nursing license exam.
Understanding delegation and prioritization in nursing
Delegation involves the transfer of specific tasks and responsibilities from one healthcare professional to another competent individual. It allows nurses to focus on more complex patient needs and enhances overall efficiency.
Prioritization, on the other hand, involves ranking tasks based on their urgency and importance. Proper prioritization ensures that critical patient needs are addressed promptly.
NCLEX evaluates candidates’ abilities to apply nursing knowledge and make decisions in various clinical scenarios.
Delegation and prioritization NCLEX questions
Facing the NCLEX exam can be hard, but with the right approach and adequate preparation, you can significantly boost your chances of success. Smart’n, a leading platform, has designed an exceptional resource to aid students in passing the NCLEX exam. They offer a comprehensive package that includes 2500+ NCLEX practice questions and over 60 hours of NGN NCLEX-style nursing case studies.
Smart'n offers a personalized approach to learning. This means that they tailor their questions to cater to the individual needs of each student. By doing so, students can concentrate their efforts on specific areas that demand more attention.
For those looking to excel in NCLEX, Smart'n has a set of challenging and relevant delegation and prioritization NCLEX questions.
Below, we will explore some of these NCLEX questions on prioritization and nursing delegation quizzes, along with their answers and explanations (rationales).
By mastering delegation and prioritization skills through these prioritization and delegation NCLEX questions, you can feel more confident and well-prepared for your exam.
Question 1:
A client presents to the emergency department complaining of rectal bleeding. Which of the following findings is the priority issue that needs to be addressed?
A. Erythrocyte sedimentation rate of 5 mm/hr
B. Hemoglobin of 5 g/dL (50 g/L)
C. Potassium of 5 mEq/L (5 mmol/L)
D. Albumin of 5 g/dL (50g/L)
A. Incorrect Answer
Erythrocyte sedimentation rate of 5 mm/hr
Rationale: This ESR rate is normal. A high (slow) ESR indicates the potential presence of inflammation.
B. Correct Answer
Hemoglobin of 5 g/dL (50 g/L)
Rationale: In the presence of bleeding, a hemoglobin of 5 g/dL is an emergency. This client will need volume replacement and a blood transfusion. Typically, hemoglobin less than 8 g/dL will require transfusion.
C. Incorrect Answer
Potassium of 5 mEq/L (5 mmol/L)
Rationale: A potassium level of 5 mEq/L is within the normal range and would not be the priority for this client.
D. Incorrect Answer
Albumin of 5 g/dL (50g/L)
Rationale: An albumin level of 5 g/dL is normal. If the client's albumin level was low, it would be important to replace their albumin to ensure fluid volume remains in the vasculature.
Question 2:
The nurse is working with a large client load and has many tasks to complete. Which tasks can be delegated to the nursing assistant?
A. Get vitals on an unstable client
B. Dressing change on a post-surgical client
C. Walk a client 20 yards
D. Swallow screening on a post stroke client
A. Incorrect Answer
Get vitals on an unstable client
Rationale: While a nursing assistant is able to obtain vital signs, this should not be delegated to an unstable client, because the vital signs are a part of the nurse's assessment.
B. Incorrect Answer
Dressing change on a post-surgical client
Rationale: While a nursing assistant is able to change simple dressings, the nurse must be the one to initially change a post-surgical dressing and assess the site.
C. Correct Answer
Walk a client 20 yards
Rationale: Walking a client 20 yards is a task that can be delegated to a nursing assistant.
D. Incorrect Answer
Swallow screening on a post stroke client
Rationale: This is an assessment, and must be completed by the nurse.
Question 3:
A nurse is called in for an on-call shift in the Emergency Department and is quickly trying to prioritize the clients that need to be seen. The client with which of the following should be seen first?
A. Yellow ear drainage and history of Eustachian tube cancer
B. New onset confusion and staring up to the right
C. Fall and arm pain with obvious deformity, cap refill 2 seconds
D. Atypical migraine that is untreated with home medications
A. Incorrect Answer
Yellow ear drainage and history of Eustachian tube cancer
Rationale: This client is stable. The client with new onset confusion could indicate a stroke, therefore this would be the priority. Consider ABCD - Airway, Breathing, Circulation, Disability (neuro).
B. Correct Answer
New onset confusion and staring up to the right
Rationale: If a client is confused and is not normally confused they are high on the list for priority. This client is the priority because they are having a potential stroke. Staring off, having a fixed gaze, especially to one side is a sign of stroke.
C. Incorrect Answer
Fall and arm pain with obvious deformity, cap refill 2 seconds
Rationale: This client would likely be seen next after the client with confusion. The new onset confusion and eye gaze deviation could indicate a stroke - making it a priority for immediate intervention. This client would be seen next as obvious deformities could lead to perfusion problems. Currently, there is no perfusion issue as the client's cap refill is 2 seconds.
D. Incorrect Answer
Atypical migraine that is untreated with home medications
Rationale: There is no potential instability here, therefore this client is not the priority. This client would likely be seen after the fall due to needing to address pain.
Question 4:
The nurse is caring for a client with a tooth abscess who is complaining of extreme pain in the mouth. The nurse takes the vital signs and completes an assessment. Which of the following assessment findings is expected for this client?
A. Change in level of consciousness
B. Decreased heart rate
C. Decreased capillary refill
D. Increased blood pressure
A. Incorrect Answer
Change in level of consciousness
Rationale: Pain does not directly affect the level of consciousness.
B. Incorrect Answer
Decreased heart rate
Rationale: The client in pain will experience an increased heart rate, not a decreased heart rate. The pulse may also be increased due to the infected abscess.
C. Incorrect Answer
Decreased capillary refill
Rationale: A painful abscess in the mouth does not affect capillary refill time.
D. Correct Answer
Increased blood pressure
Rationale: When a client is in extreme pain, this can raise blood pressure.
Question 5:
The nurse is caring for the assigned clients in a pediatric inpatient unit. Which client is the priority?
A. 8-year-old with sickle cell crisis who has sudden-onset unilateral arm weakness
B. 11-year-old with viral meningitis requesting pain medication for headache
C. Male child scheduled for surgery for intussusception who has a reddish mucoid stool
D. Male child with hemophilia who has hemarthrosis and is receiving desmopressin
A. Correct Answer
8-year-old with sickle cell crisis who has sudden-onset unilateral arm weakness
Rationale: Children can have strokes. Ischemic strokes are more common in children with sickle cell disease. Other causes can include carotid abnormalities/dissection. The most common presentation of an ischemic stroke is the sudden onset of numbness or weakness of an arm and/or leg. These are handled with a similar emergent approach as for stroke in an adult. Children may require an exchange of blood transfusion to prevent the stroke from worsening.
B. Incorrect Answer
11-year-old with viral meningitis requesting pain medication for headache
Rationale: Viral meningitis can cause fever, headache, and meningeal signs (neck stiffness). Headache is expected and not a priority over a client with a stroke.
C. Incorrect Answer
The male child scheduled for surgery for intussusception who has a reddish mucoid stool
Rationale: Intussusception occurs when one portion of the intestine prolapses and then telescopes into another. It is a frequent cause of intestinal obstruction during infancy. Onset is abrupt, initially with pain and brown stool. The condition then progresses to bilious emesis, palpable abdominal mass, and stools with a red, "currant jelly" appearance due to blood and mucus. This is an expected finding for this condition, and surgery is already scheduled to address it.
D. Incorrect Answer
The male child with hemophilia who has hemarthrosis and is receiving desmopressin
Rationale: Hemophilia is seen primarily in males and is due to a lack of clotting factors. Symptoms include spontaneous bleeding (hemarthrosis) into the joints, especially the knee, ankle, or elbow. Treatment includes replacing the missing clotting factor. Desmopressin (DDAVP) stimulates the release of factor VIII. The child is receiving treatment already and joint rest has been prescribed. The sudden neurological change in the child with sickle cell crisis is a priority.
These were just 5 of Smart’n’s NCLEX priority questions examples. If you need more NCLEX priority questions or NCLEX delegation questions and answers, sign up on Smart’n and test your knowledge.
Conclusion
Mastering delegation and prioritization skills is essential for nurses to provide safe and efficient patient care. The NCLEX serves as a crucial assessment of these competencies and the nursing knowledge required for entry-level practice. By practicing delegation and prioritization NCLEX questions, understanding the key concepts and principles, developing critical thinking skills, and effectively preparing for the NCLEX, aspiring nurses can increase their chances of passing the examination and embarking on a successful nursing career.
FAQs
1. When should delegation be used in nursing?
Delegation should be used when a task is suitable for transfer to another qualified healthcare professional, freeing the nurse to focus on more complex patient needs.
2. How does prioritization benefit patient care?
Prioritization ensures that critical patient needs are addressed promptly, leading to more efficient and effective healthcare delivery.
3. What are the essential components of the NCLEX examination?
The NCLEX examination tests candidates' abilities to apply nursing knowledge, critical thinking, and decision-making skills in various clinical scenarios.
