Free Delegation and Assignment (NCLEX) MCQs with Answers
50 Delegation and Assignment (NCLEX) MCQs from International Nursing Practice, each with the correct answer and a written explanation of why it is correct. Free and unlimited, with no account needed.
Delegation and assignment cover how the registered nurse allocates care according to patient stability, task complexity, staff competence and legal scope. The five rights of delegation, supervision, communication and follow-up are linked to the difference between an RN, LPN or LVN, and unlicensed assistive personnel, while accountability for overall nursing care remains with the RN.
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50 questions · page 1 of 3
- A. Assess a client who reports new chest pressure
- B. Measure urine output for a stable client with a catheter
- C. Teach a client how to use an incentive spirometer
- D. Evaluate pain relief after an opioid is given
Explanation: Measuring and recording urine output for a stable client is within the usual role of unlicensed assistive personnel.
Correct answer: Measure urine output for a stable client with a catheter- A. A client admitted 30 minutes ago with severe abdominal pain
- B. A client who needs an initial assessment after a fall
- C. A stable client receiving routine oral medications
- D. A client with new confusion and a falling blood pressure
Explanation: A licensed practical nurse can care for a stable client with predictable needs, including routine medications within the applicable scope.
Correct answer: A stable client receiving routine oral medications- A. Determine whether the client's bowel sounds are normal
- B. Assist the client to walk to the bathroom
- C. Teach the client how to splint the incision
- D. Decide whether the client is ready for discharge
Explanation: After the registered nurse assesses the client and determines that ambulation is safe, unlicensed assistive personnel may assist with…
Correct answer: Assist the client to walk to the bathroom- A. Ask the assistant to document the reading and continue rounds
- B. Ask the assistant to repeat the measurement while the nurse observes
- C. Tell the assistant to encourage the client to drink more fluids
- D. Wait until the next scheduled vital-sign check to compare readings
Explanation: The nurse should validate an unexpected finding promptly, while also assessing the client for possible deterioration.
Correct answer: Ask the assistant to repeat the measurement while the nurse observes- A. Helping a stable client with bathing
- B. Recording the amount of a client's meal
- C. Obtaining a routine temperature
- D. Assessing a newly admitted client's skin condition
Explanation: The initial assessment of a newly admitted client's skin requires nursing judgment and cannot be delegated to unlicensed assistive…
Correct answer: Assessing a newly admitted client's skin condition- A. Obtaining the client's weight before breakfast
- B. Assisting the client to walk in the hallway
- C. Teaching the client how to self-administer insulin
- D. Recording the client's food and fluid intake
Explanation: Initial teaching about self-administering insulin requires assessment, individualized education, and evaluation by the registered nurse.
Correct answer: Teaching the client how to self-administer insulin- A. Remain responsible for assessing the client and evaluating the response
- B. Ask the licensed practical nurse to change the medication if needed
- C. Transfer complete responsibility for the client's care
- D. Tell the licensed practical nurse to delegate the medication to an aide
Explanation: The registered nurse remains accountable for overall assessment, care planning, supervision, and evaluation after delegation.
Correct answer: Remain responsible for assessing the client and evaluating the response- A. A client with a healing pressure injury needing a routine dressing change
- B. A client receiving scheduled oral medications for stable hypertension
- C. A client needing reinforcement of previously taught catheter care
- D. A client with sudden shortness of breath and an oxygen saturation decrease
Explanation: Sudden shortness of breath and declining oxygen saturation indicate an acute change that requires immediate registered nurse assessment…
Correct answer: A client with sudden shortness of breath and an oxygen saturation decrease- A. Ask the assistant to return the client to bed and report later
- B. Assess the client's condition and obtain vital signs promptly
- C. Document the event after completing all scheduled medications
- D. Tell the assistant to continue ambulation more slowly
Explanation: Dizziness during ambulation may signal orthostatic hypotension or another acute problem, so the registered nurse must assess the client…
Correct answer: Assess the client's condition and obtain vital signs promptly- A. Take care of the client and tell me if anything seems wrong
- B. Measure the urine output for eight hours and report it if it is below the ordered limit
- C. Use your usual judgment about whether the client needs assistance
- D. Check the client regularly and report any concerns when convenient
Explanation: Effective delegation gives a specific task, time frame, expected result, and reporting instruction.
Correct answer: Measure the urine output for eight hours and report it if it is below the ordered limit- A. Perform an initial assessment of a client with chest pain
- B. Reinforce diet teaching for a client with newly diagnosed diabetes
- C. Develop discharge teaching for a client after surgery
- D. Evaluate whether pain treatment relieved a client's pain
Explanation: A licensed practical nurse may reinforce teaching that has already been provided by the registered nurse.
Correct answer: Reinforce diet teaching for a client with newly diagnosed diabetes- A. The client with a healed pressure injury needing a dressing change
- B. The client with a new tracheostomy and changing respiratory status
- C. The client needing assistance with bathing before breakfast
- D. The client waiting for routine removal of an intravenous catheter
Explanation: A newly inserted tracheostomy with changing respiratory status requires ongoing assessment and clinical judgement.
Correct answer: The client with a new tracheostomy and changing respiratory status- A. Determine whether the client is ready to walk independently
- B. Measure and record the client's fluid intake and urine output
- C. Teach the client how to use a walker safely
- D. Assess the client's gait after a medication change
Explanation: Measuring and recording intake and output is a routine, predictable task for a stable client.
Correct answer: Measure and record the client's fluid intake and urine output- A. The client prefers to eat in a chair
- B. The client needs food cut into small pieces
- C. The client coughs during meals
- D. The client uses a weighted spoon
Explanation: Coughing during meals may indicate dysphagia and a risk of aspiration. The registered nurse must assess swallowing safety before assigning…
Correct answer: The client coughs during meals- A. A client whose blood pressure falls after a new medication
- B. A client with stable chronic heart failure needing routine care
- C. A client with sudden confusion and unequal pupils
- D. A client returning from surgery with uncontrolled bleeding
Explanation: A licensed practical nurse may care for a stable client with predictable needs.
Correct answer: A client with stable chronic heart failure needing routine care- A. Walk the client and decide whether the gait is normal
- B. Walk the client after lunch and report any dizziness or weakness
- C. Teach the client how to progress from a walker to a cane
- D. Walk the client and change the care plan if balance worsens
Explanation: The instruction identifies the task, timing, and specific findings that must be reported.
Correct answer: Walk the client after lunch and report any dizziness or weakness- A. Assess circulation and sensation in the affected limb
- B. Teach exercises for the fingers and toes
- C. Report the client's measured temperature and pulse
- D. Determine whether swelling requires provider notification
Explanation: Obtaining and reporting routine vital signs for a stable client is within the role of unlicensed assistive personnel.
Correct answer: Report the client's measured temperature and pulse- A. Ask the practical nurse to document the refusal and take no further action
- B. Assess the client's understanding and reason for refusing the treatment
- C. Tell the practical nurse to obtain the client's signature on a refusal form
- D. Ask the provider to prescribe a different treatment immediately
Explanation: The registered nurse should assess the client's understanding, capacity, and reason for refusal before planning further care.
Correct answer: Assess the client's understanding and reason for refusing the treatment- A. Evaluate whether the catheter remains necessary
- B. Insert a new catheter when the drainage stops
- C. Empty the drainage bag and record the urine amount
- D. Teach the client how to prevent catheter infection
Explanation: Emptying the drainage bag and recording the amount is a routine task for a stable client.
Correct answer: Empty the drainage bag and record the urine amount- A. Assume the task was completed because no problem was reported
- B. Review the reported findings and assess the client when indicated
- C. Ask another assistant to repeat the task without checking the client
- D. Document completion before the task is performed
Explanation: Delegation requires the registered nurse to monitor completion and evaluate the client's response.
Correct answer: Review the reported findings and assess the client when indicatedDelegation and Assignment (NCLEX) MCQs: common questions
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