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 3 of 3
- A. Reassess the client's pain and respiratory status
- B. Offer the client prescribed oral fluids
- C. Assist the client to reposition in bed
- D. Record the amount of urine in the collection bag
Explanation: The registered nurse must evaluate the client's response and monitor for adverse effects after an opioid.
Correct answer: Reassess the client's pain and respiratory status- A. Create the initial colostomy teaching plan
- B. Assess the client's readiness to learn
- C. Reinforce the demonstrated colostomy procedure
- D. Determine whether the client has met learning goals
Explanation: A licensed practical nurse may reinforce teaching that the registered nurse has already provided for a stable client.
Correct answer: Reinforce the demonstrated colostomy procedure- A. Assess a client with newly reported nausea
- B. Collect a routine stool specimen from a client
- C. Evaluate whether a laxative has been effective
- D. Teach a client how to prevent constipation
Explanation: Collecting a routine stool specimen from a stable client is a standard task that does not require nursing judgment.
Correct answer: Collect a routine stool specimen from a client- A. A client awaiting discharge after routine treatment
- B. A client needing a scheduled dressing change
- C. A client with a new onset of facial drooping
- D. A client requiring assistance with prescribed hygiene
Explanation: New facial drooping may indicate an acute neurologic change and requires immediate assessment and clinical judgment.
Correct answer: A client with a new onset of facial drooping- A. "It treats the condition written on your prescription."
- B. "I will ask the registered nurse to explain the medication."
- C. "It usually works by lowering your blood pressure."
- D. "You can look up the medication after I leave."
Explanation: Medication teaching is outside the role of unlicensed assistive personnel, so the assistant should refer the question to the registered…
Correct answer: "I will ask the registered nurse to explain the medication."- A. Ask the client to cough deeply into the labelled container
- B. Tell the client which antibiotic the specimen will identify
- C. Decide whether the specimen appears clinically adequate
- D. Explain what the laboratory result will mean
Explanation: Obtaining a routine specimen may be delegated when the procedure is within the assistant's validated competence.
Correct answer: Ask the client to cough deeply into the labelled container- A. Ask the practical nurse to document the refusal and leave
- B. Assess the client's reason for declining the bath
- C. Tell the practical nurse to provide the bath later
- D. Notify the health care provider about the refusal
Explanation: The registered nurse should assess the client's reason, preferences, and possible clinical concerns before deciding on further action.
Correct answer: Assess the client's reason for declining the bath- A. Ask the assistant to return the client to bed without help
- B. Assess the client's strength, circulation, and neurologic status
- C. Document the event after the transfer is completed
- D. Arrange routine physiotherapy assessment for later
Explanation: Sudden inability to bear weight is a change in condition requiring prompt registered nurse assessment.
Correct answer: Assess the client's strength, circulation, and neurologic status- A. Emptying the appliance when it is half full
- B. Measuring the output collected during a shift
- C. Inspecting the stoma for colour and perfusion
- D. Helping the client change clothing after care
Explanation: Inspecting a new stoma requires assessment and interpretation of findings such as colour and perfusion.
Correct answer: Inspecting the stoma for colour and perfusion- A. Offer fluids whenever the client requests them
- B. Record all oral fluids and report the measured total
- C. Allow the client to choose drinks without measuring them
- D. Remove the fluid restriction during personal care
Explanation: Accurate measurement and reporting of all oral fluids support safe care for a client with a fluid restriction.
Correct answer: Record all oral fluids and report the measured total