Which vital sign value should the nursing assistant report to the registered nurse immediately? An experienced LPN, under the supervision of the team leader RN, is providing nursing care for a patient with a respiratory problem.
Which actions are appropriate to the scope of practice of an experienced LPN? The charge nurse is making assignments for the next shift. Which patient should be assigned to the fairly new nurse 6 months experience pulled from the surgical unit to the medical unit? Which action should you take next?
When a patient with TB is being prepared for discharge, which statement by the patient indicates the need for further teaching? To improve respiratory status, which medication should you be prepared to administer to the newborn infant with respiratory distress syndrome RDS? The clinical instructor directed the student nurse to care for a client whose potassium is 6.
Which intervention is delegated correctly to the student nurse? Which is an appropriate action to delegate to the experienced LPN under your supervision? Which action is most appropriate? Which of these medication orders for a patient with a pulmonary embolism is more important to clarify with the prescribing physician before administration? You are a team leader RN working with a student nurse. The student nurse is to teach a patient how to use an MDI without a spacer. Put in the correct order the steps that the student nurse should teach the patient.
View Answers:. You are acting as a preceptor for a newly graduated RN during her second week of orientation. You would assign the new RN under your supervision to provide care to which patients? Jenna is a nurse from the medical-surgical unit of a tertiary hospital.
She was asked to float on the orthopedic in which she has no prior experience working on. Which client should be assigned to her? Which intervention for a patient with a pulmonary embolus could be delegated to the LPN on your patient care team? The nurse plans care for a client in the post-anesthesia care unit. Which of the following should the nurse assess first? Nurse Jackie is reviewing the diet of a year-old female who reports several months of intermittent abdominal pain, abdominal bloating, and flatulence.
The nurse should tell the client to avoid :. Nurse Jenny of Nurseslabs Medical Center is planning care for a client who had undergone colposcopy. Which of the following actions should the RN take first? Sally is a nurse working in an emergency department and receives a client after a radiological accident. Which task is the utmost priority for the nurse to do first? Here are six tips and strategies to help you ace NCLEX questions about delegation, assignment, and prioritization. Do not make decisions concerning the management of care issues based on resolutions you may have witnessed during your clinical experience in the hospital or clinic setting.
Your clinical rotation in management may have been less than ideal but remember that in NCLEX, the answers to the questions are seen in nursing textbooks or journals. Throughout your nursing education, you learned that assessments, nursing diagnosis , establishing expected outcomes, evaluating care and any other tasks and aspects of care including but not limited to those that entail sterile technique, critical thinking, professional judgment, and professional knowledge are the responsibilities of the registered professional nurse.
You cannot give these responsibilities to nonprofessional, unlicensed assistive nursing personnel, such as nursing assistants, patient care technicians, and personal care aides. Delegate activities for stable patients because some of these needs are relatively predictable and more frequently encountered. These are somewhat routinized and without the need for high levels of professional judgment and skill. These needs should not be delegated.
Delegate activities that involve standard, consistent, and unchanged systems and procedures. The care of a patient with chest tubes and chest drainage can be delegated to either another RN or a licensed practical nurse.
The care of a stable chronically ill patient who is comparatively stable and more anticipated than a seriously ill and unstable acute patient can be assigned to the licensed practical nurse, and assistance with the activities of daily living and basic hygiene and comfort care can be assigned and delegated to an unlicensed assistive staff member like a nursing assistant or a patient care technician.
Activities that frequently occur in daily patient care can be delegated. Bathing, feeding, dressing, and transferring patients are examples. Procedures that are complex or complicated should not be delegated, especially if the patient is highly unstable.
It is necessary to know and understand the priorities when deciding which patient the RN should attend to first. Remember that you can see only one patient or perform one activity when answering questions that require you to establish priorities.
Always keep in mind that improper and inappropriate assignments can lead to inadequate quality of care, unexpected care outcomes, the jeopardization of client safety, and even legal consequences. Right assignment of care to others, including nursing assistants, licensed practical nurses, and other registered nurses, is certainly one of the most significant daily decisions nurses make.
Prioritization is deciding which needs or problems require immediate action and which ones could be delayed until later because they are not urgent. In the NCLEX, you will encounter questions that require you to use the skill of prioritizing nursing actions. These nursing prioritization questions are often presented using the multiple-choice format or via ordered-response format.
Directions are provided with the question. To help you answer nursing prioritization questions, remember the three principles commonly used:. Patients with obvious respiratory problems or interventions to provide airway management are given priority. The nursing process is a systematic approach to assess and give care to patients. Assessment should always be done first before planning or providing interventions.
Delegation is the transference of responsibility and authority for an activity to other health care members who are competent to do so. Factor in both the importance and urgency of the task to figure our which are the most high impact. This is a loose estimation, but planning out your project timeline can help you break down your schedule into manageable increments.
For longer, complex projects, try using a Gantt chart to visualize the data. A coworker might ask for your help with another project, you might have a personal emergency, or maybe a task just takes longer than you expected. If you plan out whats important right away then little bumps in the road will all ready be in your schedule. Procrastination is the enemy of prioritization , so get to work as soon as you walk in the office.
This will help you start your day off with an accomplished task and get you in the right mindset. Instead of going on a company retreat and doing trust falls here are a few quick and easy delegation tips! Also, check out this video on delegating and communicating with your team, from our Youtube channel!
You have a team of people around you that all have a specific skill set. Get to know their strengths and weaknesses so that when you need help or a project completed you know who to turn to when it comes time for delegation.
Assign tasks to people right away, this will allow them to do the above steps and prioritize. So you have all your tasks lined up, but who will do what? See which projects each team member is responsible for, and delegate according to which tasks fit best with their area of responsibility. Take a look at the projects our team member Cody works on versus Kari:. Make sure to utilize a tool to keep track of who has been assigned which responsibilities.
I can do this all myself? Are you ready to let go of your stressed out ways by implementing these prioritization and delegation tips with the other member of your team? But if you are a little nervous about doing this all on your own then get ready for Priority Matrix! Priority Matrix is a prioritization tool and delegation tool allows you and your team to work more effectively thru increased collaboration, visibility, and accountability. When you use Priority Matrix, you become more accountable to yourself, and ensure that you are spending time where it matters most.
Learn more about Priority Matrix. Priority Matrix is lightweight project management solution that increases visibility and accountability within teams. Manage more effectively with Priority Matrix.
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