In this NCLEX guide, we’ll help you review and prepare for prioritization, delegation, and assignment in your nursing exams. For this nursing test bank, improve your prioritization, delegation, and patient assignment skills by exercising with these practice questions. We will also be teaching you test-taking tips and strategies so you can tackle these questions in the NCLEX with ease. The goal of these practice quizzes and reviewers is to help student nurses establish a foundation of knowledge and skills on prioritization, delegation, and assignment. Show
This section contains the practice questions to exercise your knowledge on nursing prioritization, delegation, and assignment. As with other quizzes, be sure to read and understand the question carefully. For prioritization, delegation, and assignment questions, read each choice carefully before deciding on your answer. Good luck and answer these questions at your own pace. You are here to learn. Quizzes included in this guide are:
Want a full copy? If you want to print a copy of this quiz, please visit FULL TEXT: Nursing Prioritization, Delegation, and Assignment (100 Questions) Quiz guidelines:
1. Nursing Prioritization, Delegation, Assignment for NCLEX | Quiz #1: 25 QuestionsNursing Prioritization, Delegation, Assignment for NCLEX | Quiz #1: 25 QuestionsWelcome to the first part of your nursing prioritization, delegation, and assignment quiz! Be sure to read the guidelines above before starting, and if you need to review the concepts, feel free to read the reviewer below to learn more about the concept. 1. Nursing Prioritization, Delegation, Assignment for NCLEX | Quiz #1: 25 QuestionsNursing Prioritization, Delegation and Assignment Reviewer for NursesThis is your guide to help you answer NCLEX priority, delegation, and assignment style questions. NCLEX Tips for Nursing Prioritization, Delegation, and Assignment questions:Here are six tips and strategies to help you ace NCLEX questions about delegation, assignment, and prioritization. 1. Do not make decisions based on resolutionsDo 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. As a student nurse, you are constantly reminded that NCLEX questions are to be solved and responded to in the context of “Ivory Tower Nursing.” That is, if you only had one patient at a time, loads of assistive personnel, countless supplies, and equipment. This is what people mean when they refer to “textbook nursing.” But when you’re in the real world without the time and resources, you adjust. 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. Always bear in mind, “Is this textbook nursing care?” 2. Never delegate the functions of assessment, evaluation and nursing judgment.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. 3. Identify tasks for delegation based on the client’s needs.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. But if the patient is unstable, the needs are acute and become unpredictable, ever-changing, and rarely encountered based on the patient’s changing status. These needs should not be delegated. 4. Ensure the appropriate education, skills, and experience of personnel performing delegated tasks.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. Therefore, the authorizing RN must ensure that the nurse is qualified, skilled, and competent to perform this intricate task, observe the patient’s response to this treatment, and ensure that the equipment is operating suitably and accurately. 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. 5. Remember priorities!Recall and understand Maslow’s Hierarchy of Needs, the ABCs (Airway, Breathing, Circulation), and stable versus 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. 6. Additional Test Taking Tips and Strategies
Nursing PrioritizationPrioritization 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. For a review, in an ordered-response question format, you’ll be asked to use the computer mouse to drag and drop your nursing actions in order or priority. Based on the information presented, determine what you’ll do first, second, third, and so forth. Directions are provided with the question. To help you answer nursing prioritization questions, remember the three principles commonly used: 1. Remember ABC’s (airway, breathing, and circulation).Patients with obvious respiratory problems or interventions to provide airway management are given priority. 2. Maslow’s Hierarchy of NeedsUse Maslow’s hierarchy of needs as a guide to prioritize by determining the order of priority by addressing the physiological needs first. There are five different levels of Maslow’s hierarchy of needs:
3. Using the Nursing ProcessThe 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 in NursingDelegation is the transference of responsibility and authority for an activity to other health care members who are competent to do so. The “delegate” assumes responsibility for the actual performance of the task and procedure. The nurse (delegator) maintains accountability for the decision to delegate and for the appropriateness of nursing care rendered to the patient. The role of a registered nurse also includes delegating care, assigning tasks, organizing and managing care, supervising care delivered by other health care providers while effectively managing time! The NCLEX includes questions related to this unique nursing role of delegation. 5 Rights of Delegation in NursingThe following are the five rights of delegation in nursing:
Recommended ResourcesRecommended books and resources for your NCLEX success: Disclosure: Included below are affiliate links from Amazon at no additional cost from you. We may earn a small commission from your purchase. For more information, check out our privacy policy.
Recommended LinksAn investment in knowledge pays the best interest. Keep up the pace and continue learning with these practice quizzes:
Which action does the nurse delegate to an assistive personnel?Routine tasks, such as taking vital signs, supervising ambulation, bed making, assisting with hygiene, and activities of daily living, can be delegated to an experienced UAP. The charge nurse appropriately delegates the routine task of feeding to the UAP.
Which action may the nurse delegate to a nursing assistant?An LPN may delegate tasks such as ambulating or feeding a patient to the CNA. The question of when a nurse should delegate is dependent on many factors. Usually, nurses delegate when they need help to prevent patient care delay.
What are the nurses responsibilities when delegating tasks?the nurse assigned to the clients is responsible for the delegation process of communication, supervision/monitoring, and evaluation of the performance of the task/activities. the nurse also maintains accountability for the decision to delegate and the provision of safe nursing care.
What are 5 principles of delegation in nursing?The 5 rights of delegation serve to guide appropriate transfer of responsibility for the performance of an activity or task to another person. These "rights" are defined as having the right task, right circumstance, right person, right direction/communication, and right supervision/evaluation.
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Which nursing action is essential when delegating tasks to nursing assistive personnel select all that apply?
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