Practice quiz · by a Quizcard user

NCLEX-RN: Management of Care, Delegation and Prioritization — quiz

15 multiple-choice questions covering Five Rights of Delegation, Delegation Principles, Delegation to LPN/LVN, Delegation to UAP, Prioritization Frameworks. One answer each; you get a score at the end and the explanation for every question. No account needed.

Updated 2026-11-04. Keys 1–4 pick an answer, Enter moves on. Redo it any time, in order or shuffled.

The questions

Answers and explanations are shown after you finish.

1. Five Rights of Delegation

   A nurse manager is teaching a new RN the NCSBN-based system for deciding whether, what, and to whom to delegate. Which framework is being taught?

   • Maslow's hierarchy of needs
   • ADPIE nursing process
   • SBAR communication tool
   • Five Rights of Delegation
2. Five Rights of Delegation

   An RN has a newly admitted patient in acute respiratory distress and considers delegating vital sign monitoring to a UAP who is fully competent in taking vital signs. Why is this delegation inappropriate?

   • Wrong circumstance, because the patient's condition is unstable
   • Wrong task, because vital signs can never be delegated
   • Wrong person, because the UAP isn't trained for vital signs
   • Wrong supervision, because the RN is unavailable
3. Delegation Principles

   An RN delegates ambulation of a stable patient to a UAP, who causes the patient to fall due to carelessness. Who remains accountable for the overall patient outcome?

   • The RN, since accountability for patient outcomes cannot be delegated
   • Both share accountability equally
   • The UAP alone, since they performed the task
   • The nursing supervisor who approved the assignment
4. Delegation to LPN/LVN

   A patient needs an IV push antibiotic. In most states, who is appropriate to administer this medication?

   • An LPN/LVN, since medication administration is within their scope
   • Either the LPN or RN, interchangeably
   • A UAP, under RN supervision
   • An RN, since IV push medications are generally outside LPN/LVN scope
5. Delegation to LPN/LVN

   A patient is admitted, and the LPN offers to complete the admission assessment while the RN manages other patients. What is the problem with this plan?

   • Initial/admission assessments require RN-level judgment and cannot be delegated
   • No problem, LPNs can perform admission assessments if experienced
   • A UAP must collect the vital signs first before the LPN can proceed
   • Only a physician, not any nurse, can perform admission assessments
6. Delegation to UAP

   Which of the following tasks is appropriate to delegate to a UAP for a stable patient?

   • Obtaining routine vital signs on a stable patient
   • Assessing a new onset of chest pain
   • Evaluating a patient's response to pain medication
   • Teaching a patient about a new medication
7. Delegation to UAP

   A UAP reports that a patient's pain level dropped from 8 to 3 after receiving medication. What must happen next?

   • The RN or LPN must interpret and document the patient's response to the intervention
   • No further action is needed since the pain score improved
   • The UAP should chart the outcome since they obtained the pain score
   • The charge nurse should independently re-verify the pain score
8. Prioritization Frameworks

   An RN has four patients: one with stable COPD, one with sudden-onset slurred speech and facial droop, one awaiting a scheduled dressing change, and one requesting a pain medication refill. Who should the RN assess first?

   • The patient with sudden-onset slurred speech and facial droop
   • The patient awaiting a scheduled dressing change
   • The patient requesting a pain medication refill
   • The patient with stable COPD
9. Triage

   In a mass casualty incident, a patient has massive, unsurvivable internal bleeding and surgical resources are unavailable. Which triage tag should this patient receive?

   • Red
   • Green
   • Yellow
   • Black
10. Informed Consent

    A surgeon has explained a procedure's risks and benefits, but the patient still appears sedated from a pre-op medication when asked to sign the consent form. What should the nurse do?

    • Notify the provider and delay signing until the patient is no longer sedated
    • Ask a family member to sign on the patient's behalf
    • Proceed since the physician already explained the procedure
    • Have the patient sign, then witness the signature as usual
11. Advance Directives

    A patient with a DNR order develops a treatable pneumonia overnight. What is the appropriate nursing action?

    • Call the family to decide whether treatment should continue
    • Treat the pneumonia with antibiotics and supportive care as ordered
    • Initiate CPR since DNR only applies outside of cardiac arrest situations
    • Withhold all treatment per the DNR order
12. Confidentiality (HIPAA)

    A patient's adult child calls the unit asking whether their parent was admitted and what the diagnosis is, but is not listed as an authorized contact. What should the nurse do?

    • Decline to confirm or share any information without verified authorization
    • Share general information since it's a family member
    • Transfer the call to the charge nurse to share the information
    • Confirm the admission but not the diagnosis
13. Incident Reports

    A patient falls while ambulating, and the nurse completes an incident report. Which statement reflects correct documentation practice?

    • Document objective facts, assessment, and interventions in the chart, and complete the incident report as a separate risk-management document
    • The incident report becomes part of the permanent medical record
    • Chart that an incident report was filed in the patient's medical record
    • Complete only the incident report, since the fall was witnessed
14. Continuity of Care

    During end-of-shift handoff, the outgoing nurse organizes her report using Situation, Background, Assessment, and Recommendation. What is the primary purpose of using this tool?

    • To document for legal protection only
    • To satisfy HIPAA requirements for health information exchange
    • To standardize handoff communication and support continuity of care
    • To replace the need for a written care plan
15. Ethical Principles

    A nurse promises a patient she will return in 10 minutes with pain medication and keeps that promise despite being busy. Which ethical principle is she demonstrating?

    • Justice
    • Beneficence
    • Veracity
    • Fidelity