NCLEX CRUSADE ACADEMY TEST - 10 DRAG AND DROP DELEGATION

1. The Next Generation NCLEX (NGN) emphasizes which primary competency beyond traditional multiple-choice testing?. Memorization of drug dosages. Clinical judgment and interactive decision making. Long essay responses. Pure theoretical nursing knowledge.

2. According to delegation principles, tasks should generally be assigned to which provider when appropriate?. The most experienced nurse. The physician. The lowest appropriate credential. The newest staff member.

3. Which patient situation should always be handled by a Registered Nurse (RN)?. Stable patient needing ambulation. Patient requiring complex assessment. Routine hygiene care. Stable feeding assistance.

4. Which task is most appropriate for a Licensed Practical Nurse (LPN)?. Initial patient assessment. Mechanical ventilation management. Continuous tube feeding management. Critical care evaluation.

5. Which activity is most appropriate for Unlicensed Assistive Personnel (UAP)?. Administer blood transfusion. Assess respiratory distress. Frequent ambulation of a stable patient. Initiate ventilator therapy.

6. A nurse delegates a bed bath to a nursing assistant. This task falls under which delegation category?. Advanced clinical care. Diagnostic procedure. Basic care and activities of daily living. Emergency intervention.

7. Which of the following patients requires RN-level care?. Patient needing range-of-motion exercises. Patient requiring platelet transfusion monitoring. Patient requiring ambulation. Patient needing meal assistance.

8. A patient with respiratory failure on mechanical ventilation must be managed by which provider?. RN. LPN. UAP. Nursing student.

9. According to NGN drag-and-drop scoring, how are points typically awarded?. Only full credit for perfect answers. Partial credit for each correct assignment. Negative points for incorrect answers. Essay grading system.

10. The SBAR communication model stands for: Situation, Background, Assessment, Recommendation. Symptoms, Background, Action, Response. Safety, Behavior, Action, Response. System, Balance, Action, Review.

11. Which SBAR component describes what is happening with the patient right now?. Situation. Background. Assessment. Recommendation.

12. In SBAR, what information belongs in the Background section?. Immediate emergency symptoms. Relevant medical history. Nurse recommendation. Current medication order.

13. Which SBAR component contains the nurse's clinical interpretation of findings?. Situation. Background. Assessment. Recommendation.

14. Which SBAR component includes a suggested plan of action?. Situation. Background. Assessment. Recommendation.

15. A nurse reports: 'The patient has increasing respiratory distress and oxygen saturation is 88%.' Which SBAR component is this?. Situation. Background. Assessment. Recommendation.

16. In highlight-style NGN questions, scoring typically follows which rule?. Partial credit always. Negative scoring. All-or-nothing scoring. Essay evaluation.

17. Which delegation principle prevents RN overload during busy shifts?. Always performing all tasks personally. Delegating downward when safe. Avoiding team collaboration. Eliminating support staff.

18. A patient requires hourly blood pressure monitoring due to instability. Who should perform this?. UAP. LPN. RN. Patient family member.

19. Which patient would be safest to assign to UAP for ambulation?. Patient with unstable blood pressure. Patient post-stroke with new deficits. Patient with steady gait recovering from mild illness. Patient requiring oxygen titration.

20. What is the main goal of combining NGN test formats with clinical frameworks like delegation and SBAR?. Reduce the number of nurses. Improve memorization. Strengthen clinical judgment and communication. Replace bedside nurses.