Free NCLEX RN Practice Questions Practice Question

The RN is making assignments on a 12-bed unit. Staff consists of one RN and two certified nursing assistants. Which client should be self-assigned?

Correct Answer: B

Rationale: Option B, the client with chest trauma and new onset hemoptysis, requires immediate assessment and intervention due to the potential for life-threatening complications. This client’s condition indicates a high level of acuity that necessitates the expertise of an RN.

Option A, the client receiving decadron for emphysema, is stable and requires routine monitoring, making them appropriate for a nursing assistant. Option C, the client with rib fractures and an O2 saturation of 93%, may need monitoring but is not in immediate distress, allowing for lower-level care. Option D, the post-operative lung surgery client with a pulse oximetry of 92%, also requires monitoring but is less critical than option B, making them more suitable for a nursing assistant.

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