# The charge nurse is making assignments for four clients. Which client should be assigned to the most experienced registered nurse?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397131&lang=en  
> language: en  
> subject: Assignment/Delegation/Supervision  
> category: MOC

## Question

The charge nurse is making assignments for four clients. Which client should be assigned to the most experienced registered nurse?

## Option

1. A client with pneumonia who is afebrile and ambulating in the hall.
2. A client awaiting discharge after an uncomplicated appendectomy.
3. A client with stable chronic kidney disease receiving scheduled dialysis tomorrow.
4. A client with sepsis who is newly confused and hypotensive. **✔ Correct answer**

**Correct answer: 4**

## Explanation

The unstable client with sepsis cues needs frequent assessment, rapid intervention, and experienced clinical judgment. Stable clients with predictable needs can be assigned to less experienced staff with appropriate supervision. Acuity and instability drive assignment priority.

## In-depth explanation

Clinical Judgment
Use the client cues, timing, labs, and safety risks to select the response that best fits Charge nurse assignment priority.

Memory Tip
Match the strongest cue cluster to the safest nursing judgment.

KR vs US
NCLEX items reward cue-based priority thinking rather than isolated recall.

## Clinical scenario

Clinical Practice Guide
For Charge nurse assignment priority, compare the complete cue pattern with the client's current stability, ordered data, and expected nursing scope.

Caution
Do not choose an action from one isolated cue when the full scenario changes priority or safety.

## Key concepts

- **Acuity** — The severity and complexity of a client's current condition.
- **Assignment** — Distribution of client care responsibilities among nursing staff.
- **Clinical Judgment** — The process of recognizing cues, analyzing them, and choosing safe action.

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