NCLEX Question of the Day

April 26, 2026

Management of Care QID 1251

The charge nurse needs to assign care for a client with newly diagnosed diabetes requiring initial insulin teaching and frequent glucose monitoring. Which staff member is the most appropriate choice for this assignment?

A:
An experienced RN who has worked on the unit for 5 years.
B:
A newly graduated RN in their third week of orientation.
C:
A float RN from the labor and delivery unit.
D:
An LPN/VN with 10 years of experience in long-term care.

Explanation

The care of a client with a new diabetes diagnosis requiring initial, comprehensive teaching about insulin administration and management is complex and falls under the scope of practice of an RN. An experienced RN from the unit possesses the necessary assessment, critical thinking, and teaching skills, as well as familiarity with unit protocols for diabetes management, making them the most appropriate choice for this complex assignment.

While an experienced LPN/VN can monitor glucose levels and administer insulin to stable clients, initial comprehensive teaching is an RN function. A newly graduated RN is still developing their skills and requires supervision, making this complex assignment inappropriate during early orientation. A float RN from a specialized area like labor and delivery may not have recent experience or expertise in managing acute diabetic care and providing initial, in-depth education.

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