NCLEX Prioritization and Delegation- Exam Questions Solved Correctly Latest Update 2025-2026
The nurse received a change-of-shift report on four assigned clients. In what order should the nurse
attend to the clients? Prioritize the nurse's actions by placing each client in the correct order.
1. The 57-year-old client who was admitted 24 hours ago after being struck by lightning and has a serum
potassium level of 5.5 mEq/L
2. The 33-year-old client with a deep partial-thickness leg burn who has a temperature of 102.8F, BP
98/66 mmHg, and P 114 bpm
3. The 25-year-old client admitted 1 week ago with facial and chest burns from a house fire who has
been crying since recent visitors left
4. The 58-year-old client who had a skin graft to a leg burn 6 hours ago and is requesting a medication
for pain rated at a 6 on the 0 - 10 scale. - Answers 2, 4, 1, 3
2. The 33-year-old client with a deep partial-thickness leg burn who has a temperature of 102.8F, BP
98/66 mmHg, and P 114 bpm should be attended to first. The elevated temperature, low BP, and
tachycardia are signs that indicate septic shock or sepsis may be developing.
4. The 58-year-old client who had a skin graft to a leg burn 6 hours ago and is requesting a medication
for pain rated at a 6 on a 0-10 scale should be attended to next. Post-op pain control is needed to keep
on top of the pain and enable the client to be involved in post-op activities, such as coughing and deep
breathing, to prevent complications of bed rest
1. The 57-year-old client who was admitted 24 hours ago after being struck by lightning and has a serum
potassium level of 5.5 mEq/L should be attended to third. The serum potassium level is borderline high
(normal 3.5-5.5)
3. The 25-year-old client admitted 1 week ago with facial and chest burns from a house fire who has
been crying since recent visitors left can be attended to last among the clients. The client needs
emotional support, which is important to recovery, but clients with physiological needs are priority.
The RN is leading a team of an NA and an LPN in the care of a group of clients. Which tasks should the
nurse assign to the NA and LPN?
1. NA to perform two simple dressing changes; LPN to assess and care for two non-complex clients
2. NA to empty and record urinary catheter bag drainage; LPN to administer oral and IM medications
3. NA to assist clients with hygiene; LPN to provide postmortem care and meet with a deceased client's
family
4. NA to take and document vital signs on all clients; LPN to complete the discharge paperwork to be
reviewed with two clients - Answers 2. The scope of practice for the NA includes measuring and
recording I&O and for the LPN includes administering oral and IM medications
,The nurse is supervising the experienced NA who is new to the unit. Which question is best to evaluate
the NA's knowledge and skill in obtaining the client's fingerstick blood glucose, which is a permissible
NA-performed skill within the facility?
1. "How many times did you perform a fingerstick blood glucose measurement on the unit in which you
previously worked?"
2. "How would you obtain a blood specimen and perform the procedure for measuring the client's blood
glucose?"
3. When was the last time you were observed by a RN performing a blood glucose measurement on the
client?"
4. "When was the last time you obtained a blood glucose measurement that was out of the normal
ranges, and what did you do about this?" - Answers 2. The NA describing the procedure is one method
of evaluating the NA's knowledge and skills. Using an open-ended question elicits conversation and
details.
The NA's job responsibilities include totaling the I&O records for clients at the end of an 8-hour shift.
Near the end of the shift, the LPN reports to the RN that the new NA on the unit has not completed the
task. What is the RN's best action?
1. Ask the LPN to complete this task because the information is needed to give report.
2. Remind the NA that the task needs to be completed as quickly as possible
3. Notify the charge nurse that the NA needs more orientation on job responsibilities
4. Go to the NA to discuss the collection of I&O data and how to total I&O records - Answers 4.
Delegation of assigned tasks includes determining the delegate's knowledge and ability to perform the
task correctly. Discussing the task with the NA may clarify what the NA knows and where additional
teaching is needed regarding the task.
The RN is informed by the NA that the client, hospitalized last evening with chest pain, plans to leave
right now because the pain is gone and "nobody has done anything anyway". Which is the nurse's best
action?
1. Thank the NA for the information and then call the client's doctor regarding the situation
2. Tell the NA that the client has the right to leave and send the NA to help the client pack
3. Talk with the client to discuss the client's concerns and explain the plan of care
4. Tell the NA to inform the client that it is unsafe to leave; the RN will see the client shortly - Answers 3.
Seeing the client provides an opportunity for further assessment and client teaching. The nurse's
responsibility is to inform clients of the status of their care.
,The nurse determines that the NA did not complete assigned tasks. Which statement is best?
1. "All four of the clients' rooms assigned to you today are messy with a lot of trash in them. You really
need to finish your assignment before you leave".
2. "I am concerned that you didn't complete your work assignments today. What responsibilities
interfered with completing the tasks I assigned?"
3. "I checked with the four clients you were assigned to ambulate, and you didn't ambulate anyone. This
cannot happen again".
4. "Family members are upset today because you didn't get all the clients bathed yet. Why didn't you let
me know you needed help?" - Answers 2. This statement is best. Giving the NA an opportunity to
provide a rationale fosters team communication.
The new nurse is discussing the organization of client care with the mentor. Which statement made by
the new nurse requires immediate follow-up by the mentor?
1. "I delegated all the stable vital signs to an unlicensed assistive personnel (UAP) and most of the
treatments to the LPN
2. "I had the LPN bring the urinary catheterization supplies into the room so everything would be
available when I got there"
3. "I was taking vitals on one client and having a second client dangle while I had a third client sit on the
bedside commode"
4. "I believe my organizational skills are improving and I am able to complete all the client cares myself"
- Answers 3. This statement may appear that the new nurse is organized. However, leaving the client
dangling and another on a bedside commode while taking vital signs on another client is unsafe and
indicates that the new nurse is not properly delegating tasks. This statement would require immediate
follow-up by the mentor because these actions increase the client's risk for falls.
The RN is working with the UAP and the LPN in providing care to a group of clients. Which tasks should
the nurse plan to delegate? Select all that apply.
1. LPN to administer oral and IM medications
2. UAP to perform chest tube dressing changes
3. LPN to assess and care for two non-complex clients
4. UAP to empty and record urinary catheter bag drainage
5. UAP to take and document vital signs on all clients
6. LPN to initiate the discharge paperwork for two clients - Answers 1, 4, & 5
, 1. It is within the LPN's scope of practice to administer oral and IM medications
4. It is acceptable practice for the UAP to empty and record urinary catheter bag drainage
5. It is acceptable practice for the UAP to check and document vital signs on all clients
The RN is working with the LPN in providing care to the client. Place the nurse responsibilities associated
with delegation, supervision, and evaluation in the order that these should be completed by the nurse.
1. Following and incident, discuss importance of verifying the gag reflex prior to allowing the client who
was sedated to have anything by mouth
2. Intervene when the LPN allows the client who had been sedated for a procedure to have food/drink
by mouth prior to verifying gag reflex
3. Inform the LPN of tasks pertaining to the clients that should be completed
4. Write a brief anecdotal note regarding appraisal of encounter with the LPN - Answers 3, 2, 1, 4
3. Inform the LPN of tasks pertaining to the clients that should be completed should be the first action
after giving or receiving report on the clients. The RN is delegating tasks to the LPN
2. Intervene when the LPN allows the client who had seen sedated for a procedure to have food/drink
by mouth prior to verifying gag reflex is the second action. This involves supervision
1. Following an incident, discuss the importance of verifying the gag reflex prior to allowing the client
who was sedated to have anything by mouth is third. Supervision includes providing feedback
4. Write a brief anecdotal note regarding appraisal of the encounter with the LPN is next. Appraisal
involves evaluation
The client who is hard of hearing and primarily speaks German is being discharged home. Which action
should be the nurse's priority when preparing to teach the client about newly prescribed medications?
1. Determine the client's literacy level for both German and English
2. Obtain literature about the medications written in German and English
3. Determine if there is another person who should be taught instead of the client
4. Ask the NA who also speaks German to review the information with the client - Answers 1. For the
client who primarily speaks German, the nurse should first determine the client's literacy level in both
German and English so that the nurse can select the appropriate printed materials for client teaching
The charge nurse is leading the orientation of new employees. Which statements made by the charge
nurse demonstrate appropriate delegation? Select all that apply.
1. "The LPN can delegate dressing changes to the unlicensed assistive personnel (UAP)
The nurse received a change-of-shift report on four assigned clients. In what order should the nurse
attend to the clients? Prioritize the nurse's actions by placing each client in the correct order.
1. The 57-year-old client who was admitted 24 hours ago after being struck by lightning and has a serum
potassium level of 5.5 mEq/L
2. The 33-year-old client with a deep partial-thickness leg burn who has a temperature of 102.8F, BP
98/66 mmHg, and P 114 bpm
3. The 25-year-old client admitted 1 week ago with facial and chest burns from a house fire who has
been crying since recent visitors left
4. The 58-year-old client who had a skin graft to a leg burn 6 hours ago and is requesting a medication
for pain rated at a 6 on the 0 - 10 scale. - Answers 2, 4, 1, 3
2. The 33-year-old client with a deep partial-thickness leg burn who has a temperature of 102.8F, BP
98/66 mmHg, and P 114 bpm should be attended to first. The elevated temperature, low BP, and
tachycardia are signs that indicate septic shock or sepsis may be developing.
4. The 58-year-old client who had a skin graft to a leg burn 6 hours ago and is requesting a medication
for pain rated at a 6 on a 0-10 scale should be attended to next. Post-op pain control is needed to keep
on top of the pain and enable the client to be involved in post-op activities, such as coughing and deep
breathing, to prevent complications of bed rest
1. The 57-year-old client who was admitted 24 hours ago after being struck by lightning and has a serum
potassium level of 5.5 mEq/L should be attended to third. The serum potassium level is borderline high
(normal 3.5-5.5)
3. The 25-year-old client admitted 1 week ago with facial and chest burns from a house fire who has
been crying since recent visitors left can be attended to last among the clients. The client needs
emotional support, which is important to recovery, but clients with physiological needs are priority.
The RN is leading a team of an NA and an LPN in the care of a group of clients. Which tasks should the
nurse assign to the NA and LPN?
1. NA to perform two simple dressing changes; LPN to assess and care for two non-complex clients
2. NA to empty and record urinary catheter bag drainage; LPN to administer oral and IM medications
3. NA to assist clients with hygiene; LPN to provide postmortem care and meet with a deceased client's
family
4. NA to take and document vital signs on all clients; LPN to complete the discharge paperwork to be
reviewed with two clients - Answers 2. The scope of practice for the NA includes measuring and
recording I&O and for the LPN includes administering oral and IM medications
,The nurse is supervising the experienced NA who is new to the unit. Which question is best to evaluate
the NA's knowledge and skill in obtaining the client's fingerstick blood glucose, which is a permissible
NA-performed skill within the facility?
1. "How many times did you perform a fingerstick blood glucose measurement on the unit in which you
previously worked?"
2. "How would you obtain a blood specimen and perform the procedure for measuring the client's blood
glucose?"
3. When was the last time you were observed by a RN performing a blood glucose measurement on the
client?"
4. "When was the last time you obtained a blood glucose measurement that was out of the normal
ranges, and what did you do about this?" - Answers 2. The NA describing the procedure is one method
of evaluating the NA's knowledge and skills. Using an open-ended question elicits conversation and
details.
The NA's job responsibilities include totaling the I&O records for clients at the end of an 8-hour shift.
Near the end of the shift, the LPN reports to the RN that the new NA on the unit has not completed the
task. What is the RN's best action?
1. Ask the LPN to complete this task because the information is needed to give report.
2. Remind the NA that the task needs to be completed as quickly as possible
3. Notify the charge nurse that the NA needs more orientation on job responsibilities
4. Go to the NA to discuss the collection of I&O data and how to total I&O records - Answers 4.
Delegation of assigned tasks includes determining the delegate's knowledge and ability to perform the
task correctly. Discussing the task with the NA may clarify what the NA knows and where additional
teaching is needed regarding the task.
The RN is informed by the NA that the client, hospitalized last evening with chest pain, plans to leave
right now because the pain is gone and "nobody has done anything anyway". Which is the nurse's best
action?
1. Thank the NA for the information and then call the client's doctor regarding the situation
2. Tell the NA that the client has the right to leave and send the NA to help the client pack
3. Talk with the client to discuss the client's concerns and explain the plan of care
4. Tell the NA to inform the client that it is unsafe to leave; the RN will see the client shortly - Answers 3.
Seeing the client provides an opportunity for further assessment and client teaching. The nurse's
responsibility is to inform clients of the status of their care.
,The nurse determines that the NA did not complete assigned tasks. Which statement is best?
1. "All four of the clients' rooms assigned to you today are messy with a lot of trash in them. You really
need to finish your assignment before you leave".
2. "I am concerned that you didn't complete your work assignments today. What responsibilities
interfered with completing the tasks I assigned?"
3. "I checked with the four clients you were assigned to ambulate, and you didn't ambulate anyone. This
cannot happen again".
4. "Family members are upset today because you didn't get all the clients bathed yet. Why didn't you let
me know you needed help?" - Answers 2. This statement is best. Giving the NA an opportunity to
provide a rationale fosters team communication.
The new nurse is discussing the organization of client care with the mentor. Which statement made by
the new nurse requires immediate follow-up by the mentor?
1. "I delegated all the stable vital signs to an unlicensed assistive personnel (UAP) and most of the
treatments to the LPN
2. "I had the LPN bring the urinary catheterization supplies into the room so everything would be
available when I got there"
3. "I was taking vitals on one client and having a second client dangle while I had a third client sit on the
bedside commode"
4. "I believe my organizational skills are improving and I am able to complete all the client cares myself"
- Answers 3. This statement may appear that the new nurse is organized. However, leaving the client
dangling and another on a bedside commode while taking vital signs on another client is unsafe and
indicates that the new nurse is not properly delegating tasks. This statement would require immediate
follow-up by the mentor because these actions increase the client's risk for falls.
The RN is working with the UAP and the LPN in providing care to a group of clients. Which tasks should
the nurse plan to delegate? Select all that apply.
1. LPN to administer oral and IM medications
2. UAP to perform chest tube dressing changes
3. LPN to assess and care for two non-complex clients
4. UAP to empty and record urinary catheter bag drainage
5. UAP to take and document vital signs on all clients
6. LPN to initiate the discharge paperwork for two clients - Answers 1, 4, & 5
, 1. It is within the LPN's scope of practice to administer oral and IM medications
4. It is acceptable practice for the UAP to empty and record urinary catheter bag drainage
5. It is acceptable practice for the UAP to check and document vital signs on all clients
The RN is working with the LPN in providing care to the client. Place the nurse responsibilities associated
with delegation, supervision, and evaluation in the order that these should be completed by the nurse.
1. Following and incident, discuss importance of verifying the gag reflex prior to allowing the client who
was sedated to have anything by mouth
2. Intervene when the LPN allows the client who had been sedated for a procedure to have food/drink
by mouth prior to verifying gag reflex
3. Inform the LPN of tasks pertaining to the clients that should be completed
4. Write a brief anecdotal note regarding appraisal of encounter with the LPN - Answers 3, 2, 1, 4
3. Inform the LPN of tasks pertaining to the clients that should be completed should be the first action
after giving or receiving report on the clients. The RN is delegating tasks to the LPN
2. Intervene when the LPN allows the client who had seen sedated for a procedure to have food/drink
by mouth prior to verifying gag reflex is the second action. This involves supervision
1. Following an incident, discuss the importance of verifying the gag reflex prior to allowing the client
who was sedated to have anything by mouth is third. Supervision includes providing feedback
4. Write a brief anecdotal note regarding appraisal of the encounter with the LPN is next. Appraisal
involves evaluation
The client who is hard of hearing and primarily speaks German is being discharged home. Which action
should be the nurse's priority when preparing to teach the client about newly prescribed medications?
1. Determine the client's literacy level for both German and English
2. Obtain literature about the medications written in German and English
3. Determine if there is another person who should be taught instead of the client
4. Ask the NA who also speaks German to review the information with the client - Answers 1. For the
client who primarily speaks German, the nurse should first determine the client's literacy level in both
German and English so that the nurse can select the appropriate printed materials for client teaching
The charge nurse is leading the orientation of new employees. Which statements made by the charge
nurse demonstrate appropriate delegation? Select all that apply.
1. "The LPN can delegate dressing changes to the unlicensed assistive personnel (UAP)
