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NCLEX-RN Ultimate Test Bank 2025–2026 | 300+ Detailed
NCLEX-Style Questions & Rationales | Based on Saunders
10th Edition | Guaranteed Pass | Rated A+
Question 1 – Infection Control / Delegation
A nurse is preparing to assign care responsibilities to an unlicensed assistive personnel (UAP)
during a busy morning shift. The nurse is managing care for four clients and must decide which
activity is most appropriate to delegate. Which task should the nurse assign to the UAP?
A. Feeding a client with a recent stroke and impaired swallowing reflex
B. Collecting a stool specimen from a client with Clostridium difficile
C. Assisting a stable elderly client to the bathroom using a walker
D. Performing wound care on a client with a draining abdominal incision
Correct Answer: C. Assisting a stable elderly client to the bathroom using a walker
Rationale:
The UAP can perform tasks that are routine, stable, and non-complex. Assisting a stable client to
the bathroom using a walker fits this category and does not require nursing assessment or
judgment. In contrast, feeding a client with an impaired swallowing reflex after a stroke carries a
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high risk for aspiration and should only be done by a nurse. Collecting a stool specimen from a
client with a known infection like Clostridium difficile involves infection control measures and
may require licensed staff to ensure specimen integrity and proper PPE use. Wound care for a
draining incision is outside the UAP’s scope, as it involves assessment of the wound bed and
potential signs of infection, which require a nurse’s clinical judgment.
Reference: Saunders 10th Ed., Ch. 6: Delegation & Prioritization
Question 2 – Delegation / Safety
A nurse is caring for multiple clients on a medical-surgical unit. An unlicensed assistive
personnel (UAP) asks which client they can assist with first. Which task should the nurse
appropriately delegate to the UAP?
A. Measuring vital signs for a client with active chest pain
B. Assisting a client who is 1-day postoperative with ambulation to the hallway
C. Feeding a client with Parkinson’s disease who has difficulty swallowing
D. Monitoring a client with new-onset confusion after surgery
Correct Answer: B. Assisting a client who is 1-day postoperative with ambulation to the
hallway
Rationale:
The UAP may safely assist stable postoperative clients with ambulation, as it is a routine and
non-complex activity that does not require nursing assessment. Feeding clients with dysphagia,
such as those with Parkinson’s disease, involves a risk of aspiration and should be performed by
a nurse. Taking vital signs in a client with active chest pain may reveal life-threatening changes
and requires clinical interpretation, making it unsuitable for delegation. Monitoring for changes
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in mental status, such as new confusion, requires nursing judgment and continuous assessment,
which are outside the scope of a UAP.
Reference: Saunders 10th Ed., Ch. 6: Delegation & Prioritization
Question 3 – Delegation / Infection Control
The nurse is assigning tasks to a UAP in a long-term care facility. Which of the following
assignments is most appropriate for the nurse to delegate?
A. Assisting a client with known MRSA in changing bed linens
B. Administering a medicated foot soak to a diabetic client with a foot ulcer
C. Collecting a sputum sample from a client with tuberculosis
D. Performing a sterile dressing change for a post-surgical wound
Correct Answer: A. Assisting a client with known MRSA in changing bed linens
Rationale:
The UAP can assist with standard hygiene and environmental care tasks, including changing bed
linens, even for clients on contact precautions like MRSA, provided proper personal protective
equipment is used. Administering medicated treatments, such as a foot soak for a diabetic with
an ulcer, requires assessment and is not within the UAP’s scope. Collecting sputum from a client
with an airborne infection like TB requires careful handling, proper respiratory precautions, and
skilled technique to avoid contamination. Performing a sterile dressing change must be done by a
licensed nurse due to the need for aseptic technique and wound assessment.
Reference: Saunders 10th Ed., Ch. 6: Delegation & Prioritization
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Question 4 – Delegation / Client Prioritization
A nurse is working with a UAP to provide care for four clients. Which of the following tasks
should the nurse delegate to the UAP?
A. Evaluating a client’s pain level after administration of PRN morphine
B. Assisting a client with dementia during morning hygiene care
C. Teaching a client how to use an incentive spirometer postoperatively
D. Monitoring for signs of bleeding in a client receiving heparin
Correct Answer: B. Assisting a client with dementia during morning hygiene care
Rationale:
Providing hygiene care for a stable client, even one with dementia, is within the scope of a UAP
and does not require clinical judgment. Evaluating a client’s response to medication, such as pain
control after morphine administration, is a nursing responsibility. Teaching, including the use of
an incentive spirometer, is a role reserved for licensed nurses. Monitoring for adverse effects like
bleeding in a client on heparin involves nursing assessment and requires knowledge of potential
complications, making it inappropriate for delegation.
Reference: Saunders 10th Ed., Ch. 6: Delegation & Prioritization
Question 5 – Delegation / Scope of Practice
A nurse is delegating care tasks to an unlicensed assistive personnel (UAP). Which of the
following tasks is most appropriate for the nurse to assign?
NCLEX-RN Ultimate Test Bank 2025–2026 | 300+ Detailed
NCLEX-Style Questions & Rationales | Based on Saunders
10th Edition | Guaranteed Pass | Rated A+
Question 1 – Infection Control / Delegation
A nurse is preparing to assign care responsibilities to an unlicensed assistive personnel (UAP)
during a busy morning shift. The nurse is managing care for four clients and must decide which
activity is most appropriate to delegate. Which task should the nurse assign to the UAP?
A. Feeding a client with a recent stroke and impaired swallowing reflex
B. Collecting a stool specimen from a client with Clostridium difficile
C. Assisting a stable elderly client to the bathroom using a walker
D. Performing wound care on a client with a draining abdominal incision
Correct Answer: C. Assisting a stable elderly client to the bathroom using a walker
Rationale:
The UAP can perform tasks that are routine, stable, and non-complex. Assisting a stable client to
the bathroom using a walker fits this category and does not require nursing assessment or
judgment. In contrast, feeding a client with an impaired swallowing reflex after a stroke carries a
,2
high risk for aspiration and should only be done by a nurse. Collecting a stool specimen from a
client with a known infection like Clostridium difficile involves infection control measures and
may require licensed staff to ensure specimen integrity and proper PPE use. Wound care for a
draining incision is outside the UAP’s scope, as it involves assessment of the wound bed and
potential signs of infection, which require a nurse’s clinical judgment.
Reference: Saunders 10th Ed., Ch. 6: Delegation & Prioritization
Question 2 – Delegation / Safety
A nurse is caring for multiple clients on a medical-surgical unit. An unlicensed assistive
personnel (UAP) asks which client they can assist with first. Which task should the nurse
appropriately delegate to the UAP?
A. Measuring vital signs for a client with active chest pain
B. Assisting a client who is 1-day postoperative with ambulation to the hallway
C. Feeding a client with Parkinson’s disease who has difficulty swallowing
D. Monitoring a client with new-onset confusion after surgery
Correct Answer: B. Assisting a client who is 1-day postoperative with ambulation to the
hallway
Rationale:
The UAP may safely assist stable postoperative clients with ambulation, as it is a routine and
non-complex activity that does not require nursing assessment. Feeding clients with dysphagia,
such as those with Parkinson’s disease, involves a risk of aspiration and should be performed by
a nurse. Taking vital signs in a client with active chest pain may reveal life-threatening changes
and requires clinical interpretation, making it unsuitable for delegation. Monitoring for changes
,3
in mental status, such as new confusion, requires nursing judgment and continuous assessment,
which are outside the scope of a UAP.
Reference: Saunders 10th Ed., Ch. 6: Delegation & Prioritization
Question 3 – Delegation / Infection Control
The nurse is assigning tasks to a UAP in a long-term care facility. Which of the following
assignments is most appropriate for the nurse to delegate?
A. Assisting a client with known MRSA in changing bed linens
B. Administering a medicated foot soak to a diabetic client with a foot ulcer
C. Collecting a sputum sample from a client with tuberculosis
D. Performing a sterile dressing change for a post-surgical wound
Correct Answer: A. Assisting a client with known MRSA in changing bed linens
Rationale:
The UAP can assist with standard hygiene and environmental care tasks, including changing bed
linens, even for clients on contact precautions like MRSA, provided proper personal protective
equipment is used. Administering medicated treatments, such as a foot soak for a diabetic with
an ulcer, requires assessment and is not within the UAP’s scope. Collecting sputum from a client
with an airborne infection like TB requires careful handling, proper respiratory precautions, and
skilled technique to avoid contamination. Performing a sterile dressing change must be done by a
licensed nurse due to the need for aseptic technique and wound assessment.
Reference: Saunders 10th Ed., Ch. 6: Delegation & Prioritization
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Question 4 – Delegation / Client Prioritization
A nurse is working with a UAP to provide care for four clients. Which of the following tasks
should the nurse delegate to the UAP?
A. Evaluating a client’s pain level after administration of PRN morphine
B. Assisting a client with dementia during morning hygiene care
C. Teaching a client how to use an incentive spirometer postoperatively
D. Monitoring for signs of bleeding in a client receiving heparin
Correct Answer: B. Assisting a client with dementia during morning hygiene care
Rationale:
Providing hygiene care for a stable client, even one with dementia, is within the scope of a UAP
and does not require clinical judgment. Evaluating a client’s response to medication, such as pain
control after morphine administration, is a nursing responsibility. Teaching, including the use of
an incentive spirometer, is a role reserved for licensed nurses. Monitoring for adverse effects like
bleeding in a client on heparin involves nursing assessment and requires knowledge of potential
complications, making it inappropriate for delegation.
Reference: Saunders 10th Ed., Ch. 6: Delegation & Prioritization
Question 5 – Delegation / Scope of Practice
A nurse is delegating care tasks to an unlicensed assistive personnel (UAP). Which of the
following tasks is most appropriate for the nurse to assign?
