NCLEX Prioritization & Delegation 2025–2026 | 180 NGN Questions
Page | 1
& Rationales | A+ Guaranteed Pass Q Bank
Q1. The nurse is caring for four clients. Which one should be seen
FIRST?
⬜ A. Client with COPD requesting a sleeping pill
⬜ B. Client with type 2 diabetes needing insulin before lunch
✅ C. Client with chest pain rated 9/10 and shortness of breath
⬜ D. Client waiting for discharge instructions
Answer: ✅ C
Rationale: Chest pain with SOB = possible MI → life-threatening →
priority.
, Q2. Which task is appropriate to delegate to a UAP?
⬜ A. Teaching a client about insulin administration
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⬜ B. Assessing pain levels post-op
✅ C. Assisting a client to the bathroom
⬜ D. Evaluating a wound dressing
Answer: ✅ C
Rationale: UAPs can assist with basic ADLs like toileting; teaching
and assessing = RN only.
Q3. A nurse is caring for 5 clients. Which task should be delegated
to the LPN?
⬜ A. Performing an initial admission assessment
✅ B. Administering subcutaneous enoxaparin
⬜ C. Developing a plan of care
⬜ D. Titrating IV dopamine
, Answer: ✅ B
Rationale: LPNs can give subQ meds. Initial assessments and IV
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titrations = RN only.
Q4. Which client should the nurse assess first after shift report?
⬜ A. Post-op client requesting pain meds
⬜ B. Client needing help to the toilet
✅ C. Client with a new onset of confusion
⬜ D. Client with stable vital signs due for meds
Answer: ✅ C
Rationale: Acute confusion = priority; could be hypoxia, stroke, or
infection.
Q5. What can the RN delegate to the UAP?
⬜ A. Feeding a new stroke patient with dysphagia
, ✅ B. Transporting a stable client to radiology
⬜ C. Explaining pre-op procedure
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⬜ D. Monitoring a client's I&O after diuretics
Answer: ✅ B
Rationale: Transporting stable clients = within UAP scope. Feeding
dysphagia = aspiration risk = RN only.
Q6. The nurse is planning care. Which task should be assigned to
the LPN?
⬜ A. Performing discharge teaching
⬜ B. Assessing lung sounds on a client with pneumonia
✅ C. Administering PO antibiotics
⬜ D. Interpreting lab results
Page | 1
& Rationales | A+ Guaranteed Pass Q Bank
Q1. The nurse is caring for four clients. Which one should be seen
FIRST?
⬜ A. Client with COPD requesting a sleeping pill
⬜ B. Client with type 2 diabetes needing insulin before lunch
✅ C. Client with chest pain rated 9/10 and shortness of breath
⬜ D. Client waiting for discharge instructions
Answer: ✅ C
Rationale: Chest pain with SOB = possible MI → life-threatening →
priority.
, Q2. Which task is appropriate to delegate to a UAP?
⬜ A. Teaching a client about insulin administration
Page | 2
⬜ B. Assessing pain levels post-op
✅ C. Assisting a client to the bathroom
⬜ D. Evaluating a wound dressing
Answer: ✅ C
Rationale: UAPs can assist with basic ADLs like toileting; teaching
and assessing = RN only.
Q3. A nurse is caring for 5 clients. Which task should be delegated
to the LPN?
⬜ A. Performing an initial admission assessment
✅ B. Administering subcutaneous enoxaparin
⬜ C. Developing a plan of care
⬜ D. Titrating IV dopamine
, Answer: ✅ B
Rationale: LPNs can give subQ meds. Initial assessments and IV
Page | 3
titrations = RN only.
Q4. Which client should the nurse assess first after shift report?
⬜ A. Post-op client requesting pain meds
⬜ B. Client needing help to the toilet
✅ C. Client with a new onset of confusion
⬜ D. Client with stable vital signs due for meds
Answer: ✅ C
Rationale: Acute confusion = priority; could be hypoxia, stroke, or
infection.
Q5. What can the RN delegate to the UAP?
⬜ A. Feeding a new stroke patient with dysphagia
, ✅ B. Transporting a stable client to radiology
⬜ C. Explaining pre-op procedure
Page | 4
⬜ D. Monitoring a client's I&O after diuretics
Answer: ✅ B
Rationale: Transporting stable clients = within UAP scope. Feeding
dysphagia = aspiration risk = RN only.
Q6. The nurse is planning care. Which task should be assigned to
the LPN?
⬜ A. Performing discharge teaching
⬜ B. Assessing lung sounds on a client with pneumonia
✅ C. Administering PO antibiotics
⬜ D. Interpreting lab results
