1
“120 NCLEX-RN NGN Questions: Leadership,
Delegation & Prioritization | Saunders 9th Ed Study
Guide 2025–2026”
1. A nurse is planning care for four assigned patients. Which tasks can be
delegated to an experienced UAP (Unlicensed Assistive Personnel)?
Select all that apply.
A. Ambulating a stable postoperative client
B. Assisting a client to the bathroom
C. Administering oral medications
D. Documenting vital signs
E. Teaching a client how to use an incentive spirometer
Correct Answers: A, B, D
Rationale:
, 2
UAPs can perform routine, non-invasive tasks such as ambulating stable clients,
helping with toileting, and taking/documenting vital signs. However, administering
medication and client teaching fall under the RN’s scope and cannot be delegated
to UAPs.
2. A nurse is delegating tasks to an LPN. Which activities are appropriate for
delegation?
Select all that apply.
A. Monitoring a client with stable vital signs
B. Changing a sterile dressing on a surgical wound
C. Starting a blood transfusion
D. Reinforcing teaching about insulin administration
E. Administering oral medications
Correct Answers: A, B, D, E
Rationale:
LPNs can monitor stable clients, perform sterile procedures like wound care,
reinforce (but not initiate) education, and give oral medications. Initiating a blood
transfusion must be done by an RN due to potential complications.
, 3
3. A nurse manager is prioritizing patient assignments. Which client should be
assessed first?
Select all that apply.
A. A postoperative client with oxygen saturation of 89%
B. A client with chronic pain requesting PRN medication
C. A client with a blood glucose of 60 mg/dL
D. A client requesting assistance to ambulate for the first time
E. A client scheduled for discharge this afternoon
Correct Answers: A, C
Rationale:
According to prioritization principles (ABCs and safety), clients with airway or
circulation issues are prioritized. The client with low O₂ saturation and the
hypoglycemic client need immediate attention. Pain and discharge are important
but less urgent.
4. A nurse is caring for four patients. Which tasks should the nurse not
delegate to a UAP?
Select all that apply.
, 4
A. Assisting a stroke patient with feeding
B. Ambulating a post-op client for the first time
C. Performing postmortem care
D. Collecting a urine sample from a Foley catheter
E. Evaluating a client’s response to pain medication
Correct Answers: B, E
Rationale:
The first ambulation post-surgery requires RN assessment due to risk of falls.
Evaluation of response to interventions (e.g., pain meds) is a professional judgment
and cannot be delegated. Feeding and routine care are appropriate for UAPs.
5. Which situations reflect appropriate delegation according to the Five Rights
of Delegation?
Select all that apply.
A. Delegating a sterile dressing change to a trained LPN
B. Asking a UAP to assess a client's breath sounds
C. Assigning a new UAP to bathe a combative client
D. Asking a UAP to obtain blood pressure on a stable client
E. Instructing a UAP to report abnormal vital signs immediately
“120 NCLEX-RN NGN Questions: Leadership,
Delegation & Prioritization | Saunders 9th Ed Study
Guide 2025–2026”
1. A nurse is planning care for four assigned patients. Which tasks can be
delegated to an experienced UAP (Unlicensed Assistive Personnel)?
Select all that apply.
A. Ambulating a stable postoperative client
B. Assisting a client to the bathroom
C. Administering oral medications
D. Documenting vital signs
E. Teaching a client how to use an incentive spirometer
Correct Answers: A, B, D
Rationale:
, 2
UAPs can perform routine, non-invasive tasks such as ambulating stable clients,
helping with toileting, and taking/documenting vital signs. However, administering
medication and client teaching fall under the RN’s scope and cannot be delegated
to UAPs.
2. A nurse is delegating tasks to an LPN. Which activities are appropriate for
delegation?
Select all that apply.
A. Monitoring a client with stable vital signs
B. Changing a sterile dressing on a surgical wound
C. Starting a blood transfusion
D. Reinforcing teaching about insulin administration
E. Administering oral medications
Correct Answers: A, B, D, E
Rationale:
LPNs can monitor stable clients, perform sterile procedures like wound care,
reinforce (but not initiate) education, and give oral medications. Initiating a blood
transfusion must be done by an RN due to potential complications.
, 3
3. A nurse manager is prioritizing patient assignments. Which client should be
assessed first?
Select all that apply.
A. A postoperative client with oxygen saturation of 89%
B. A client with chronic pain requesting PRN medication
C. A client with a blood glucose of 60 mg/dL
D. A client requesting assistance to ambulate for the first time
E. A client scheduled for discharge this afternoon
Correct Answers: A, C
Rationale:
According to prioritization principles (ABCs and safety), clients with airway or
circulation issues are prioritized. The client with low O₂ saturation and the
hypoglycemic client need immediate attention. Pain and discharge are important
but less urgent.
4. A nurse is caring for four patients. Which tasks should the nurse not
delegate to a UAP?
Select all that apply.
, 4
A. Assisting a stroke patient with feeding
B. Ambulating a post-op client for the first time
C. Performing postmortem care
D. Collecting a urine sample from a Foley catheter
E. Evaluating a client’s response to pain medication
Correct Answers: B, E
Rationale:
The first ambulation post-surgery requires RN assessment due to risk of falls.
Evaluation of response to interventions (e.g., pain meds) is a professional judgment
and cannot be delegated. Feeding and routine care are appropriate for UAPs.
5. Which situations reflect appropriate delegation according to the Five Rights
of Delegation?
Select all that apply.
A. Delegating a sterile dressing change to a trained LPN
B. Asking a UAP to assess a client's breath sounds
C. Assigning a new UAP to bathe a combative client
D. Asking a UAP to obtain blood pressure on a stable client
E. Instructing a UAP to report abnormal vital signs immediately
