NCLEX-PN Delegating & Prioritizing
2026 | Practice Questions with
Rationales
1. Q: A nurse is monitoring a client following cardioversion. Which of
the following observations would be of highest priority to the
nurse? - answer-Answer... Status of airway
2. Q: A client has just been treated with cardioversion. The nurse
should assess which of the following first? - answer-Answer...
Status of airway
3. Q: A nurse is assisting in developing a plan of care for a pregnant
client with acquired immunodeficiency syndrome. The nurse
determines that which of the following is a priority nursing
diagnosis for this client? - answer-Answer.. Risk for infection
4. Q: A client is at risk for complications of heart failure. What is the
nurse's priority for early detection of the most likely cause of
complications with this client? - answer-Answer... Evaluating total
body fluid
5. Q: A nurse has delegated care of a client with COPD to a nursing
assistant. The nursing assistant notifies the nurse that the client's
, vital signs are elevated and the client is complaining of pain and
dyspnea. Which of the following is appropriate regarding the
nurse's next action? - answer-Answer... The nurse checks the
client and gathers additional data before calling the physician.
6. Q: A nurse is assigned to care for four clients. When planning
client rounds, which client would the nurse collect data from first?
- answer-Answer... A client receiving oxygen via nasal cannula
who had difficulty breathing during the previous shift.
7. Q: A pregnant client tells the nurse that she felt wetness on her
peripad and that she found some clear fluid. The nurse
immediately inspects the perineum and notes the presence of a
prolapsed cord. The nurse's initial action is to: - answer-Answer...
Place the client in trendelenburg's position and gently push the
presenting part upward.
8. Q: A client returns from the recovery room following an
abdominal surgical procedure. Following the arrival of the client
to the nursing unit, the initial nursing action is to assess the: -
answer-Answer... Vital signs
9. Q: A 5 year old child has been transferred to the pediatric unit
after a cardiac catherterization. Which of the following
interventions has the highest priority in the care of this child
immediately following the procedure? - answer-Answer... Assess
for any bleeding on the dressing
2026 | Practice Questions with
Rationales
1. Q: A nurse is monitoring a client following cardioversion. Which of
the following observations would be of highest priority to the
nurse? - answer-Answer... Status of airway
2. Q: A client has just been treated with cardioversion. The nurse
should assess which of the following first? - answer-Answer...
Status of airway
3. Q: A nurse is assisting in developing a plan of care for a pregnant
client with acquired immunodeficiency syndrome. The nurse
determines that which of the following is a priority nursing
diagnosis for this client? - answer-Answer.. Risk for infection
4. Q: A client is at risk for complications of heart failure. What is the
nurse's priority for early detection of the most likely cause of
complications with this client? - answer-Answer... Evaluating total
body fluid
5. Q: A nurse has delegated care of a client with COPD to a nursing
assistant. The nursing assistant notifies the nurse that the client's
, vital signs are elevated and the client is complaining of pain and
dyspnea. Which of the following is appropriate regarding the
nurse's next action? - answer-Answer... The nurse checks the
client and gathers additional data before calling the physician.
6. Q: A nurse is assigned to care for four clients. When planning
client rounds, which client would the nurse collect data from first?
- answer-Answer... A client receiving oxygen via nasal cannula
who had difficulty breathing during the previous shift.
7. Q: A pregnant client tells the nurse that she felt wetness on her
peripad and that she found some clear fluid. The nurse
immediately inspects the perineum and notes the presence of a
prolapsed cord. The nurse's initial action is to: - answer-Answer...
Place the client in trendelenburg's position and gently push the
presenting part upward.
8. Q: A client returns from the recovery room following an
abdominal surgical procedure. Following the arrival of the client
to the nursing unit, the initial nursing action is to assess the: -
answer-Answer... Vital signs
9. Q: A 5 year old child has been transferred to the pediatric unit
after a cardiac catherterization. Which of the following
interventions has the highest priority in the care of this child
immediately following the procedure? - answer-Answer... Assess
for any bleeding on the dressing
