PRIORITIZATION
Title: NCLEX Delegation & Prioritization
Exam: 30 Practice Questions with Rationales
Keywords: NCLEX delegation, prioritization,
nursing delegation, nursing prioritization,
NCLEX practice questions, nursing test bank,
priority setting
,Questions
1. A nurse is caring for four clients. Which client should the
nurse assess first? A) Client with chest pain and shortness
of breath B) Client with a leg cast who reports pain C)
Client with a urinary catheter and dark urine D) Client with
a surgical wound and serous drainage
Explanation: Chest pain and shortness of breath may indicate a
life-threatening condition such as myocardial infarction or
pulmonary embolism. This client should be assessed first.
2. A nurse is assigning tasks to a nursing assistant. Which task
can be delegated? A) Ambulating a client B) Administering
medication C) Starting an IV D) Developing a care plan
, Explanation: Ambulating a client is a task that can be delegated
to a nursing assistant. The nurse should ensure the assistant is
trained and competent.
3. A nurse is caring for a client with a diagnosis of stroke.
Which finding should the nurse report immediately? A)
Sudden change in level of consciousness B) Blood pressure
140/90 mmHg C) Heart rate 88 bpm D) Respiratory rate 18
breaths/min
Explanation: A sudden change in level of consciousness in a
stroke client may indicate increased intracranial pressure or
worsening of the condition. This should be reported
immediately.
4. A nurse is delegating a task to a nursing assistant. Which
task is appropriate to delegate? A) Feeding a client B)