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NCLEX-RN Delegation & Prioritization Practice Exam 2026/2027 — 30 Questions & Rationales

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Develop your clinical prioritization and delegation skills with 30 original NCLEX-style practice questions. This paper focuses on decision-making situations involving prioritization, delegation, assignment of nursing tasks, patient safety, and appropriate nursing responsibilities

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PAPER N12: DELEGATION &
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)

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