Introduction:
Prioritization and delegation are crucial skills tested on the NCLEX-RN and NCLEX-PN exams. Nurses must decide which patient to see first, what tasks to delegate to unlicensed assistive personnel (UAPs), and how to handle emergencies effectively. This 100-question NCLEX practice test focuses on realistic nursing scenarios that test your ability to think critically, apply the ABCs (Airway, Breathing, Circulation), and use the nursing process when assigning or delegating care. Each question includes a detailed rationale to strengthen your understanding and confidence before the exam.
🏥 NCLEX Prioritization and Delegation Practice Questions (1–100)
Question 1
A nurse is caring for four patients. Which patient should the nurse assess first?
A. A patient with COPD who needs morning nebulizer treatment.
B. A patient with diabetes who needs blood sugar checked before breakfast.
C. A patient with asthma reporting shortness of breath and wheezing.
D. A patient scheduled for discharge today.
Answer: C
Rationale: Airway problems always take priority. The asthmatic patient showing respiratory distress needs immediate assessment and intervention (ABCs: Airway, Breathing, Circulation).
Question 2
Which patient should the nurse assign to an LPN?
A. A postoperative patient requiring wound care.
B. A patient newly admitted with chest pain.
C. A patient with unstable vital signs after surgery.
D. A patient requiring discharge teaching.
Answer: A
Rationale: LPNs can handle stable postoperative patients and perform wound care. However, newly admitted, unstable, or teaching-needing patients require RN-level care.
Question 3
The nurse has four patients. Which one should be seen first?
A. A patient complaining of chest pain rated 8/10.
B. A patient with nausea and vomiting.
C. A patient waiting for pain medication for a leg fracture.
D. A patient scheduled for physical therapy.
Answer: A
Rationale: Chest pain may indicate myocardial infarction — a life-threatening condition. Prioritize life-threatening issues using the ABCs.
Question 4
A nurse is delegating tasks to a UAP. Which task is appropriate?
A. Measuring intake and output for a patient on diuretics.
B. Assessing lung sounds for a patient with pneumonia.
C. Evaluating pain level after medication.
D. Teaching a patient about incentive spirometry.
Answer: A
Rationale: UAPs can collect data such as intake/output but cannot assess, evaluate, or teach — those are RN responsibilities.
Question 5
Which of the following patients is the highest priority?
A. A patient with fever and chills after appendectomy.
B. A patient complaining of calf pain after a long flight.
C. A patient with blood pressure 90/50 after surgery.
D. A patient with constipation for 3 days.
Answer: C
Rationale: Low blood pressure post-surgery may indicate internal bleeding or shock — immediate assessment and intervention are necessary.
Question 6
The RN is planning assignments. Which task can be delegated to the LPN?
A. Administering oral antibiotics.
B. Assessing a new rash.
C. Teaching insulin administration.
D. Developing a care plan.
Answer: A
Rationale: LPNs can administer medications (except IV in some settings) but cannot perform initial assessments or teaching.
Question 7
The nurse is caring for multiple patients. Which should be seen first?
A. A patient reporting new-onset slurred speech.
B. A patient requesting pain medication for arthritis.
C. A patient ready for discharge.
D. A patient needing routine dressing change.
Answer: A
Rationale: Slurred speech indicates a possible stroke — prioritize based on new or acute neurological changes.
Question 8
Which patient should be assigned to the most experienced nurse?
A. A newly admitted patient with diabetic ketoacidosis.
B. A stable patient requiring routine vital signs.
C. A patient awaiting discharge after appendectomy.
D. A patient receiving physical therapy.
Answer: A
Rationale: Newly admitted, unstable, or critical patients should go to experienced nurses.
Question 9
A nurse is caring for four patients. Which task can be safely delegated to a UAP?
A. Assisting a patient with a stroke in ambulation.
B. Performing tracheostomy suctioning.
C. Monitoring chest tube drainage.
D. Assessing a pressure ulcer.
Answer: A
Rationale: UAPs can assist stable patients with ambulation; suctioning and assessments require RN or LPN skill level.
Question 10
Which patient should the nurse see first after receiving shift report?
A. A patient with COPD with oxygen saturation of 88%.
B. A patient with diarrhea for the last 8 hours.
C. A patient scheduled for lab draw.
D. A patient awaiting discharge.
Answer: A
Rationale: Oxygen saturation below 90% requires immediate assessment and intervention — prioritizing airway and breathing.
Question 11
Which patient should the nurse see first?
A. A patient who reports a mild headache after blood transfusion.
B. A patient with a blood pressure of 80/40 mm Hg post-surgery.
C. A patient with nausea after chemotherapy.
D. A patient with mild ankle swelling.
Answer: B
Rationale: Low blood pressure after surgery could indicate hemorrhage or hypovolemic shock, which is life-threatening. Prioritize circulatory collapse (ABCs).
Question 12
Which task can the nurse delegate to a UAP?
A. Monitoring chest tube drainage.
B. Measuring and recording oral intake.
C. Evaluating pain relief after medication.
D. Assessing for skin breakdown.
Answer: B
Rationale: UAPs may collect and record data like intake/output, but they cannot interpret, assess, or evaluate — those are nursing responsibilities.
Question 13
A nurse has four patients. Which one should be seen first?
A. A patient with diabetes with blood glucose of 70 mg/dL.
B. A patient reporting chest pain radiating to the left arm.
C. A patient waiting for morning medication.
D. A patient asking to speak with the dietitian.
Answer: B
Rationale: Chest pain radiating to the arm indicates possible myocardial infarction — immediate action is required to prevent death.
Question 14
Which patient can be safely assigned to an LPN?
A. A newly diagnosed diabetic requiring insulin teaching.
B. A patient in diabetic ketoacidosis on IV insulin.
C. A stable diabetic patient requiring wound care.
D. A patient requiring care plan revision.
Answer: C
Rationale: LPNs manage stable patients with predictable outcomes; teaching and critical conditions require RNs.
Question 15
The charge nurse is delegating tasks. Which is appropriate for a UAP?
A. Performing oral hygiene on an unconscious patient.
B. Administering oral medication.
C. Assessing pain.
D. Performing wound dressing.
Answer: A
Rationale: UAPs can perform basic hygiene tasks, including oral care. Medication and assessments are beyond their scope.
Question 16
The nurse receives reports on four patients. Which one requires immediate attention?
A. A post-op patient with a urinary output of 20 mL/hr.
B. A patient who needs IV antibiotics in 30 minutes.
C. A patient complaining of mild pain (2/10).
D. A patient who has not eaten breakfast yet.
Answer: A
Rationale: Low urinary output (<30 mL/hr) may indicate renal hypoperfusion or shock — this is a high-priority finding.
Question 17
Which of the following can be delegated to a licensed practical nurse (LPN)?
A. Administering IV push pain medication.
B. Conducting the initial admission assessment.
C. Monitoring a stable patient’s wound drainage.
D. Teaching about post-discharge medications.
Answer: C
Rationale: LPNs can monitor and report changes in stable patients but cannot perform assessments or teaching.
Question 18
The nurse should assign which task to a UAP?
A. Checking blood glucose using a glucometer.
B. Inserting a urinary catheter.
C. Changing a sterile dressing.
D. Assessing lung sounds.
Answer: A
Rationale: UAPs may perform routine tasks like checking glucose if trained, but sterile procedures and assessments require licensed personnel.
Question 19
Which patient should the nurse see first?
A. A patient with a temperature of 102°F after surgery.
B. A patient reporting severe abdominal pain post-appendectomy.
C. A patient with a blood pressure of 200/110 mm Hg.
D. A patient awaiting discharge instructions.
Answer: C
Rationale: A hypertensive crisis can lead to stroke or cardiac arrest; immediate assessment is required.
Question 20
Which of the following tasks is suitable for delegation to an LPN?
A. Administering oral and IM medications.
B. Giving IV push medications.
C. Performing an admission assessment.
D. Providing patient discharge education.
Answer: A
Rationale: LPNs can safely administer oral and IM medications but cannot give IV push meds or conduct patient teaching.
Question 21
A nurse is prioritizing care. Which of the following should be assessed first?
A. A patient with a blood glucose of 55 mg/dL.
B. A patient requesting a sleeping pill.
C. A patient awaiting a dressing change.
D. A patient with a low-grade fever.
Answer: A
Rationale: Hypoglycemia is life-threatening if not treated immediately; neurological and cardiovascular collapse can occur.
Question 22
Which patient can the RN delegate to a UAP?
A. Collecting vital signs for a stable patient.
B. Evaluating effectiveness of oxygen therapy.
C. Performing sterile suctioning.
D. Monitoring for signs of infection.
Answer: A
Rationale: UAPs may collect data like vital signs on stable patients, but interpretation and monitoring are RN tasks.
Question 23
The nurse should first see which patient?
A. A patient who is confused and trying to get out of bed.
B. A patient reporting constipation for two days.
C. A patient waiting for discharge instructions.
D. A patient who needs wound dressing changed.
Answer: A
Rationale: A confused patient poses a fall risk — safety is a top priority according to Maslow’s hierarchy.
Question 24
Which task can be safely delegated to a UAP?
A. Feeding a stable patient who has mild right-sided weakness.
B. Feeding a patient with dysphagia.
C. Teaching a patient about aspiration precautions.
D. Assessing swallowing ability.
Answer: A
Rationale: Feeding a stable patient is appropriate for UAPs, but dysphagia patients require RN supervision to prevent aspiration.
Question 25
Which patient should the charge nurse assign to the LPN?
A. A patient with new-onset seizures.
B. A patient with stable pneumonia receiving oral antibiotics.
C. A patient requiring discharge planning.
D. A patient with diabetic ketoacidosis on IV insulin.
Answer: B
Rationale: Stable patients with predictable outcomes can be assigned to LPNs; unstable or newly diagnosed conditions require an RN.
- NCLEX Pharmacology Questions – 100 MCQs with Rationales
→ “If you’re also reviewing medication safety and side effects, explore our NCLEX Pharmacology Practice Questions.” - NCLEX Lab Values Practice Test – 100 Free Questions
→ “Don’t miss our NCLEX Lab Values Practice Test to strengthen your foundational knowledge.”
Question 26
Which patient should the nurse assess first?
A. A patient with a blood glucose of 200 mg/dL.
B. A patient with a heart rate of 40 bpm and dizziness.
C. A patient complaining of mild shortness of breath after walking.
D. A patient requesting pain medication for chronic arthritis.
Answer: B
Rationale: Symptomatic bradycardia can quickly progress to cardiac arrest — always address circulation issues first (ABCs).
Question 27
Which nursing action can be safely delegated to a UAP?
A. Repositioning a stable patient every two hours.
B. Administering enteral tube feedings.
C. Monitoring blood transfusion for reaction.
D. Assessing pain intensity after medication.
Answer: A
Rationale: Turning and repositioning are basic care tasks suitable for UAPs. Evaluation or clinical monitoring requires a nurse.
Question 28
A nurse is assigning patients. Which client should be assigned to the LPN?
A. A patient newly diagnosed with stroke requiring initial assessment.
B. A stable post-operative patient requiring wound care.
C. A patient with unstable blood glucose levels.
D. A patient awaiting a blood transfusion.
Answer: B
Rationale: LPNs can care for stable post-op clients and perform routine wound care under RN supervision.
Question 29
The charge nurse should see which patient first?
A. A patient who reports new chest pain.
B. A patient who is vomiting after meals.
C. A patient with a chronic pressure ulcer.
D. A patient waiting for a physical therapy evaluation.
Answer: A
Rationale: New chest pain may indicate myocardial infarction; it is always the highest priority.
Question 30
The RN is delegating to the LPN. Which task is appropriate?
A. Starting an IV line.
B. Administering IV antibiotics through a pre-existing line.
C. Performing discharge education.
D. Interpreting lab results.
Answer: B
Rationale: LPNs can administer IV medications if trained and facility policy allows, but cannot interpret or educate.
Question 31
A nurse must prioritize care for four clients. Which should be seen first?
A. A client with asthma reporting wheezing and shortness of breath.
B. A client with a chronic wound.
C. A client asking about their lab results.
D. A client needing morning hygiene care.
Answer: A
Rationale: Breathing issues always take top priority in the ABC framework.
Question 32
Which task should be performed by the RN rather than delegated?
A. Collecting vital signs on a stable patient.
B. Assessing pain level before analgesic administration.
C. Providing hygiene care.
D. Transporting a patient to radiology.
Answer: B
Rationale: Pain assessment requires critical thinking and must be performed by a licensed nurse.
Question 33
The nurse should assign which patient to a UAP?
A. A stable elderly patient who needs assistance ambulating to the bathroom.
B. A patient with recent hip surgery requiring neurovascular checks.
C. A patient with new confusion.
D. A patient with chest pain.
Answer: A
Rationale: Ambulation assistance is within a UAP’s scope if the patient is stable.
Question 34
Which action should the RN delegate to the LPN?
A. Changing a central line dressing.
B. Administering oral medications to a stable patient.
C. Performing initial admission assessment.
D. Developing a care plan.
Answer: B
Rationale: LPNs may give oral meds to stable patients, but admission assessments and care plans are RN duties.
Question 35
Which patient should the nurse see first?
A. A patient reporting new numbness in the right arm.
B. A patient asking for an extra pillow.
C. A patient waiting for discharge.
D. A patient with mild constipation.
Answer: A
Rationale: Sudden numbness can indicate stroke; immediate assessment is crucial.
Question 36
Which task can the nurse delegate to the UAP?
A. Measuring urine output for a postoperative patient.
B. Evaluating the patient’s pain level.
C. Teaching incentive spirometer use.
D. Assessing surgical incision.
Answer: A
Rationale: UAPs can collect and record data like output; evaluating or teaching requires licensed staff.
Question 37
The RN should prioritize which patient?
A. A patient with COPD who is restless and anxious.
B. A patient with mild abdominal discomfort.
C. A patient requesting information about their diet.
D. A patient who needs vital signs taken.
Answer: A
Rationale: Restlessness and anxiety may indicate hypoxia in COPD — assess oxygenation immediately.
Question 38
Which task can be delegated to an experienced LPN?
A. Teaching deep breathing exercises.
B. Administering a blood transfusion.
C. Giving a subcutaneous injection of insulin.
D. Evaluating IV site patency.
Answer: C
Rationale: LPNs can administer subcutaneous injections; teaching or blood transfusions are RN roles.
Question 39
The nurse is caring for four patients. Who should be seen first?
A. A patient with an O₂ saturation of 88% on room air.
B. A patient reporting mild leg pain.
C. A patient awaiting physical therapy.
D. A patient requesting breakfast.
Answer: A
Rationale: Hypoxia is an immediate life threat — airway and oxygenation take top priority.
Question 40
Which task is appropriate for a UAP?
A. Assisting a patient to the bathroom.
B. Monitoring oxygen saturation.
C. Changing a sterile dressing.
D. Evaluating fluid balance.
Answer: A
Rationale: UAPs provide basic care and assistance; sterile procedures and evaluations are RN responsibilities.
Question 41
Which patient should the nurse assign to an LPN?
A. A patient newly diagnosed with diabetes.
B. A stable patient requiring wound care and oral medications.
C. A patient receiving chemotherapy.
D. A patient with severe chest pain.
Answer: B
Rationale: LPNs manage stable, predictable patients; new diagnoses or unstable conditions need RNs.
Question 42
A nurse is delegating care. Which task is correct for the UAP?
A. Applying prescribed anti-embolism stockings.
B. Assessing pedal pulses.
C. Evaluating pain after ambulation.
D. Administering oral fluids.
Answer: A
Rationale: UAPs may apply compression stockings but cannot assess or evaluate.
Question 43
Which patient should be seen first?
A. A patient with a new tracheostomy and difficulty breathing.
B. A patient waiting for lab results.
C. A patient reporting mild headache.
D. A patient ready for discharge.
Answer: A
Rationale: Airway issues take absolute priority — difficulty breathing is life-threatening.
Question 44
Which task can the LPN safely perform?
A. Administering IV antibiotics via established line.
B. Starting a central IV line.
C. Teaching the patient about antibiotics.
D. Adjusting IV flow rate on a heparin drip.
Answer: A
Rationale: LPNs may administer IV meds if trained, but cannot initiate or adjust complex drips.
Question 45
The nurse is caring for four clients. Who should be seen first?
A. A client with chest pain rated 9/10.
B. A client asking for discharge paperwork.
C. A client needing routine medication.
D. A client who is mildly anxious.
Answer: A
Rationale: Severe chest pain = potential MI, highest priority for immediate intervention.
Question 46
Which of the following can be delegated to a UAP?
A. Collecting a urine specimen from a Foley catheter.
B. Educating a patient on catheter care.
C. Performing catheter insertion.
D. Assessing for infection.
Answer: A
Rationale: UAPs can collect specimens after proper training, but not assess or teach.
Question 47
A nurse is assigning patients. Which task can the LPN perform?
A. Monitoring a patient’s IV fluids.
B. Adjusting IV flow rate of a titratable drip.
C. Evaluating fluid balance.
D. Administering blood products.
Answer: A
Rationale: LPNs can monitor IV infusions and report abnormalities, but cannot adjust drips or transfuse blood.
Question 48
Which patient should the RN see first?
A. A patient post-thyroidectomy with hoarse voice and stridor.
B. A patient with mild nausea.
C. A patient awaiting a wound dressing change.
D. A patient requesting medication for constipation.
Answer: A
Rationale: Stridor post-thyroidectomy suggests airway obstruction — emergency intervention required.
Question 49
Which task is appropriate for a UAP?
A. Assisting with bed baths.
B. Administering enemas.
C. Monitoring IV fluids.
D. Performing wound irrigation.
Answer: A
Rationale: UAPs can perform hygiene tasks; enemas or IV monitoring require nursing oversight.
Question 50
The charge nurse should assign which patient to the RN?
A. A stable patient needing vital signs.
B. A patient requiring discharge instructions for new medications.
C. A patient needing transport to radiology.
D. A stable patient requiring ambulation.
Answer: B
Rationale: Discharge teaching requires RN expertise; patient education cannot be delegated.
NCLEX Cardiac Nursing Practice – 100 Free Questions
→ “For more on cardiac prioritization and ECG care, check our NCLEX Cardiac Nursing Questions.”
Question 51
Which client should the nurse assess first?
A. A client with blood glucose of 150 mg/dL.
B. A client with slurred speech and right-sided weakness.
C. A client waiting for a dressing change.
D. A client asking about lunch.
Answer: B
Rationale: Sudden neurologic deficits suggest stroke — immediate assessment and rapid intervention required.
Question 52
Which task is appropriate for a UAP?
A. Measuring intake and output.
B. Teaching coughing and deep breathing exercises.
C. Assessing breath sounds.
D. Interpreting lab results.
Answer: A
Rationale: UAPs can record intake/output but cannot assess or interpret data.
Question 53
The nurse is planning care for four patients. Who should be seen first?
A. A patient with O₂ saturation of 85% on room air.
B. A patient waiting for a dressing change.
C. A patient with mild anxiety.
D. A patient with chronic back pain.
Answer: A
Rationale: Hypoxia threatens life and must be addressed immediately — airway and oxygenation come first.
Question 54
Which task can the nurse safely delegate to an LPN?
A. Administering oral medications to a stable patient.
B. Performing an admission assessment.
C. Educating a newly diagnosed diabetic patient.
D. Interpreting EKG results.
Answer: A
Rationale: LPNs can provide routine medication administration but cannot assess or interpret diagnostic results.
Question 55
The charge nurse should assign which patient to an experienced RN?
A. A patient with new-onset confusion after head injury.
B. A stable patient with pneumonia.
C. A post-op patient needing oral meds.
D. A patient needing assistance with feeding.
Answer: A
Rationale: New neurological changes require RN-level critical thinking and assessment.
Question 56
Which task should be delegated to a UAP?
A. Transporting a stable patient to X-ray.
B. Administering an IV medication.
C. Assessing for pain relief.
D. Teaching incentive spirometer use.
Answer: A
Rationale: Transport of stable patients is appropriate for UAPs; assessments and education are RN responsibilities.
Question 57
Which patient needs to be assessed first?
A. A post-op patient with new shortness of breath.
B. A patient requesting a sleeping pill.
C. A patient who needs blood pressure monitoring.
D. A patient waiting for discharge instructions.
Answer: A
Rationale: Post-op respiratory distress indicates possible embolism or atelectasis — immediate attention required.
Question 58
Which of the following can be delegated to an LPN?
A. Administering IM antibiotics to a stable patient.
B. Developing a care plan.
C. Performing the initial health assessment.
D. Counseling a patient about diagnosis.
Answer: A
Rationale: LPNs can give IM medications, but assessment and teaching are RN duties.
Question 59
Which task should the nurse assign to a UAP?
A. Measuring vital signs on a stable post-op patient.
B. Administering oral pain medication.
C. Evaluating the effectiveness of oxygen therapy.
D. Assessing for dizziness during ambulation.
Answer: A
Rationale: Basic vital signs can be obtained by UAPs under supervision.
Question 60
Which client should the RN see first?
A. A patient post-thyroidectomy with hoarseness and difficulty swallowing.
B. A patient requesting a snack.
C. A patient waiting for wound care.
D. A patient needing routine medication.
Answer: A
Rationale: Airway obstruction (laryngeal edema) is a potential emergency post-thyroidectomy.
Question 61
Which nursing task can be delegated to an experienced UAP?
A. Applying barrier cream to an incontinent patient.
B. Performing a sterile wound dressing change.
C. Assessing skin integrity under restraints.
D. Interpreting nutritional intake.
Answer: A
Rationale: UAPs may perform basic hygiene and skincare tasks but not sterile procedures or assessments.
Question 62
The nurse is prioritizing care. Which should be seen first?
A. A patient with a new tracheostomy and thick secretions.
B. A patient with mild abdominal distension.
C. A patient requesting toileting assistance.
D. A patient with a scheduled lab draw.
Answer: A
Rationale: Airway management always takes precedence — thick secretions can obstruct breathing.
Question 63
Which of the following tasks can be delegated to an LPN?
A. Reinforcing teaching after RN instruction.
B. Developing patient education material.
C. Performing an initial physical assessment.
D. Evaluating a care plan’s effectiveness.
Answer: A
Rationale: LPNs can reinforce teaching that has been initiated by the RN.
Question 64
Which task should be delegated to a UAP?
A. Collecting sputum specimens from a patient who can cough effectively.
B. Teaching sputum collection technique.
C. Assessing the color and consistency of sputum.
D. Interpreting culture results.
Answer: A
Rationale: Collecting specimens is within UAP scope if the patient is stable and able to cooperate.
Question 65
Which patient should the RN assess first?
A. A patient with chest tube drainage of 200 mL in one hour.
B. A patient reporting mild incisional pain.
C. A patient waiting for discharge.
D. A patient with stable vital signs post-op.
Answer: A
Rationale: Sudden increase in chest tube drainage may indicate hemorrhage — urgent assessment required.
Question 66
Which of the following actions can be safely delegated to an LPN?
A. Monitoring IV site for patency.
B. Starting a central IV line.
C. Changing total parenteral nutrition tubing.
D. Administering chemotherapy.
Answer: A
Rationale: LPNs can monitor IV sites and report issues but cannot initiate or handle TPN or chemo.
Question 67
Which patient should the nurse prioritize?
A. A diabetic patient with blood glucose of 45 mg/dL.
B. A patient waiting for lab results.
C. A patient with mild edema.
D. A patient who needs meal assistance.
Answer: A
Rationale: Hypoglycemia is life-threatening — immediate glucose administration is needed.
Question 68
Which task is appropriate for a UAP?
A. Obtaining a weight for a patient with heart failure.
B. Adjusting oxygen flow rate.
C. Assessing for edema.
D. Evaluating urine color.
Answer: A
Rationale: Weighing patients is safe for UAPs; assessment and evaluation remain RN responsibilities.
Question 69
Which patient should the nurse assess first?
A. A patient with a tracheostomy coughing up bloody mucus.
B. A patient with chronic back pain.
C. A patient waiting for discharge instructions.
D. A patient asking for assistance to the restroom.
Answer: A
Rationale: Bloody tracheal secretions may indicate trauma or bleeding — possible airway emergency.
Question 70
Which activity can the RN safely delegate to the LPN?
A. Administering oral medications to a stable patient.
B. Performing discharge teaching.
C. Evaluating a care plan.
D. Completing an initial assessment.
Answer: A
Rationale: Medication administration is within the LPN’s role if the patient is stable and predictable.
Question 71
Which of these tasks can the nurse delegate to a UAP?
A. Recording food intake for a diabetic patient.
B. Administering insulin.
C. Assessing for hypoglycemia.
D. Teaching dietary restrictions.
Answer: A
Rationale: UAPs can record data like intake, but assessment and teaching require clinical judgment.
Question 72
Which patient should the nurse attend to first?
A. A patient post-surgery with a blood pressure of 80/50 mmHg.
B. A patient with chronic constipation.
C. A patient requesting assistance with walking.
D. A patient with stable angina.
Answer: A
Rationale: Hypotension in a post-op patient can signal hemorrhage — immediate assessment required.
Question 73
Which of the following can be delegated to an experienced LPN?
A. Administering IM pain medication to a stable patient.
B. Teaching use of PCA pump.
C. Performing an initial admission assessment.
D. Creating a discharge plan.
Answer: A
Rationale: LPNs can give IM meds to stable patients but cannot perform complex assessments or planning.
Question 74
Which patient requires immediate assessment?
A. A patient with a new onset of difficulty swallowing.
B. A patient asking about meal options.
C. A patient with mild nausea.
D. A patient awaiting wound care.
Answer: A
Rationale: Dysphagia may indicate airway compromise or stroke — assess immediately.
Question 75
Which task can the UAP perform?
A. Checking capillary refill.
B. Feeding a patient who can swallow safely.
C. Interpreting lab results.
D. Teaching dietary modifications.
Answer: B
Rationale: Feeding stable patients is safe for UAPs under supervision; assessments and teaching are RN duties.
Question 76
Which client requires immediate nursing attention?
A. A patient with shortness of breath after a central line insertion.
B. A patient waiting for discharge teaching.
C. A patient with mild nausea.
D. A patient requesting a blanket.
Answer: A
Rationale: Possible pneumothorax after central line insertion — airway and breathing emergencies take priority.
Question 77
Which task is suitable for a UAP under RN supervision?
A. Turning and repositioning a bedridden client every 2 hours.
B. Monitoring IV infusion rate.
C. Assessing pressure ulcer stage.
D. Teaching pressure relief techniques.
Answer: A
Rationale: UAPs can reposition patients to prevent pressure injuries; assessments and teaching are RN roles.
Question 78
The RN is delegating tasks during a busy shift. Which task should go to the LPN?
A. Administering oral antibiotics to a stable pneumonia patient.
B. Performing the initial admission assessment.
C. Developing the care plan.
D. Teaching use of incentive spirometer.
Answer: A
Rationale: Medication administration for stable patients is appropriate for LPNs; assessments and education require RNs.
Question 79
Which client should be assessed first?
A. A patient with chest pain rated 8/10.
B. A patient due for wound dressing.
C. A patient awaiting lab results.
D. A patient requesting ice water.
Answer: A
Rationale: Chest pain indicates potential cardiac event — assess immediately for possible MI.
Question 80
Which task is appropriate for delegation to a UAP?
A. Assisting a patient with ambulation after knee surgery.
B. Evaluating ambulation tolerance.
C. Assessing for postural dizziness.
D. Interpreting mobility limitations.
Answer: A
Rationale: UAPs may assist with ambulation but cannot assess or evaluate patient responses.
Question 81
Which patient should the nurse see first?
A. A patient with a BP of 78/42 mmHg after surgery.
B. A patient with mild pain.
C. A patient needing morning medication.
D. A patient asking for a shower.
Answer: A
Rationale: Post-op hypotension may signal internal bleeding — immediate intervention required.
Question 82
Which task is suitable for an LPN?
A. Reinforcing patient education on insulin injection.
B. Teaching insulin administration techniques.
C. Developing diabetes education materials.
D. Assessing for insulin side effects.
Answer: A
Rationale: LPNs may reinforce teaching but cannot independently educate or assess for side effects.
Question 83
Which client requires immediate attention?
A. A patient with tracheostomy showing gurgling sounds.
B. A patient requesting toileting assistance.
C. A patient awaiting routine labs.
D. A patient eating breakfast.
Answer: A
Rationale: Gurgling indicates secretion obstruction — suction and airway management needed immediately.
Question 84
The RN should delegate which task to a UAP?
A. Obtaining daily weights for heart failure patients.
B. Monitoring cardiac rhythm.
C. Evaluating diuretic effectiveness.
D. Assessing for edema.
Answer: A
Rationale: Weight monitoring is within UAP scope; evaluation requires RN assessment.
Question 85
Which patient should the nurse prioritize?
A. A diabetic patient with confusion and diaphoresis.
B. A patient requesting a pain medication refill.
C. A patient waiting for transport.
D. A patient requesting lunch.
Answer: A
Rationale: Symptoms of hypoglycemia — needs immediate glucose administration.
Question 86
Which task should the RN assign to an experienced LPN?
A. Administering enteral feeding to a stable patient.
B. Changing a central line dressing.
C. Assessing for residual volume tolerance.
D. Developing a nutrition plan.
Answer: A
Rationale: LPNs can administer tube feedings to stable clients; assessment and planning are RN duties.
Question 87
Which patient requires immediate assessment?
A. A patient post-thyroidectomy with difficulty breathing.
B. A patient with mild sore throat.
C. A patient requesting a room change.
D. A patient awaiting discharge paperwork.
Answer: A
Rationale: Airway obstruction post-thyroidectomy is a medical emergency.
Question 88
Which task can be safely delegated to a UAP?
A. Assisting a stable patient with feeding.
B. Evaluating swallowing ability.
C. Educating family on aspiration precautions.
D. Assessing fluid intake tolerance.
Answer: A
Rationale: Feeding stable patients is safe for UAPs under supervision.
Question 89
Which task is appropriate for an LPN?
A. Administering oral antihypertensive medications to a stable patient.
B. Teaching about medication side effects.
C. Evaluating medication effectiveness.
D. Developing a teaching plan.
Answer: A
Rationale: LPNs can administer routine medications but not perform teaching or evaluation.
Question 90
The RN should prioritize which client?
A. A patient post-op with a rigid abdomen.
B. A patient needing IV antibiotics.
C. A patient requesting water.
D. A patient ready for discharge.
Answer: A
Rationale: Rigid abdomen may indicate internal bleeding or peritonitis — life-threatening condition.
Question 91
Which task should the nurse delegate to a UAP?
A. Assisting a patient with oral hygiene.
B. Assessing oral mucosa for lesions.
C. Educating about oral care importance.
D. Evaluating hydration status.
Answer: A
Rationale: UAPs may assist with hygiene tasks but not assessments or teaching.
Question 92
Which patient should be assessed first?
A. A post-op patient with O₂ saturation of 84%.
B. A patient with stable diabetes.
C. A patient awaiting routine labs.
D. A patient complaining of mild itching.
Answer: A
Rationale: Hypoxia poses immediate risk — airway and breathing always take priority.
Question 93
Which of the following can be delegated to an LPN?
A. Administering subcutaneous heparin to a stable patient.
B. Assessing for signs of bleeding.
C. Educating patient on anticoagulant use.
D. Adjusting medication dosage.
Answer: A
Rationale: LPNs can administer routine injections but cannot assess or modify therapy.
Question 94
Which task can be performed by a UAP?
A. Documenting oral intake during meals.
B. Assessing for dysphagia.
C. Planning patient diet.
D. Educating family on nutrition.
Answer: A
Rationale: UAPs can record data; assessments and planning remain RN responsibilities.
Question 95
Which client should the RN see first?
A. A patient with shortness of breath and frothy sputum.
B. A patient with a healing wound.
C. A patient asking for a blanket.
D. A patient ready for medication.
Answer: A
Rationale: Frothy sputum = pulmonary edema — requires immediate oxygen and diuretic intervention.
Question 96
Which nursing task is appropriate for delegation to an experienced LPN?
A. Monitoring urinary catheter output.
B. Assessing for bladder distension.
C. Interpreting urinalysis results.
D. Planning voiding schedule.
Answer: A
Rationale: LPNs may monitor catheter output but not interpret or plan care.
Question 97
Which of these clients should the nurse prioritize?
A. A patient with severe abdominal pain and absent bowel sounds.
B. A patient awaiting wound care.
C. A patient requesting a sleeping pill.
D. A patient with stable hypertension.
Answer: A
Rationale: Possible bowel obstruction — immediate assessment required.
Question 98
Which task can the UAP perform?
A. Assisting with range-of-motion exercises for a stroke patient.
B. Assessing muscle strength.
C. Teaching mobility precautions.
D. Evaluating improvement in movement.
Answer: A
Rationale: ROM assistance is within UAP scope; evaluation and teaching are RN duties.
Question 99
Which patient needs the RN’s immediate attention?
A. A post-op patient with cyanotic lips.
B. A patient requesting assistance to bathroom.
C. A patient with mild constipation.
D. A patient asking about discharge.
Answer: A
Rationale: Cyanosis indicates hypoxia — airway and oxygenation are priority.
Question 100
Which task can be delegated to a UAP?
A. Assisting with bed bath for a stable patient.
B. Assessing skin for pressure injuries.
C. Teaching repositioning importance.
D. Evaluating hygiene effectiveness.
Answer: A
Rationale: UAPs can perform hygiene care; assessment and evaluation remain RN roles.
NCLEX Psychiatric and Mental Health Full Test – 200+ MCQs
→ “Reinforce your nursing preparation with our complete NCLEX Psychiatric and Mental Health .”
NCLEX Practice Hub (Main Page)
→ “Visit the NCLEX Practice Hub for all free section-wise tests.”
🧠 Conclusion
Prioritization and delegation are critical nursing skills tested heavily on the NCLEX. This 100-question practice test helps you think like a safe, efficient nurse—making sound judgments about patient safety, scope of practice, and team coordination.
To strengthen your preparation, pair this quiz with related areas like NCLEX Pharmacology Questions and NCLEX Physiology Questions with Answers.
Consistent practice across categories not only builds your knowledge but also boosts your decision-making confidence during exam day.
At TayariMCQs, our mission is to help nursing students around the world—especially those preparing for the U.S. NCLEX exam—access free, accurate, and exam-relevant study material in one place.
👉 Next Step:
Take another free section now:
- NCLEX Anatomy Questions (Free)
- NCLEX Microbiology Test with Rationales
- NCLEX Fundamentals of Nursing Questions
Keep practicing, keep progressing — your NCLEX success starts here! 💪