In this NCLEX guide, we’ll help you review and prepare for prioritization, delegation, and assignment in your nursing exams. For this nursing test bank, improve your skills in prioritization, delegation, and patient assignment by exercising with these practice questions. We will also be teaching you test-taking tips and strategies so you can tackle these questions in the NCLEX with ease. The goal of these practice quizzes and reviewer is to help student nurses establish a foundation of knowledge and skills on prioritization, delegation, and assignment.
Prioritization, Delegation, and Assignment Practice Quiz
In this section are the practice questions to exercise your knowledge on nursing prioritization, delegation, and assignment. As with other quizzes, be sure to read and understand the question carefully. For prioritization, delegation, and assignment questions, read each choices carefully before deciding on your answer. Good luck and answer these questions at your own pace. You are here to learn.
Quizzes included in this guide are:
- Part 1: Nursing Prioritization, Delegation, Assignment for NCLEX (25 Items)
- Part 2: Nursing Prioritization, Delegation, Assignment for NCLEX (25 Items)
- Part 3: Nursing Prioritization, Delegation, Assignment for NCLEX (25 Items)
- Part 4: Nursing Prioritization, Delegation, Assignment for NCLEX (25 Items)
- Read and understand each question before choosing the best answer.
- Since this is a review, answers and rationales are shown after you click on the "Check" button.
- There is no time limit, answer the questions at your own pace.
- Once all questions are answered, you'll be prompted to click the "Quiz Summary" button where you'll be shown the questions you've answered or placed under "Review". Click on the "Finish Quiz" button to show your rating.
- After the quiz, please make sure to read the questions and rationales again by click on the "View Questions" button.
- Comment us your thoughts, scores, ratings, and questions about the quiz in the comments section below!
Nursing Prioritization, Delegation, Assignment for NCLEX (Part 3: 25 Items)
This is the third part of the nursing test bank for nursing prioritization, delegation, and assignment. Be sure to read the question carefully and read all the options before deciding on your answer.
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Looking for the rationales? Please click on the “View Questions” button below to review your answers and read through the rationales for each question.
Question 1 of 25
After exposure to hot weather and sun, clients with signs and symptoms of heat-related ailment rush to the Emergency Department (ED). Sort clients into those who need critical attention and those with less serious conditions.
A comparatively healthy housewife who states that the air conditioner has been down for 5 days and who exhibits hypotension, tachypnea, profuse diaphoresis, and fatigue.
An elderly traffic enforcer who complains of dizziness and syncope after standing under the heat of the sun for several hours to perform his job.
A sportsman who complains of severe leg cramps and nausea, and displays paleness, tachycardia, weakness, and diaphoresis.
An abandoned person who is a teacher; has altered mental state, weak muscle movement, hot, dry, pale skin; and whose duration of heat exposure is unknown.
Question 2 of 25
The ambulance has transported a man with severe chest pain. As the man is being transferred to the emergency stretcher, the nurse assessed the following: unresponsiveness, cessation of breathing, and absence of palpable pulse. Which of the following tasks is proper to assign to the nursing assistant?CorrectIncorrect
Question 3 of 25
A high school student comes in the triage area alert and ambulatory, and his uniform is soaked with blood. He and his classmates are sounding, “We were running around outside the school and he got hit in the abdomen with a stick!” Which statement should be a priority?CorrectIncorrect
Question 4 of 25
A mother is so worried that her son took an unknown amount of children’s chewable vitamins at an unknown time. While in the ED, the child is alert and asymptomatic. What information should be directly stated to the physician?CorrectIncorrect
Question 5 of 25
Several clients arrive in the ED with the same complaint of abdominal pain. Designate them for care in order of the severity of their condition.
A 38-year-old man complaining of severe occasional cramps with three episodes of watery diarrhea hours after meal.
A 53-year-old man who experiences discomforting mid-epigastric pain that is worse between meals and during the night.
A 42-year-old woman with moderate right upper quadrant pain who has vomited little amounts of yellow bile and whose symptoms have worsened over the past week.
A 12-year-old girl with a low-grade fever, anorexia, nausea, and right lower quadrant tenderness for the past 2 days.
A 68-year-old man with a pulsating abdominal mass and sudden onset of “tearing” pain in the abdomen and flank within the past hour.
A 25-year-old woman complaining of dizziness and severe left lower quadrant pain who states she is probably pregnant.
Question 6 of 25
The newly hired nurse is in his first week on the job in the ED. He used to be a traveling nurse for 5 years. Which area in his present job is the most appropriate assignment for him?CorrectIncorrect
Question 7 of 25
A client with multiple injuries is rushed to the ED after a head-on car collision. Which assessment finding takes priority?CorrectIncorrect
Question 8 of 25
Several people were killed and injured in a recent industrial explosion. The victims are being interviewed and assessed by the nurses for possible psychiatric crises. Which client has the greatest risk for posttraumatic distress disorder?CorrectIncorrect
Question 9 of 25
When several areas of a daycare center collapsed due to an earthquake, children, especially injured ones, were brought to the ED. As a competent nurse, you know that children will be more predisposed to which of the following? Select all that apply.CorrectIncorrect
Question 10 of 25
What is regarded as one of the priority actions that must be accomplished when a primary assessment of a trauma client is conveyed?CorrectIncorrect
Question 11 of 25
Prior to oral defense, a 21-year-old nursing student goes straight to the clinic due to tingling sensations, palpitations, and chest tightness. Deep, rapid breathing and carpal spasms are also observed. What is the nursing priority action for this situation?CorrectIncorrect
Question 12 of 25
The nurse is assigned to a small rural community hospital. Six clients have arrived at the ED because the local church is caught on deadly fire. More affected residents are expected to arrive soon and it is the only hospital in the nearby area. Arrange the following six clients in the order in which they should obtain medical attention utilizing disaster triage principles.
A firefighter who is exhibiting combative behavior and has respiratory stridor.
An 11-year-old boy wheezing and heavily labored breathing unrelieved by an asthma inhaler.
A 5-year-old child with respiratory distress and burns over more than 70% of the anterior body.
A 19-year-old anxious girl with a crushed leg that is very swollen and has tachycardia.
A 50-year-old man in full cardiac arrest who has been receiving CPR continuously for the past 30 minutes.
A 62-year-old grandmother with full-thickness burns to the hands and forearms.
Question 13 of 25
Identify the five most important elements in conducting disaster triage for multiple victims. Select all that apply.CorrectIncorrect
Question 14 of 25
A group of passengers enters the ED with complaints of cough, tightness in the throat, and extreme periorbital swelling. There is a strong odor exuding from their clothes. They report exposure to a “gas bomb” that was placed in the bus terminal. What is the priority action?CorrectIncorrect
Question 15 of 25
A drunk driver has been in the police station for 48 hours. During the first hours, he had tremors and was feeling anxious and sweaty. Currently, he is experiencing disorientation, hallucination, and hyperactivity. It was noted that the client has a history of alcohol abuse. What is the priority nursing diagnosis?CorrectIncorrect
Question 16 of 25
During a class discussion, the 50-year-old professor suddenly feels left-sided chest pain, dizziness, and diaphoresis. What is the priority action when he arrives in the ED triage area?CorrectIncorrect
Question 17 of 25
A child with fever has been admitted to the ED for several hours. Cooling measures are ordered by the physician in order for the client’s temperature to come down. Which task would be appropriate to delegate to the nursing assistant?CorrectIncorrect
Question 18 of 25
A traveler’s feet suddenly become pale, turn red, and feel very cold. In just 30 minutes, the affected part became prickly and numb. Place the following interventions in the correct order for a client with frostbite.
Administer pain medication
Remove the client from the cold environment
Apply loose, sterile, bulky dressing
Monitor for compartment syndrome
Immerse the feet in warm water of 105°F to 115°F (40.6°C to 46.1°C)
Question 19 of 25
An elderly maintenance staff is lying on the floor and the ED nurse responds to a call for help. List the order in which the nurse must carry out the following actions.
Call for help and activate the code team
Initiate cardiopulmonary resuscitation (CPR)
Perform the chin lift or jaw thrust maneuver
Instruct the nurse assistant to get the crash cart
Question 20 of 25
Which task is most appropriate to assign to the nursing assistant when an instantaneous death transpires in the ED? Select all that apply.CorrectIncorrect
Question 21 of 25
During the shift of a triage nurse in the Emergency Department (ED), the following clients arrive. Which client needs the most rapid response to protect other clients in the ED from infection?CorrectIncorrect
Question 22 of 25
The nurse is assigned to a client who has a draining sacral wound infected by MRSA. Which personal protective equipment (PPE) will the nurse plan to use in preparing to change the linens of the client? Select all that apply.CorrectIncorrect
Question 23 of 25
Which action will the nurse take to most effectively reduce the incidence of hospital-related urinary tract infections (UTI)?CorrectIncorrect
Question 24 of 25
A 90-year-old client is confined to the unit for two weeks. He has been receiving antibiotics for more than a week and tells that he is having frequent watery stools. Which action will you take first?CorrectIncorrect
Question 25 of 25
The nurse is assigned to a client with meningococcal meningitis. Which information about the client is the best indicator that the nurse can discontinue droplet precautions?CorrectIncorrect
Nursing Prioritization, Delegation and Assignment Reviewer for Nurses
This is your guide to help you answer NCLEX priority, delegation, and assignment style questions.
NCLEX Tips for Nursing Prioritization, Delegation, and Assignment questions:
Here are six tips and strategies to help you ace NCLEX questions about delegation, assignment, and prioritization.
1. Do not make decisions based on resolutions
Do not make decisions concerning management of care issues based on resolutions you may have witnessed during your clinical experience in the hospital or clinic setting. As a student nurse, you are constantly reminded that NCLEX questions are to be solved and responded in the context of “Ivory Tower Nursing.” That is, if you only had one patient at a time, loads of assistive personnel, countless supplies, and equipment. This is what people mean when they refer to “textbook nursing.” But when you’re in the real world without the time and resources, you adjust. Your clinical rotation in management may have been less than ideal but remember that in NCLEX, the answers to the questions are seen in nursing textbooks or journals. Always bear in mind, “Is this textbook nursing care?”
2. Never delegate the functions of assessment, evaluation and nursing judgment.
Throughout your nursing education, you learned that assessments, nursing diagnosis, establishing expected outcomes, evaluating care and any other tasks and aspects of care including but not limited to those that entail sterile technique, critical thinking, professional judgment, and professional knowledge are the responsibilities of the registered professional nurse. You cannot give these responsibilities to nonprofessional, unlicensed assistive nursing personnel, such as nursing assistants, patient care technicians, and personal care aides.
3. Identify tasks for delegation based on the client’s needs.
Delegate activities for stable patients because some of these needs are relatively predictable and more frequently encountered. These are somewhat routinized and without the need for high levels of professional judgment and skill. But if the patient is unstable, the needs are acute and become unpredictable, ever-changing, and rarely, encountered as based on the changing status of the patient. These needs should not be delegated.
4. Ensure the appropriate education, skills, and experience of personnel performing delegated tasks.
Delegate activities that involve standard, consistent, and unchanged systems and procedures. The care of a patient with chest tubes and chest drainage can be delegated to either another RN or a licensed practical nurse, therefore, the RN who is authorizing must ensure that the nurse is qualified, skilled, and competent to perform this intricate task, to observe the patient’s response to this treatment, and to ensure that the equipment is operating suitably and accurately.
The care of a stable chronically ill patient who is comparatively stable and more anticipated than a seriously ill and unstable acute patient can be assigned to the licensed practical nurse; and assistance with the activities of daily living and basic hygiene and comfort care can be assigned and delegated to an unlicensed assistive staff member like a nursing assistant or a patient care technician. Activities that frequently occur in daily patient care can be delegated. Bathing, feeding, dressing and transferring patients are examples.
Procedures that are complex or complicated should not be delegated especially if the patient is highly unstable.
5. Remember priorities!
Recall and understand Maslow’s Hierarchy of Needs, the ABC’s (Airway, Breathing, Circulation), and stable versus unstable. It is necessary to know and understand the priorities when deciding which patient the RN should attend to first. Remember that you can see only one patient or perform one activity when answering questions that require you to establish priorities.
Always keep in mind that improper and inappropriate assignments can lead to inadequate quality of care, unexpected outcomes of care, the jeopardization of client safety, and even legal consequences. Right assignment of care to others, including nursing assistants, licensed practical nurses, and other registered nurses, is certainly one of the most significant daily decisions that nurses make.
6. Additional Test Taking Tips and Strategies
- Questions using keywords such as “best,” “essential,” “highest priority,” “primary,” “immediate,” “first,” or “initial response” are asking for your prioritizing skills.
- Know the patient’s purpose of care, current clinical condition, and outcome of care in order to determine and plan priorities.
- Identify the priority patient based on the following: patient’s age, day of admission/surgery, or the number of body systems involved.
- Unlicensed assistive personnel (UAP) such as nurses’ aides, certified nursing assistants, attendants, health aides are not allowed to delegate. Only a registered nurse can delegate tasks.
- In some states, Licensed Practical Nurses (LPN) may delegate to a UAP depending on the state nursing practice.
- Ensure the appropriate knowledge, skills, and experience of personnel performing the delegated tasks.
- Do not delegate teaching, assessment, planning, evaluating, and nursing judgment to an unlicensed nurse.
- A client with an unstable and unpredictable condition cannot be delegated to a UAP’s or LPNs.
- Delegate tasks that involve standard, simple procedures such as bathing, dressing, feeding, and transferring patients.
- Student nurses, float nurses, personal assistants, and other personnel may require levels of guidance and supervision.
Prioritization is deciding which needs or problems require immediate action and which ones could be delayed until at a later time because they are not urgent. In the NCLEX, you will encounter questions that require you to use the skill of prioritizing nursing actions. These nursing prioritization questions are often presented using the multiple-choice format or via ordered-response format. For a review, in an ordered-response question format, you’ll be asked to use the computer mouse to drag and drop your nursing actions in order or priority. Based on the information presented, determine what you’ll do first, second, third, and so forth. Directions are provided with the question. To help you answer nursing prioritization questions, remember the three principles commonly used:
1. Remember ABC’s (airway, breathing, and circulation).
Patients with obvious respiratory problems or interventions to provide airway management are given priority.
2. Maslow’s Hierarchy of Needs
Use Maslow’s hierarchy of needs as a guide to prioritize by determining the order of priority by addressing the physiological needs first.
There are five different levels of Maslow’s hierarchy of needs:
- Physiological Needs. The basic physiological needs have the highest priority and must be met first. Some examples of physiological needs include oxygen, food, fluid, nutrition, shelter, sleep, clothing, and reproduction.
- Safety Needs. Safety can be divided into physical and physiological. These include health, property, employment, security of the environment, and resources.
- Social Needs. These include love, family, friendship, and intimacy.
- Esteem. These include confidence, self-esteem, respect, and achievement.
- Self-actualization. These include creativity, morality, and problem-solving.
3. Using the Nursing Process
The nursing process is a systematic approach to assess and give care to patients. Assessment should always be done first before planning or providing interventions.
Delegation in Nursing
Delegation is the transference of responsibility and authority for an activity to other health care members who are competent to do so. The “delegate” assumes responsibility for the actual performance of the task and procedure. The nurse (delegator) maintains accountability for the decision to delegate and for the appropriateness of nursing care rendered to the patient. The role of a registered nurse also includes delegating care, assigning tasks, organizing and managing care, supervising care delivered by other health care providers, while effectively managing time! The NCLEX includes questions related to this unique nursing role of delegation.
5 Rights of Delegation in Nursing
The following are the five rights of delegation in nursing:
- Right Person. The licensed nurse and the employer and the delegatee are responsible for ensuring that the delegatee possesses the appropriate skills and knowledge to perform the activity.
- Right Tasks. The activity falls within the delegatees’ job description or is included as part of the nursing practice settings established written policies and procedures. The facility needs to ensure the policies and procedures describe the expectations and limits of the activity and provide any necessary competency training.
- Right Direction and Communication.
- Each delegation situation should be specific to the patient, the licensed nurse, and the delegatee.
- The licensed nurse is expected to communicate specific instructions for the delegated activity to the delegatee; the delegatee should ask any clarifying questions as part of two-way communication. This communication includes any data that needs to be collected, the method for collecting the data, the time frame for reporting the results to the licensed nurse, and additional information pertinent to the situation.
- The delegatee must understand the terms of the delegation and must agree to accept the delegated activity.
- The licensed nurse should ensure that the delegatee understands that she or he cannot make any decisions or modifications in carrying out the activity without first consulting the licensed nurse.
- Right Circumstances. The health condition of the patient must be stable. If the patient’s condition changes, the delegatee must communicate this to the licensed nurse, and the licensed nurse must reassess the situation and the appropriateness of the delegation.
- Right Supervision and Evaluation.
- The licensed nurse is responsible for monitoring the delegated activity, following up with the delegatee at the completion of the activity, and evaluating patient outcomes. The delegatee is responsible for communicating patient information to the licensed nurse during the delegation situation. The licensed nurse should be ready and available to intervene as necessary.
- The licensed nurse should ensure appropriate documentation of the activity is completed.
If you need more information or practice quizzes, please do visit the following links:
- Nursing Test Bank: Free Practice Questions UPDATED!
Are you ready to learn? Check out our updated nursing test bank that includes over 3,500 practice questions covering a wide range of nursing topics that are absolutely free!
- NCLEX Questions Nursing Test Bank and Review UPDATED!
For this nursing test bank, we have included more than 1,000+ NCLEX practice questions covering different nursing topics! We’ve made a significant effort to provide you with the most challenging questions along with insightful rationales for each question to reinforce learning.