NCLEX questions on Delegation and Prioritization comprises at least 70% of NCLEX test, so it would do you well to familiarize yourself with these type of NCLEX questions before taking the exam. Here are the examples of NCLEX questions on Delegation and Prioritization:

20 Items NCLEX Questions on  Delegation and Prioritization

1. The following clients present to a walk-in clinic at the same time. Which should the nurse schedule to be seen first?
A. 25 year old with high fever, vomiting and diarrhea
b. 38 year old with sore throat, fever, and swollen lymph glands
c. 40 year old with severe headache, vomiting and stiff neck
d. 44 year old limping on a very swollen bruised ankle

2. Of the four clients listed below, which responsibility should the nurse direct the technician to carry out first?
a. 89 year old with COPD resting quietly on 2 liters of o2 needs morning vitals with 02 sat
b. 77 year old with gastrointestinal bleeding needs bedside commode emptied
c. 55 year old diabetic with fasting blood sugar of 75, at 80% of breakfast and needs morning snack
d. 49 year old with rheumatoid arthritis needs splints reapplied to both hands.

3. The LPN is assigned to care for a client who had a total right hip two days ago. Which observation should the LPN report immediately to the nurse?
a. incisional paid rated on 6 on a scale of 0-10
b. reddened incision line wiht a temperature of 99.6 F
c. pain and redness in the left lower leg
d. the client is not tolerating 20lbs of weight bearing on the right leg

4. The nurse just received report on the following clients. Who should the nurse see first?
a. 35 year old with suspected acute tubular necrosis, urine output totaled 25cc’s for the last two hours.
b. 49 year old with cancer of the breast, 2 days post mastectomy, reported to be having difficulty coping with the diagnosis.
c. 54 year old with TB in respiratory isolation, requesting pain medication
d. 36 year old with chest tube insertion after a spontaneous pneumothorax, respirations 16

5. After receiving report on the following clients, who should the nurse assess first?
a. 25 year old with the hemoglobin level of 15.9
b. 36 year old on Coumadin with a prothrombin time of 35. 6 seconds
c. 38 year old with a total calcium level of 9.4
d. 45 year old with a BUN of 30 and creatinine of 1.1

6. After completing assessment rounds, which finding would the nurse report to the physician immediately?
a. client who has not had a bowel movement in 4 days abdomen is firm
b. client who had a pulse of 89 and regular now has pulse of 100 and irregular
c. client who is very depressed and has eaten 10% of meals for the last 2 days.
d. client who has developed a rash around the neck and face who has been on iv penicillin for 2 days.

7. After receiving report on four clients at 7am, what should the nurse complete first?
a. call physician to report antiemetic for client who has been vomiting
b. notify family of a clients transfer to ICU for chest pain
c. call a potassium level of 5.9 to the attention of the physician
d. begin routine assessment rounds, starting with the sickest client

8. A 62 year old client has a history of coronary heart disease and is brought into the ER complaining of chest pain. What initial action should be taken by the nurse?
a. give the client ntg gr 1/150 sl now
b. call the cardiologist about the admission
c. place the client in a high Fowlers position after lossening the shirt
d. check blood pressure and note the location and degree of chest pain

9. As a nurse working the ER, which cient needs the most immediate attention?
a. a 3 yr old with a barking cough, oxygen sat of 93 in room air, and occasional inspiratory stridor
b. a 10 month old with a tympanic temperature of 102, green nasal drainage, and pulling at the ears
c. an 8 month old with a harsh paroxysmal cough, audible expiratory wheeze and mild retractions
d. a 3 year old with complaints of a sore throat, tongue slightly protruding out his mouth, and drooling.

10. As the office nurse, you are reviewing client messages for a return call. Which client should the nurse call back first.
a. client 36 weeks gestation complaining of facial edema
b. a client 24 weeks gestation complaining of urinary frequency
c. a client 12 weeks gestation whose had five episodes of vomiting in 36 hours
d. a client 20 weeks gestation complaining of white, thick vaginal discharge.

11. Which hospital roommate assignment would be most appropriate for a 3 year old girl with nephrotic syndrome?
a. 2 year old girl with croup
b. 3 year old girl with impetigo
c. 4 year old boy with tonsillitis
d. 4 year old boy with a fractured femur

12. You are a home health nurse. which client should you see first?
a. 7 year old who is recovering from a pelvic fracture
b. 5 year old who was diagnosed with type 1 diabetes and released from the hospital 2 days ago
c. an 8 year old with cystic fibrosis who is on 1 l og oxygen via nasal cannula
d. a 4 year old who has npo received any immunizations since 15 months of age

13. The registered nurse is planning the client assignments. Which assignment is an appropriate assignment for the nursing assistant?
a. assist a 12 year old boy with Down’s syndrome, who is profoundly, developmentally disabled, to eat lunch
b. obtain a temperature of a 29 year old woman receiving the final 30 minutes of a whole blood transfusion
c. complete initial vital signs on a 51 yearl old man who has just returned from surgery and PACU for a bowel transfusion
d. complete a sterile dressing change on a 70 year old woman admitted for skin graft

14. A physician orders MRI’s for the following four clients. Select the client that the nurse would send without questioning the order.
a. 21 year old diabetic with an implanted insulin pump
b. 18 year old pregnant primigravida
c. a 72 year old client with CHF and a pacemaker
d. a 35 year old auto accident victim on life support systems

15. After receiving report, which of the following four clients should the nurse assessf first?
a. client wiht stage 3 anxiety and disoriented
b. client with severe agoraphobia and refuses to leave her room
c. client with paranoid schizophrenia and pacing the halls
d. client wih post-traumatic stress disorder and socially withdrawn

16. A client is admitted with suspected substance abuse. All of the following information was obtained upon admission. Which assessment data is of primary concern to the nurse?
a. client reports taking a prescription medicine for high blood pressure daily.
b. client exhibiting restlessness, irritability, and has tachycardia
c. client reports taking the substance on a daily basis for six months
d. clients exhibits a cough, slightly elevated temperature and malaise

17. As the office nurse, which client should be assessed first?
a. client with history of drug abuse and diabetes, morning blood sugar 65
b. client with depression and has eaten less than 30% of meals for 24 hours
c. client with anxiety and productive cough of white sputum
d. client with borderline personality exhibiting self-damaging behaviors

18. The charge nurse is apporached by a new graduate nurse who has been assigned four clients: a diabetic with a 4:00 pm blood sugar of 99, a cardiac client with a potassium of 3.3,; a client with pyelonephritis with a temperature of 100.8, and an adult client with a 20% second degree burn of the legs. Which client should the charge nurse suggest the graduate assess first?
a. the diabetic
b. the cardiac client
c. plelonephritis client
d. burn client

19. Blood gases were drawn at 7:00 am on four clients. None of the clients were on any type of oxygen and had not received any type of breathing treatment prior to the blood gases being drawn. Which blood gas results should be of greatest concern for the nurse?
a. 24 year old pneumonia client with a ph 7.33, pco2 49, po2 90, hco3 26
b. 35 year old asthma client with a ph of 7.37, pco2 46, po2 95, hco3 29
c. 45 year old with a chest tube and with a ph 7.40, pco2 40, po2 90, hco3 24
d. 65 year old with COPD and ph 7.35, pco2 48, po2 82, hco3 28

20. Which task would be the least appropriate to delegate to a nursing assistant?
a. feed 10 month old a bottle who has crackles bilaterally, harsh, productive cough and in room air
b. help 10 year old with cystic fibrosis, diminished breath sounds int he RLL up to the bathroom
c. obtain vital signs of a 9 year old who was admitted yesterday for an acute asthma exacerbation
d. obtain the respiratory rate of a 6 week old infant who was admitted two hours ago with a respiratory rate of 64

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