Nurse Command

NCLEX Prioritization and Delegation Practice Questions

Work through decisions about who needs attention, which tasks can be delegated, and how information moves between members of the care team.

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Start with up to 5 questions. No account needed.

What you’ll practice

  • Prioritization and changes in condition
  • Delegation, competence, and supervision
  • Handoffs and clear reporting instructions

For each scenario, identify what has changed, who is responsible for the decision, and what information is still needed. Compare your reasoning with the rationale, not just the answer letter.

Try a sample question

An assistant says they have never used the unit’s new transfer device. A stable client needs assistance to a chair.

What should the RN do before delegating the transfer?

  1. Ask the assistant to learn while moving the client.
  2. Verify training and competence with the device.
  3. Delegate because the client is stable.
  4. Ask the client to explain how the device works.
Show answer and explanation

Answer: B. Verify training and competence with the device.

Delegation requires demonstrated competence.

Why the other options don’t fit

The client should not be used for unsupervised equipment training. Stability alone does not establish staff competence. A client’s explanation does not validate staff skills.

Reference: NCSBN and ANA: National Guidelines for Nursing Delegation

Nurse Command practice content · Not yet independently clinically reviewed. Educational study support, not clinical guidance or an official NCLEX item.

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