NCLEX Delegation Questions and

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NCLEX ® Delegation Questions and Answers Version 2025/2026 Correct &

A nurse is deciding which task to delegate to an unlicensed assistive personnel (UAP). Which activity is appropriate?

• Administering oral pain medication

✔✔B. Assisting a stable patient with feeding

• Performing a focused respiratory assessment
• Teaching a patient how to use a walker

A nurse is assigning tasks to a licensed practical nurse (LPN). Which task is most appropriate?

• Developing a plan of care for a new admission
• Administering IV push antibiotics

✔✔C. Changing a sterile surgical dressing

• Completing a discharge teaching session

Which patient should the registered nurse (RN) assess first?✔✔A. A patient with new onset shortness of breath 1 / 4

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• A patient asking for a PRN pain medication
• A patient waiting for assistance with toileting
• A patient scheduled for morning lab draws

A nurse is working with a UAP. Which task can be safely delegated?✔✔A. Obtaining daily weights for heart failure patients

• Performing a neurological assessment
• Reviewing dietary restrictions with the patient
• Adjusting oxygen flow rates

Which task must the RN complete personally instead of delegating?

• Assisting a patient to ambulate after surgery

✔✔B. Performing an admission assessment

• Measuring intake and output
• Transporting a patient to radiology

A nurse delegates vital signs to a UAP. Which patient assignment is most appropriate?✔✔A. A patient admitted for appendicitis scheduled for surgery later today 2 / 4

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• A patient experiencing chest pain and dizziness
• A patient newly admitted with stroke symptoms
• A patient with unstable vital signs in the ICU

Which task should be delegated to an LPN?

• Evaluating a patient’s progress after discharge teaching

✔✔B. Administering oral antibiotics

• Adjusting ventilator settings
• Interpreting lab values

A nurse must prioritize care. Which patient requires immediate attention?

• A patient asking for ice chips after surgery

✔✔B. A patient reporting difficulty breathing

• A patient requesting a blanket
• A patient waiting for morning medications

Which action can the RN delegate to a UAP?

• Administering a subcutaneous injection 3 / 4

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• Performing wound irrigation

✔✔C. Assisting a patient with bathing

• Teaching a patient about medication side effects

Which task is suitable for an LPN to perform?✔✔A. Monitoring a patient’s blood glucose

• Completing a psychosocial assessment
• Explaining discharge instructions
• Interpreting diagnostic imaging results

A nurse receives report on four patients. Which patient should be assessed first?✔✔A. A patient with postoperative bleeding

• A patient requesting toileting assistance
• A patient needing morning vital signs taken
• A patient awaiting scheduled discharge

A nurse is assigning tasks to the UAP. Which is appropriate?✔✔A. Measuring urine output from a Foley catheter

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