If you want to be a master of Nursing Prioritization, Delegation, and Assignment in NCLEX, don’t miss this Essential Tips for Nursing Prioritization, Delegation, and Assignment in NCLEX Exam here! We furnished learners as well as readers with all the needed information about it, the useful tips to score high on the NCLEX exam and become an RN in the near future! 


nursing prioritization delegation and assignment in nclex exam
Helpful tips for nursing prioritization delegation and assignment in NCLEX exam


1. What is Nursing Prioritization, Delegation, and Assignment in NCLEX? 


1.1. Nursing Prioritization 

Prioritization can be defined as determining which will be the immediate action and which could be delayed further due to urgent needs. 

You will face questions on the NCLEX that will need you to exercise the ability to prioritize nursing actions. These nursing prioritizing questions are frequently provided in multiple-choice or ordered-response formats.

To review, in an ordered-response question format, you will be asked to drag and drop your nursing actions in order or priority using the computer mouse. Determine what you’ll do first, second, third, and so on based on the information presented. The question includes instructions.

In order to answer nursing prioritization questions, you can follow these  principles commonly used by NCLEX candidates: 


The ABC mnemonics: Airway, breathing, and circulation 

Besides the ABC mnemonics, you can read the NCLEX mnemonics tips and tricks to remember the NCLEX phrases and terms faster. 


Maslow’s Hierarchy of Needs 

There are 5 different levels of Maslow’s hierarchy of needs including: 

  • Physiological Needs: The most basic physiological needs take precedence and must be met first. Oxygen, food, fluid, nutrition, shelter, sleep, clothing, and reproduction are all examples of physiological needs.
  • Safety Needs: Physical and physiological safety can be distinguished. These include health, property, employment, environmental security, and resources.
  • Social Needs: Love, family, friendship, and intimacy are examples of these.
  • Esteem: These include self-esteem, confidence, respect, and achievement.
  • Self-actualization: These include creativity, morality, and problem-solving.


1.2. Delegation in Nursing 

Delegation is the transfer of responsibility and authority for an activity to other members of the healthcare team who are qualified to do so. The “delegate” is in charge of carrying out the task and procedure in question. The nurse (delegator) is responsible for the decision to delegate as well as the appropriateness of nursing care provided to the patient. A registered nurse’s role also includes delegating care, assigning tasks, organizing and managing care, supervising care delivered by other health care providers, and managing time effectively! The NCLEX contains questions about this distinct nursing role of delegation.


In delegation, there are 5 rights that every nurse should know: 

  • Right person: The licensed nurse, the employer, and the delegate are all responsible for ensuring that the delegate has the necessary skills and knowledge to carry out the activity.
  • Right Tasks: The activity is either part of the delegatees’ job description or is part of the nursing practice setting’s established written policies and procedures. The facility must ensure that the policies and procedures describe the activity’s expectations and limits, as well as provide any necessary competency training.
  • Right direction and communication: Each delegation situation must be tailored to the patient, licensed nurse, and delegate.
  • Right circumstances: The patient’s medical condition must be stable. If the patient’s condition changes, the delegatee must notify the licensed nurse, and the licensed nurse must reassess the situation and the delegation’s appropriateness.
  • Right Supervision and Evaluation: The licensed nurse is in charge of monitoring the delegated activity, following up with the delegate after the activity is completed, and evaluating patient outcomes. During the delegation situation, the delegate is responsible for communicating patient information to the licensed nurse. The licensed nurse should be prepared to intervene if necessary.
nursing prioritization delegation and assignment
5 rights you must know in the nursing delegation


2. What are some helpful tips for Prioritization, Delegation, and Assignment in NCLEX exam?

Follow 5 tips and strategies to help you ace NCLEX questions about delegation, assignment, and prioritization.


2.1. Don’t make decisions based on resolutions

Do not base decisions about care management on resolutions you may have witnessed during your clinical experience in a hospital or clinic setting. You are constantly reminded as a student nurse that NCLEX questions must be solved and answered in the context of “Ivory Tower Nursing.” That is, if you only had one patient at a time, a slew of helpers, and a plethora of supplies and equipment.


2.2. Never delegate assessment, evaluation, or nursing judgment functions.

Throughout your nursing education, you learned that the registered professional nurse is responsible for assessments, nursing diagnosis, establishing expected outcomes, evaluating care, and any other tasks and aspects of care, including but not limited to those requiring sterile technique, critical thinking, professional judgment, and professional knowledge. Nonprofessional, unlicensed assistive nursing personnel such as nursing assistants, patient care technicians, and personal care aides cannot be given these responsibilities.


2.3. Identify tasks for delegation based on the needs of the client.

Delegate activities for stable patients because some of their needs are more predictable and frequent. These are somewhat routine and do not require high levels of professional judgment or skill. However, if the patient is unstable, the needs become acute and unpredictable, ever-changing, and rarely encountered due to the patient’s changing condition. These requirements should not be delegated.


2.4. Ensure that personnel performing delegated tasks have the necessary education, skills, and experience.

Delegate tasks involving standard, consistent, and unchanging systems and procedures. A patient with chest tubes and chest drainage can be cared for by another RN or a licensed practical nurse. As a result, the authorizing RN must ensure that the nurse is qualified, skilled, and competent to perform this intricate task, as well as monitor the patient’s response to the treatment and ensure that the equipment is operating appropriately and accurately.


2.5. Remembember priorities

Always keep in mind that improper and inappropriate assignments can result in poor care quality, unexpected care outcomes, the jeopardization of client safety, and even legal ramifications. One of the most important daily decisions nurses make is the proper assignment of care to others, including nursing assistants, licensed practical nurses, and other registered nurses.


3. Helpful sources for Nursing prioritization, delegation and assignment in NCLEX exam? 

There are many books that can help you increase your abilities and knowledge. You can read the Top 5 Great Must-Read NCLEX Review Books for Nurses to choose the best books for you. We already mentioned all the needed information including the content, price as well as link to buy them. 


nclex nursing prioritization delegation and assignment
Sources for NCLEX Nursing prioritization, delegation and assignment

4. What are the FAQs about Nursing Prioritization Delegation and Assignment in NCLEX exam?


 4.1. What are the 2 types of delegation?

General or Specific Delegation. It is based on the job assigned. Formal or Informal Delegation. It is based on the process of giving authority.


4.2. What are the 3 elements of delegation?

There are three elements of Delegation: Assignment of Responsibility, Grant of Authority, and Creation of Accountability.


4.3. Are priority questions on the NCLEX at a high level?

To pass the NCLEX®, you must answer questions at the analysis level. Priority questions are typically written at the analysis level, so it is critical that you understand how to recognize and answer them.


That’s all the essential information about the Nursing prioritization, delegation, and assignment in NCLEX Exam. We hope that you can get all the information about it as well as score high on the NCLEX exam. In addition, don’t forget to practice with the NCLEX practice test!