Naxlex NCLEX prioritization and delegation questions: a clear method
How to answer 'who do you see first' and delegation questions on the NCLEX using ABCs, Maslow, acute versus chronic, and scope of practice.
Last reviewed October 21, 2026 · Naxlex RN Hub study team
To answer prioritization questions, find the client with an immediate threat to life or safety: airway, breathing or circulation first, then acute over chronic, and unexpected over expected. For delegation, assign tasks by scope: registered nurses keep assessment, teaching, evaluation and unstable clients.
Ask four questions in order. Is anyone's airway, breathing or circulation threatened? Is a finding new or unexpected for this condition? Is the problem acute or chronic? Is there a safety risk such as falls, bleeding or infection? The first client who meets a 'yes' is usually your answer.
Expected findings are a classic trap. An SpO2 of 90% in a client with COPD, or mild pain after surgery, is expected. New confusion, stridor, or a sudden drop in blood pressure is not.
For delegation, RNs can assign stable, routine and predictable care to LPNs or PNs and assistive personnel. Initial assessment, care planning, teaching and evaluation stay with the RN. Check state rules, but on the exam, follow the general principles.
Official reference resources
- NCLEX candidate tutorial and preparation resources
- Official computerized adaptive testing overview
- Official ATI TEAS information
FAQ
What does ABC mean on the NCLEX?
Airway, breathing and circulation, the first priority framework for life-threatening problems.
Can an LPN give IV push medications?
This varies by state and facility. NCLEX questions generally keep IV push and unstable clients with the RN.
Put your study plan into practice
Choose RN or PN practice, review the rationale for each answer, and request original material for the topics you need next.
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