Help your students develop clinical judgment skills with management-of-care questions to prepare for success on the Next-Generation NCLEX-RN® Exam (NGN)! Prioritization, Delegation, and Assignment: Practice Exercises for the NCLEX-RN® Examination, Sixth Edition provides a wide variety of realistic patient care scenarios to help students learn management-of-care concepts and skills and see how to apply them to clinical practice. Exercises progress from simple to complex, and updated questions for the NGN are designed to match the latest NGN formats. This thoroughly updated new edition now includes 2021 AACN Essentials item coding for faculty, three new Case Studies, a new Community Health Problems chapter, updated question formats to reflect the NGN, and updated content throughout. All the book’s questions are also provided in an interactive format on the Evolve website in practice exams that simulate the most current NCLEX-RN® Exam. An outstanding review tool, this resource is a favorite of both students and instructors!
NEW! 2021 AACN Essentials item coding for faculty allows instructors to focus review and practice on specific aspects of these new, competency-based curricular guidelines
NEW! Three newCase Studies include Patient with New Diagnosis of Diabetes Mellitus, Blunt Abdominal Trauma, and Gunshot Wound with Septic Shock
NEW! A new Community HealthProblems chapter equips students for the unique challenges of community health
NEW! Updated question formats prepare students to succeed on the Next-Generation NCLEX-RN® Examination (NGN) by including the latest item types
NEW!Updated content throughout matches the latest evidence-based guidelines and nursing care protocols
Integrated questions for the NGN and a separate NGN-Style Questions chapter help students focus study time on these new question formats to optimize their readiness for success on the NGN and for clinical practice
Management-of-care focus addresses the NGN’s emphasis on prioritization, delegation, and patient assignment
Three-part organization first establishes foundational knowledge and then provides exercises with scenarios of increasing difficulty to help students build confidence in their prioritization, delegation, and patient assignment skills
Part One: Introduction provides a concise foundation and practical guidelines for making prioritization, delegation, and patient assignment decisions
Part Two: Prioritization, Delegation, and Assignment in Common Health Scenarios provides practice in applying learned principles to relatively straightforward health scenarios involving single patients or simple patient assignments
Part 3: Prioritization, Delegation, and Assignment in Complex Health Scenarios includes unfolding cases involving patients with progressively more complicated health problems or challenging assignment issues, demonstrating the progression of typical health scenarios and helping students learn to think like a nurse
Answer Keys follow each chapter and provide the correct answer along with a detailed rationale, reinforcing correct responses and helping students learn from incorrect responses
Practice exams on the Evolve website include all the book’s questions and allow students to create a virtually unlimited number of practice sessions in Study Mode or Exam Mode
PART 1: INTRODUCTION Guidelines for Prioritization, Delegation, and Assignment Decisions
PART 2: PRIORITIZATION, DELEGATION, AND ASSIGNMENT IN COMMON HEALTH SCENARIOS 1. Pain 2. Cancer 3. Immunologic Problems 4. Fluid, Electrolyte, and Acid–Base Balance Problems 5. Safety and Infection Control 6. Respiratory Problems 7. Cardiovascular Problems 8. Hematologic Problems 9. Neurologic Problems 10. Visual and Auditory Problems 11. Musculoskeletal Problems 12. Gastrointestinal and Nutritional Problems 13. Diabetes Mellitus 14. Other Endocrine Problems 15. Integumentary Problems 16. Renal and Urinary Problems 17. Reproductive Problems 18. Pregnancy and Childbearing Problems 19. Pediatric Problems 20. Pharmacology 21. Emergencies and Disasters 22. Psychiatric/Mental Health Problems 23. Community Health Problems 24. NGN-Style Questions
PART 3: PRIORITIZATION, DELEGATION, AND ASSIGNMENT IN COMPLEX HEALTH SCENARIOS Case Studies 1. Chest Pressure, Indigestion, and Nausea 2. Dyspnea and Shortness of Breath 3. Multiple Patients on a Medical-Surgical Unit 4. Shortness of Breath, Edema, and Decreased Urine Output 5. Patient With New Diagnosis of Diabetes Mellitus 6. Multiple Patients Receiving Home Health Care 7. Spinal Cord Injury 8. Multiple Patients With Adrenal Gland Disorders 9. Multiple Patients With Gastrointestinal Problems 10. Multiple Patients With Pain 11. Multiple Patients With Cancer 12. Gastrointestinal Bleeding 13. Head and Leg Trauma and Shock 14. Septic Shock 15. Heart Failure 16. Multiple Patients With Peripheral Vascular Disease 17. Respiratory Difficulty After Surgery 18. Multiple Patients in a Long-Term Care Center 19. Pediatric Patients in Clinic and Acute Care Settings 20. Multiple Patients With Mental Health Disorders 21. Childbearing 22. Blunt Abdominal Trauma 23. Gunshot Wound With Septic Shock
Linda A. LaCharity, PhD, RN, Formerly, Accelerated Program Director, Assistant Professor, College of Nursing, University of Cincinnati, Cincinnati, Ohio, USA, Candice K. Kumagai, MSN, RN, Formerly, Clinical Instructor, School of Nursing, University of Texas at Austin, Austin, Texas, USA and Shirley M. Hosler, MSN, RN, Formerly, Nursing Instructor, School of Nursing, National American University, USA
The appearance of the text and page layout can be modified according to the capabilities of the reading system (font family and font size, spaces between paragraphs, sentences, words, and letters, as well as color of background and text)
This e-publication is accessible to the full extent that the file format and types of content allow, on a specific reading device, by default, without necessarily including any additions such as textual descriptions of images or enhanced navigation
All content can be read as read aloud speech or dynamic braille
Has alternative text descriptions for images
Conformance
The publication contains a conformance statement that it meets the EPUB Accessibility 1.1, WCAG 2.1, Level AA standard. Please see https://bornaccessible.benetech.org/certified-publishers/ for further details of our compatibility testing.
The certifier's credential is https://bornaccessible.benetech.org/certified-publishers/
For queries regarding accessibility information, contact [email protected]
The publication was certified on 03-02-2026
Navigation
Table of contents to all chapters of the text via links
Elements such as headings, tables, etc. for structured navigation
Page list to go to pages from the print source version
Rich Content
Math formulas in accessible format (MathML)
Information-rich images are described by extended descriptions
Hazards
The publication contains no hazards
Product Content
Content includes any type of illustrations.
The primary content is text.
Content includes a significant number of actionable (clickable) web links to external content, downloadable resources, supplementary material, etc.
Content includes a significant number of actionable (clickable) cross-references, hyperlinked notes and annotations, or with other actionable links between largely textual elements (e.g., quiz/test questions, 'choose your own ending', etc.).
Content includes additional textual content such as an interview, feature article, essay, bibliography, quiz/test, other background material, or text that is not included in a primary or 'unenhanced' version.
Content includes photographs, whether in a plate section / insert or not.
Content includes figures, diagrams, charts and/or graphs, including other 'mechanical' (i.e. non-photographic) illustrations.
Content includes a significant number of web links (printed URLs, QR codes etc.).
Content includes images displayed in a specific order for the purpose of graphic storytelling or giving information (e.g. graphic novels, comics and manga). May include text integrated into the image (as speech and thought bubbles, textual 'sound' effects, captions etc.).
Content includes text within images, including text-as-text embedded in diagrams, charts, or within images containing speech balloons, thought bubbles, captions, etc.
Content includes visual content that is purely decorative and is not necessary to understanding of the content.
Content includes chemical notations, formulae.
Content includes mathematical notations, formulae.
At least some text - including text within other images - is 'text as an image' (i.e., a picture of text).
Legal Considerations
No information is available
Additional Accessibility Information
Content is enhanced with ARIA roles to optimize organization and facilitate navigation
Page breaks included from the original print source
For readers with color vision deficiency, use of color (e.g., in diagrams, graphics and charts, in prompts, or on buttons inviting a response) is not the sole means of graphical distinction or of conveying information
The body text is presented with a contrast ratio of at least 4.5:1 (or 3:1 for large/heading text)
Ultra-high contrast between text and background
E-publication includes basic navigation (usually less detailed than TOC-based navigation)
Where links, controls or buttons are included in the content, the purpose or functionality of each link, control or button is apparent from the associated text alone - or where it is unclear, separate link, control or button descriptions are provided
All (or substantially all) textual matter is arranged in a single logical reading order (including text that is visually presented as separate from the main text flow, e.g., in boxouts, captions, tables, footnotes, endnotes, citations, etc.). Non-textual content is also linked from within this logical reading order. (Purely decorative non-text content can be ignored).
Content provides explanations for unusual words, abbreviations, acronyms, idioms, jargon in an accessible form, such as glossaries, scripted pop-ups.
Where interactive content is included in the product, controls are provided (e.g., for speed, pause and resume, reset) and labelled to make their use clear.
The language of the text has been specified (e.g., via the HTML or XML lang attribute) to optimise text-to-speech (and other alternative renderings), both at the whole document level and, where appropriate, for individual words, phrases or passages in a different language.
We use cookies that are necessary to make our site work. We may also use additional cookies to analyze, improve, and personalize our content and your digital experience. You can manage your cookie preferences using the “Cookie settings” link. For more information, see ourCookie Policy
Opt-Out Request Honored
Cookie Preference Center
We use cookies which are necessary to make our site work. We may also use additional cookies to analyse, improve and personalise our content and your digital experience. For more information, see our Cookie Policy and the list of Google Ad-Tech Vendors.
You may choose not to allow some types of cookies. However, blocking some types may impact your experience of our site and the services we are able to offer. See the different category headings below to find out more or change your settings.
You may also be able to exercise your privacy choices as described in our Privacy Policy
Manage Consent Preferences
Strictly Necessary Cookies
Always active
These cookies are necessary for the website to function and cannot be switched off in our systems. They are usually only set in response to actions made by you which amount to a request for services, such as setting your privacy preferences, logging in or filling in forms. You can set your browser to block or alert you about these cookies, but some parts of the site will not then work.
Functional Cookies
These cookies enable the website to provide enhanced functionality and personalisation. They may be set by us or by third party providers whose services we have added to our pages. If you do not allow these cookies then some or all of these services may not function properly.
Performance Cookies
These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. They help us to know which pages are the most and least popular and see how visitors move around the site.
Targeting Cookies
These cookies may be set through our site by our advertising partners. They may be used by those companies to build a profile of your interests and show you relevant adverts on other sites. If you do not allow these cookies, you will experience less targeted advertising.