NCLEX Skill
NCLEX-RN Prioritization & Ordered-Response Practice
Ordered-response items make you sequence steps correctly – the order of a procedure, or which nursing action comes first when a client is deteriorating. Tap the steps in the order you would perform them, then check yourself. Below are 16 free prioritization questions with rationales.
Item 1 of 16
A nurse is preparing to insert a nasogastric tube for a patient requiring enteral feeding. Place the following steps in the correct order from first to last.
Item 2 of 16
A nurse is performing endotracheal/tracheostomy suctioning for a patient on mechanical ventilation. Place the following steps in the correct order from first to last.
Item 3 of 16
A nurse is performing a sterile wound dressing change on a postoperative abdominal incision. Place the following steps in the correct order from first to last.
Item 4 of 16
A nurse is preparing to administer an intramuscular injection to an adult patient in the ventrogluteal site. Place the following steps in the correct order from first to last.
Item 5 of 16
A nurse must apply a physical restraint to a patient who is at risk for self-injury. Place the following steps in the correct order from first to last.
Item 6 of 16
A nurse is administering a cleansing enema to a patient before a colonoscopy. Place the following steps in the correct order from first to last.
Item 7 of 16
A nurse is doffing (removing) personal protective equipment after caring for a patient on contact and droplet precautions. Place the following steps in the correct order from first to last.
Item 8 of 16
A nurse is responding to a patient who is found unresponsive and unwitnessed on the medical unit. Place the following nursing actions in the correct order from first to last.
Item 9 of 16
Place the steps for performing sterile gloving in the correct order.
Item 10 of 16
A client is showing signs of an acute hemolytic transfusion reaction. Order the nurse's actions from first to last.
Item 11 of 16
Place the steps for nasogastric tube insertion in the correct order.
Item 12 of 16
Place the steps for performing tracheostomy suctioning in the correct order.
Item 13 of 16
Place the steps for initiating a blood transfusion in the correct order.
Item 14 of 16
Place the steps for adult cardiopulmonary resuscitation (CPR) according to current BLS guidelines in the correct order.
Item 15 of 16
A nurse is preparing to administer a medication via a secondary intravenous infusion (piggyback). Place the steps in the correct order.
Item 16 of 16
A client who was postoperative day one after abdominal surgery develops sudden onset of tachycardia, hypotension, decreased urine output, and cool clammy skin. Order the nurse's actions from first to last.
Keep building clinical judgment
Try bow-tie and matrix items, or run the timed NCLEX simulator.
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