Question 1

The nurse is working on a medical unit with an LPN and UAP as the team members.Which tasks should the RN delegate to the UAP?

Accepted Answer

It is within the scope of practice for the UAP to take vital signs on stable, predictable patients.The other options are incorrect because only the RN can make this initial assessment.

Question 2

Which of the following delegations by the RN would require an immediate intervention by the charge RN?

Accepted Answer

Replacement of electrodes requires an assessment and is not within the scope of practice of the UAP and would require an intervention.The other delegations are appropriate delegation and therefore do not require intervention.

Question 3

After receiving the shift report, which of the following requires a priority action by the nurse?

Accepted Answer

Patient safety is a priority.The other options are not a priority for patient safety.

Question 4

The charge nurse in the ICU receives a call from the ED.They have three patients who require a bed.Which patient should be transferred first?

Accepted Answer

This patient is the least stable and will require the most assessment due to titration of the nitroglycerin drip.The other options are incorrect because although the patient requires assessments once on the unit, he or she is currently stable and can wait until a bed is available.

Question 5

Which of the following delegations by the RN would require an immediate intervention by the charge RN?

Accepted Answer

It is not within the scope of practice for LPNs to administer IV medication and therefore would require an intervention.The other options are appropriate delegation and therefore do not require intervention.

Question 6

Which of the following patients should the nurse see first after the shift report?

Accepted Answer

The patient has complained of lightheadedness and his cardiac monitor shows an increase in heart rate.A change in heart rhythm requires a nursing assessment.Options B and C are incorrect because the complaint is predictable and is not a priority.Option D is incorrect because the patient is stable and is not a priority.

Question 7

The nurse is working on a medical unit with an LPN and UAP as the team members.Which tasks should the RN complete?

Accepted Answer

This patient requires an initial assessment, for which only the RN can be responsible.The other tasks can be delegated.

Question 8

Which of the following delegations by the RN would require an immediate intervention by the charge RN?

Accepted Answer

It is not within the scope of practice of the LPN to assess an unstable patient and thus it would require an immediate intervention.Only RNs can assess an unstable patient.The other actions are appropriate delegation and therefore do not require intervention.

Question 9

When incorporating the five rights of delegation, the right circumstance is used in which of the following situations?

Accepted Answer

It is within the UAP's scope of practice to draw blood (if allowed in the institution) from patients without IV issues.The prothrombin time blood sample should not be obtained from the arm in which the heparin is running and the UAP is not qualified to know that.The site for blood draws in this patient would need to be carefully chosen by only an RN to protect the patient from injury.Option D is inappropriate delegation; the RN should draw this patient's blood.

Question 10

The nurse is working on a medical unit with an LPN and UAP as the team members.Which tasks should the RN delegate to the LPN?

Accepted Answer

It is within the LPN's scope of practice to administer oral medications.The other options are incorrect because the patient requires the RN's assessment skills.

Question 11

A patient turns his call light on and requests someone to help him ambulate.The senior student nurse has been caring for this patient for 2 days but has only helped him to a chair in the past.Which instructions should be given to the student prior to ambulation of the patient?

Accepted Answer

Proper delegation includes specifics about the task and the possible adverse effects and what to do about them should they occur.This answer provides all of the components for good delegation.The other options do not include specifics regarding adverse effects of the task or what should be done if they occur.

Question 12

A UAP is asked to take a patient's temperature every 4 hours and report that temperature to the RN.Which best demonstrates the correct interpretation of right communication?

Accepted Answer

The UAP has correctly interpreted the delegation and has appropriately acted.The other options are incorrect because they demonstrate an incorrect interpretation of the delegation.

Question 13

The nurse is working on a medical unit with an LPN and a UAP as the team members.Which tasks should the RN complete?

Accepted Answer

Only the RN is allowed to titrate IV medications because assessment is required.Assignments of new admissions to staff should be performed by the charge nurse.Vital signs on patients admitted on previous shift can be appropriately delegated to the UAP.Dressing change for a patient 4 days post I&D of a pacemaker wound can be appropriately delegated to the LPN.

Question 14

The nurse and UAP are working together with four patients.Which patient should the nurse assign the UAP?

Accepted Answer

It is within the UAP's scope of practice to check blood glucose levels on a diabetic patient.Options A and B are incorrect because this patient requires assessment and therefore cannot be delegated to the UAP until stability is assessed.Option D is incorrect because this patient requires assessment and therefore cannot be delegated to the UAP until stability is assessed.

Question 15

When incorporating the five rights of delegation, the right person is being used in which of the following situations?

Accepted Answer

It is within the UAP's scope of practice to assist patients to the bathroom as long as the patient is stable in performing that action.Option A is incorrect because this is an inappropriate delegation.It is not within the LPN's scope of practice to manage IV therapy.Option B is incorrect because this is not a delegation of a task and is merely a function of the position of the charge nurse.Option C is incorrect because it is not delegation.

Question 16

A patient turns his call light on and states, "I'm having trouble breathing." Which team members should be delegated to respond to this call light?

Accepted Answer

Correct delegation is the RN because this patient requires an assessment to determine the cause of his difficulty breathing and the appropriate action for the nurse to take.The other team members are not within the staff member's scope of practice to assess unstable patients.

Question 17

When incorporating the five rights of delegation, the right communication is used when a patient's blood pressure is low in which of the following situations?

Accepted Answer

Rechecking the blood pressure is the appropriate communication to ensure the safety of the patient.Option A might ensure the safety of the patient for the moment but should be followed up and the blood pressure measurement repeated.Option C could put the patient at risk because of the blood pressure.The RN has not communicated appropriately.Option D is completely inappropriate and places the patient at risk.

Question 18

Which of the following delegations require an immediate intervention by the charge RN?

Accepted Answer

Ambulation for the first time after major surgery requires an assessment by an RN and thus this would require an intervention.The other options are appropriate delegation and therefore do not require intervention.

Question 19

When incorporating the five rights of delegation, the right task is used in which situation?

Accepted Answer

Although the UAP is not allowed to teach the patient about the use of the incentive spirometer, it is within his or her scope of practice to reinforce that teaching.Only the RN can teach the patient how to use the incentive spirometer.The UAP may not teach patients.UAPs may not assess.Only the RN has that responsibility.The UAP may reinforce use of the incentive spirometer.

Question 20

When incorporating the five rights of delegation, the right supervision is used in which of the following situations?

Accepted Answer

The UAP reports a low blood glucose level.The RN must check the patient's response to that glucose level and may need to repeat the measurement if the patient's assessment does not correlate with the low level, and thus the RN is supervising the performance of the UAP in that task.Options B and C would be an inappropriate action without first assessing the patient's response and therefore accuracy of the glucose level obtained.Option D would put the patient at risk for severe hypoglycemia if the blood glucose level is accurate.The RN should assess the patient and the accuracy of the reported glucose level.If the glucose level is as stated, the appropriate action by the RN would be to hold the insulin until the blood glucose is at an appropriate level.

Quiz 13: Delegation of Nursing Tasks

The nurse is working on a medical unit with an LPN and UAP as the team members.Which tasks should the RN delegate to the UAP?

Which of the following delegations by the RN would require an immediate intervention by the charge RN?

After receiving the shift report, which of the following requires a priority action by the nurse?

The charge nurse in the ICU receives a call from the ED.They have three patients who require a bed.Which patient should be transferred first?

Which of the following delegations by the RN would require an immediate intervention by the charge RN?

Which of the following patients should the nurse see first after the shift report?

The nurse is working on a medical unit with an LPN and UAP as the team members.Which tasks should the RN complete?

Which of the following delegations by the RN would require an immediate intervention by the charge RN?

When incorporating the five rights of delegation, the right circumstance is used in which of the following situations?

The nurse is working on a medical unit with an LPN and UAP as the team members.Which tasks should the RN delegate to the LPN?

A patient turns his call light on and requests someone to help him ambulate.The senior student nurse has been caring for this patient for 2 days but has only helped him to a chair in the past.Which instructions should be given to the student prior to ambulation of the patient?

A UAP is asked to take a patient's temperature every 4 hours and report that temperature to the RN.Which best demonstrates the correct interpretation of right communication?

The nurse is working on a medical unit with an LPN and a UAP as the team members.Which tasks should the RN complete?

The nurse and UAP are working together with four patients.Which patient should the nurse assign the UAP?

When incorporating the five rights of delegation, the right person is being used in which of the following situations?

A patient turns his call light on and states, "I'm having trouble breathing." Which team members should be delegated to respond to this call light?

When incorporating the five rights of delegation, the right communication is used when a patient's blood pressure is low in which of the following situations?

Which of the following delegations require an immediate intervention by the charge RN?

When incorporating the five rights of delegation, the right task is used in which situation?

When incorporating the five rights of delegation, the right supervision is used in which of the following situations?