Delegation Quiz: Who Can Do What?

1. True or False: An LPN can independently initiate a new prescribed medication without RN verification.

True

False

2. What is the primary factor in deciding whether to delegate a task?

How busy the RN is

The delegate's knowledge, skills, and abilities

The delegate's years of experience only

Whether the patient prefers delegation

3. An LPN can perform which medication-related task independently?

Determine appropriate antibiotic dosing

Administer a prescribed intramuscular injection

Evaluate medication side effects and interactions

Change a patient's medication regimen

4. True or False: The RN remains accountable for all delegated tasks regardless of who performs them.

True

False

5. Which activity can be safely delegated to a UAP with proper training?

Catheterization of a new patient

Collecting a clean-catch urine specimen

Inserting a peripheral IV line

Evaluating fluid intake adequacy

6. A UAP reports that a postoperative patient's pain level is 8/10. What should the RN do?

Ask the UAP to administer pain medication

Assess the patient and determine pain management

Instruct the UAP to reposition the patient

Document the report without further action

7. Which communication approach is most effective when delegating to a UAP?

Provide vague instructions to allow independence

Give clear, specific instructions with expected outcomes

Assign tasks without explanation

Use medical terminology without clarification

8. True or False: An LPN can perform a comprehensive assessment on admission but the RN must validate findings.

True

False

9. An RN is caring for five patients. Which action best demonstrates appropriate delegation?

Assigning all direct patient care to the LPN

Assigning routine tasks to UAP with clear instructions and follow-up

Performing all nursing care personally

Delegating complex assessments to experienced UAPs

10. Which task requires RN assessment and cannot be delegated to LPN or UAP?

Recording intake and output

Evaluating effectiveness of pain relief measures

Obtaining a urine specimen

Assisting with range of motion exercises

11. Which task is most appropriate to delegate to a UAP (unlicensed assistive personnel)?

Administering intramuscular injections

Assisting a patient with activities of daily living

Assessing wound healing and drainage

Evaluating pain medication effectiveness

12. A UAP can safely perform which hygiene activity?

Assessing skin integrity during a bed bath

Assisting an ambulatory patient with showering

Evaluating pressure ulcer risk

Determining when a bed bath is necessary

13. Which of the following best describes the RN's responsibility when delegating tasks?

Complete transfer of accountability to the delegate

Ongoing supervision and evaluation of task completion

No further involvement once the task is assigned

Accountability only if complications occur

14. An RN delegates wound care to an LPN. The LPN observes increased drainage and odor. What should the LPN do?

Document findings and continue routine care

Report findings to the RN immediately

Change the dressing more frequently

Obtain a wound culture without RN approval

15. True or False: A UAP can independently assess a patient's level of consciousness.

True

False

16. Which task is within the scope of practice for an LPN in most states?

Inserting central venous catheters

Administering intravenous medications

Performing nasogastric tube insertion

Evaluating patient response to new medications

17. A UAP reports to the nurse that a patient's urinary catheter is not draining. Which action should the RN take?

Ask the UAP to reposition the catheter

Assess the catheter and tubing for obstruction

Instruct the UAP to irrigate the catheter

Delegate catheter removal to the LPN

18. When delegating a task to an LPN, the RN must ensure the LPN has which of the following?

A bachelor's degree in nursing

Knowledge, skill, and experience for the task

Certification in critical care nursing

At least five years of clinical experience

19. Which responsibility is exclusive to the RN and cannot be delegated?

Vital sign monitoring

Initial and ongoing patient assessment

Bathing and grooming assistance

Specimen collection for routine labs

20. An LPN can perform which of the following nursing interventions independently?

Develop the overall patient care plan

Administer routine medications via established routes

Interpret diagnostic test results

Perform comprehensive nursing assessments

Delegation Quiz: Who Can Do What?

1. True or False: An LPN can independently initiate a new prescribed medication without RN verification.

2.

What first name or nickname would you like us to use?

2. What is the primary factor in deciding whether to delegate a task?

3. An LPN can perform which medication-related task independently?

4. True or False: The RN remains accountable for all delegated tasks regardless of who performs them.

5. Which activity can be safely delegated to a UAP with proper training?

6. A UAP reports that a postoperative patient's pain level is 8/10. What should the RN do?

7. Which communication approach is most effective when delegating to a UAP?

8. True or False: An LPN can perform a comprehensive assessment on admission but the RN must validate findings.

9. An RN is caring for five patients. Which action best demonstrates appropriate delegation?

10. Which task requires RN assessment and cannot be delegated to LPN or UAP?

11. Which task is most appropriate to delegate to a UAP (unlicensed assistive personnel)?

12. A UAP can safely perform which hygiene activity?

13. Which of the following best describes the RN's responsibility when delegating tasks?

14. An RN delegates wound care to an LPN. The LPN observes increased drainage and odor. What should the LPN do?

15. True or False: A UAP can independently assess a patient's level of consciousness.

16. Which task is within the scope of practice for an LPN in most states?

17. A UAP reports to the nurse that a patient's urinary catheter is not draining. Which action should the RN take?

18. When delegating a task to an LPN, the RN must ensure the LPN has which of the following?

19. Which responsibility is exclusive to the RN and cannot be delegated?

20. An LPN can perform which of the following nursing interventions independently?