NCLEX Delegation Strategy Quiz: RN, LPN, UAP

1. A UAP can independently perform which of the following?

Inserting a nasogastric tube

Assessing pain severity

Changing bed linens for a stable client

Evaluating wound healing

2. True or False: A UAP can measure and record a client's blood pressure without RN supervision if trained to do so.

True

False

3. True or False: An RN can delegate a complex nursing diagnosis and care plan development to an LPN.

True

False

Submit

5. Which situation best demonstrates appropriate delegation by an RN?

Telling a UAP 'Get the client ready for discharge'

'Monitor the client's urine output and report if less than 30 mL/hour'

'Assess the client and let me know if anything changes'

'Give the client their medications'

6. An RN has delegated hygiene care to a UAP. During care, the UAP notices the client has a new skin rash. What should happen?

UAP applies lotion and documents it

UAP reports immediately to the RN for assessment

UAP waits until shift change

UAP asks the client if it itches

7. Which task is within the scope of an LPN in most states?

Administering IV push medications

Performing initial comprehensive assessments

Inserting peripheral IV lines

Evaluating client outcomes and modifying the care plan

8. A client reports chest pain to a UAP. What should the UAP do?

Assess the pain characteristics

Immediately report to the RN

Give the client water and rest

Document and reassess in 10 minutes

9. An RN must administer the first dose of a new IV antibiotic to a client. Can this be delegated to an LPN?

Yes, if the LPN is competent

Yes, if the pharmacy prepares it

No, first doses require RN assessment

Yes, if the client consents

10. When should an RN NOT delegate a task to an LPN?

The task requires assessment, teaching, or evaluation

The client is stable and the task is routine

The LPN has performed the task before

The LPN requests to perform the task

11. A client requires vital signs to be monitored every 2 hours following abdominal surgery. Who is most appropriate to delegate this task to?

RN

LPN

UAP

Client's family member

12. An RN delegates catheter care to a UAP. The UAP reports difficulty with the task. What is the RN's responsibility?

Tell the UAP to try again

Assess the situation and provide guidance or reassign

Assume the UAP is not trained

Document that the UAP refused

13. Which client situation requires RN assessment and cannot be delegated?

Checking a stable client's temperature

Assessing a client's mental status change

Bathing a post-op client

Recording intake and output

14. A new LPN asks to perform a complex dressing change on a client with a stage 4 pressure ulcer. What should the RN do?

Allow the LPN to perform it independently

Supervise the LPN or perform it personally if unsure

Delegate to the UAP instead

Ask another RN to evaluate the LPN's competency first

15. When delegating to a UAP, the RN should ensure the UAP understands: (Select all that apply)

What to do and when to report findings

The client's diagnosis and prognosis

How to perform the specific task

Expected outcomes and potential complications

Submit

16. An RN is caring for five clients. Which task should NOT be delegated to an LPN?

Administering an IM injection ordered by the physician

Performing a focused respiratory assessment

Hanging a unit of blood

Obtaining a sterile urine specimen

17. A client with diabetes needs their blood glucose monitored before meals. Who can perform this task?

RN only

LPN or RN

UAP, LPN, or RN

UAP only

18. Which task is appropriate to delegate to a UAP?

Administering oral medications

Assessing pain and determining pain management needs

Helping a stable client ambulate to the bathroom

Evaluating patient response to a new treatment

19. An LPN reports that a post-op client has increased drainage from their surgical wound. Which action should the RN take?

Ask the LPN to assess and document the drainage

Personally assess the wound and notify the physician

Delegate wound care to the UAP

Wait until shift change to evaluate

Delegation Quiz: Who Gets the Task — RN, LPN or UAP?