Principles Of Delegation In Nursing Quiz

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1. Which one of these tasks can be safely delegated to a licensed practical nurse (LPN)?

Assess the function of a newly created ileostomy

Care for a client with a recent complicated double barrel colostomy

Provide stoma care for a client with a well functioning ostomy

Teach ostomy care to a client and their family members

The care of a mature stoma and the application of an ostomy appliance may be delegated to a LPN.

Explanation

The care of a mature stoma and the application of an ostomy appliance may be delegated to a LPN.

About This Quiz

Principles Of Delegation In Nursing Quiz - Quiz

This quiz tests your understanding of the core principles of delegation in nursing practice. It covers essential topics such as delegation guidelines, the roles and responsibilities of the delegator and delegatee, communication strategies, and legal and ethical considerations. Designed for nursing students and professionals, the quiz emphasizes safe and effective... see moredelegation to ensure quality patient care while maintaining accountability.

By assessing knowledge of delegation processes, supervision requirements, and decision-making skills, this quiz helps strengthen competence in team collaboration and workload management. Use this quiz to enhance your confidence in delegating tasks appropriately within the healthcare team and improving overall patient outcomes. see less

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2. The nurse in a same-day surgery unit assigns the unlicensed assistive personnel (UAP) to provide a hernia patient with a lunch tray. Which statement by the nurse is most appropriate?

"Tell the family they can bring in a pizza if the patient would prefer that."

"Make sure the patient gets at least 2 cartons of milk."

"Stop the IV if the patient is able to eat solid food."

"Encourage the patient to eat slowly to prevent gas."

The professional nurse can delegate tasks with an expected outcome.

Explanation

The professional nurse can delegate tasks with an expected outcome.

3. The measurement and documentation of vital signs is expected for clients in a long term facility. Which staff type would it be a priority to delegate these tasks to?

Practical nurse (PN)

Registered Nurse (RN)

Unlicensed assistive personnel (UAP)

Volunteer

The measurement and recording of vital signs may be delegated to UAP.

Explanation

The measurement and recording of vital signs may be delegated to UAP.

4. A nurse preceptor is working with a new nurse and notes that the new nurse is reluctant to delegate tasks to members of the care team. The nurse preceptor recognizes that this reluctance most likely is due to

Role modeling behaviors of the preceptor

The philosophy of the new nurse's school of nursing

The orientation provided to the new nurse

Lack of trust in the team members

lack of trust is the most common reason for reluctance in delegating tasks among members of the team.

Explanation

lack of trust is the most common reason for reluctance in delegating tasks among members of the team.

5. A nurse from medical-surgical unit is asked to work on the orthopedic unit. The medical-surgical nurse has no orthopedic nursing experience. Which client should be assigned to the medical-surgical nurse?

A client with a cast for a fractured femur and who has numbness and discoloration of the toes

A client with balanced skeletal traction and who needs assistance with morning care

A client who had an above-the-knee amputation yesterday and has a temperature of 101.4F

A client who had a total hip replacement 2 days ago and needs blood glucose monitoring

A nurse from medical-surgical unit floated to the orthopedic unit should be given clients with stable condition.

Explanation

A nurse from medical-surgical unit floated to the orthopedic unit should be given clients with stable condition.

6. The RN delegates the task of taking vital signs of all the clients on the medical-surgical unit to an unlicensed assistive personnel (UAP). Specific written and verbal instructions are given to not take a post-mastectomy client's blood pressure on the left arm. Later as the RN is making rounds, the nurse finds the blood pressure cuff on that client's left arm. Which of these statements is most immediately accurate?

The RN has no accountability for this situation

The RN did not delegate appropriately

The UAP is covered by the RN’s license

The UAP is responsible for following instructions

The UAP is responsible for carrying out the activity correctly once directions have been clearly communicated especially if given verbally and in writing.

Explanation

The UAP is responsible for carrying out the activity correctly once directions have been clearly communicated especially if given verbally and in writing.

7. A staff nurse complains to the nurse manager that an unlicensed assistive personnel (UAP) consistently leaves the work area untidy and does not restock supplies. The best initial response by the nurse manager is which of these statements?

"I will arrange for a conference with you and the UAP within the next week"

"I can assure you that I will look into the matter"

"I would like for you to approach the UAP about the problem the next time it occurs"

"I will add this concern to the agenda for the next unit meeting"

Helping staff manage conflict is part of the manager''s role.

Explanation

Helping staff manage conflict is part of the manager''s role.

8. The home care nurse has been managing a client for 6 weeks. What is the best method to determine the quality of care provided by a home health care aide assigned to assist with the care of this client?

Ask the client and family if they are satisfied with the care given

Determine if the home health aide's care is consistent with the plan of care

Investigate if the home health aide is prompt and stays an appropriate length of time for care

Check the documentation of the aide for appropriateness and comprehensiveness

Although the nurse must complete all of the above responsibilities, evaluation of an adherence to the plan of care is the first priority.

Explanation

Although the nurse must complete all of the above responsibilities, evaluation of an adherence to the plan of care is the first priority.

9. A client has had a tracheostomy for 2 weeks after a motor vehicle accident. Which task could the RN safely delegate to unlicensed assistive personnel (UAP)?

Teach the client how to cough up secretions

Changes the tracheostomy trach ties

Monitor if client has shortness of breath

Perform routine tracheostomy dressing care

Monitoring for signs of shortness of breath involves observing the client's breathing for any distress. This task can be safely delegated to unlicensed personnel for observation and reporting to the registered nurse.

Explanation

10. An RN from the women's health clinic is temporarily reassigned to a medical-surgical unit. Which of these client assignments would be most appropriate for this nurse?

A newly diagnosed client with type 2 diabetes mellitus who is learning foot care

A client from a motor vehicle accident with an external fixation device on the leg

A client admitted for a barium swallow after a transient ischemic attack

A newly admitted client with a diagnosis of pancreatic cancer

A client from a motor vehicle accident with an external fixation device on the leg.

Explanation

A client from a motor vehicle accident with an external fixation device on the leg.

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Current Version
Jun 23, 2025

Quiz Edited by
ProProfs Editorial Team
Oct 05, 2011

Quiz Created by
Csorelle