Delegation NCLEX Questions for Nursing

Delegation NCLEX Questions for Nursing

You're making the patient assignments for the next shift. On your unit there are three LPNs, two RNs, and two nursing assistants. Which patients will you assign to the LPNs?*

• A 68 year-old male patient who is expected to be discharged home with IV antibiotic therapy.
• A 25 year-old female patient newly admitted with diabetic ketoacidosis.
• A 75 year-old male patient with dementia who has an ileostomy and scheduled tube feedings.
• A 65 year-old female patient who has a order to remove the Foley catheter. - Answers are C and D.

The best for the LPNs: these are standard routine procedures the LPN can perform and these patient cases are stable.

As the registered nurse, which tasks below should you NOT delegate to the LPN?*

• Performing an assessment on a new admission
• Collecting a urine sample from an indwelling Foley catheter
• Developing a plan of care for a patient who is admitted with Guillain-Barré Syndrome
• Educating a patient about how to monitor for side effects associated with Warfarin
• Auscultating lung and bowel sounds
• Starting a blood transfusion
• Administering IV Morphine 2 mg for pain
• Providing wound care to a stage 3 pressure injury - Answers are A, C, D, F, G...these are all out of the

scope of practice for an LPN. Remember anything that deals with assessments, educating, evaluating, developing a plan of care, IV medications, unstable patients, or invasive/complex procedures where there is unpredictability the RN is responsible for doing it, and these tasks can't be delegated.

On your unit there are two RNs: one is a new RN while the other is an experienced RN. In addition, there are three LPNs and two nursing assistants. Which tasks delegated to one of the nursing assistants by the new RN needs to be re-evaluated?*

• Apply hydrocortisone cream to eczema on skin after giving the patient a bath.
• Assist the patient with administering a Fleet Enema.
• Empty an ostomy bag.
• Collect and record patient's blood pressure, heart rate, temperature, oxygen saturation, respirations,

and pain rating.

• Assist a patient with ambulating. - Answers: A and B Option A is a task for an LPN or

RN...hydrocortisone cream is a medication and the nursing assistant can't administer medications.

Option B: is a task for an LPN or RN....it is a procedure.

• When delegating you know that as an RN you must follow the 5 Rights of Delegation to make sure you

are delegating properly. Select all the 5 Rights of Delegation:

• Right Credentials

• Right Direction/Communication

• Right Supervision

• Right Experience

• Right Task

• Right Person

• Right Patient

• Right Circumstance

• Right Time

• Right Order - The answers are: B, C, E, F, and H. The 5 Rights of Delegation are: Right Task, Right

Circumstance, Right Person, Right Direction/Communication, and Right Supervision.

True or False: An RN delegates to the LPN to administer a scheduled tube feeding to a patient. The RN has now transferred full accountability to the LPN for the task getting done, and the RN is no longer accountable for the task.True or False - FALSE: The RN can delegate this task to the LPN BUT the RN is still ACCOUNTABLE for the task getting done even though the RN is not the one performing it.

• Which patients below are best assigned to the LPN?

• A 30-year-old male patient with active GI bleeding that requires multiple blood transfusions.

• A 78-year-old female with osteoporosis who needs assistance performing range of motion exercises

and ambulating with a walker.

• A 29-year-old male patient who is post-op day 6 from a colostomy placement that is on a clear liquid

diet.

• A 55-year-old male patient who reports chest pain and has ST segment elevation on his EKG. -

Answers are B and C. LPNs should be assigned STABLE patients with predicable outcomes and cases that don't require critical thinking or complex analysis.

3. Select all the task you could delegate to a nursing assistant as the RN:

• Wound dressing change

• IV flush

• Collecting vital signs

• Weighing a patient

• Mouth care

• Suctioning a patient

• Applying oxygen to a patient

• Connecting a patient to their IV fluids

• Assisting a patient with a bath

• Applying denture paste to dentures - Answers C, D, E, I and J. These are all tasks the RN could delegate

to a nursing assistant.

What tasks can NOT be delegated by the RN? - TAPE Teaching