NURS 465 practice questions for delegation
A nurse and an experienced LPN are caring for a group of clients. Which of the following tasks should the nurse delegate to the LPN? Select all
Obtain vital signs from a client who is six hours postoperative. Administer a tap-water enema to a client who is preoperative. Catheterizing a client who has not voided in 8 hours.
An AP reports to the nurse that a client who is 3 days postoperative following an abdominal hysterectomy has a dressing that is saturated with blood. Which of the following tasks should the nurse delegate to the AP?
Obtain vitals signs
A nurse has received change of shift report and is delegating tasks to the AP. The nurse should tell the AP to complete which of the following tasks first?
Perform blood glucose monitoring of a client who has a prescription for short-acting insulin prior to breakfast
A nurse is planning to delegate a task to an assistive personnel. Which of the following actions should the nurse plan to take?
Provide a clear description of the task to the AP.
A nurse on a med-surg unit is providing care for a group of clients. The nurse should delegate collection of which of the following specimens to the AP?
Random stool sample
A nurse is planning care for four clients and is assigning tasks to an LPN and an AP. Which of the following should the nurse assign to the LPN?
Reinforce teaching to a client to begin taking enoxaprin at home following a hip arthroplasty.
A charge nurse is reviewing the list of tasks that have been delegated to the AP by the staff nurse. Which of the following tasks should the charge nurse reassign to a licensed nurse?
Removing and cleaning the cannula of a client who has a new tracheostomy.
A charge nurse delegates to a LPN the task of changing a clients dressing. Several hours later the client reports the dressing has not been changed. Which of the following actions should the charge nurse take?
Verify that the LPN knows how to change a dressing.
A nurse is planning to assign activities to the AP on her team. Which of the following activities can the nurse assign to the AP?
Accompany a client who has depression to OT. Check the position of a client in soft wrist restraints. Sit with a client who has alcohol use disorder and whose last drink was 5 days ago
A nurse of a medical-surgical unit is assigning tasks to an assistive personnel (AP). Which of the following tasks should the nurse delegate to the AP? Select all
Ambulate a client who has a cane. Transfer a client to a stretcher. Record urinary output.
A nurse is planning to assign tasks for a group of clients. Which of the following tasks should the nurse plan to assign to the AP? Select all that apply.
Ambulate an older adult client who has hypertension. Weigh a client who has HF.
A nurse asks the AP to take a specimen to the lap and the AP refuses. Which of the following actions should the nurse take?
Ask the AP about her concerns with the assignment
A nurse is planning client care for herself and an AP working with her. Which of the following tasks should the nurse plan to perform?
Assessing a client's sacrum for edema
A nurse is planning care for a group of clients at the beginning of the shift. Which of the following tasks should the nurse assign to the LPN?
Assisting a client with a crutch walking following knee replacement surgery
A nurse and an AP are providing care for four clients who were admitted to the med-surg unit on the previous shift. The nurse should delegate meal assistance for which of the following clients to the AP?
A client who has a lumbrosacral spinal tumor
A nurse is caring for four postoperative clients. The nurse can delegate obtaining vital signs to an AP for which of the following clients?
A client who is 3 days postoperative following gastric bypass surgery
A nurse is working with an AP to care for a group of individuals on the pediatric unit. Which of the following tasks should the nurse have the AP perform first?
Check to see if the elbow restrain in in place for an infant who is postoperative from a surgical correction of a cleft palate.
A nurse is assisting a newly licensed nurse with delegating tasks to an assistive personnel on the unit. Which of the following statements by the nurse explains the purpose of delegation?
Delegation permits a designated individual to meet a goal on your behalf.
A nurse is caring for a group of clients. She plans to delegate obtaining morning vital signs to an AP on her team. Which of the following actions should the nurse plan to make?
Determine the time frame the AP should report the results
An AP tells the nurse manager that she observed a nurse on the unit removing a small amount of morphine from syringes prior to administering the medication to clients. Which of the following actions should the nurse manager take first?
Gather data about the nurse's work performance and attendance history
A nurse has an assigned client care activities to an AP. Which of the following statements by the AP indicates a need for assistance in establishing priorities?
I have my assignments and will start with room 1, then work my way to room 10.
A nurse in a long-term care facility has assigned a task to an AP. The AP refuses to perform the task. Which of the following is an appropriate statement for the nurse to make?
I need to talk to you about the unit policies regarding client assignments.
A charge nurse notes that a staff nurse delegates an unfair share of tasks to the AP and the nurses on the next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict?
I need to talk to you about unit expectations regarding delegating and completing tasks.
At the beginning of the shift, an RN is preparing assignments for an LPN and an AP. Which of the following tasks should the nurse assign to the LPN?
Inserting a NG tube for a client
A nurse is delegating client care assignments for the shift. Which of the following tasks should the nurse delegate to an AP?
Measure and record intake and output for a client
A nurse in an acute care setting is planning care for a group of clients at the beginning of the shift. Which of the following tasks should the nurse assign to the AP?
Monitoring vital signs of a client who had an appendectomy 12 hours ago
A nurse on a med-surg unit is planning to delegate tasks to an adult volunteer. Which of the following tasks should the charge nurse avoid assigning to the volunteer?
Observing a postoperative client who is confused.
An RN is delegating care activities to a LPN. Which of the following is the priority criterion the RN should consider when delegating?
State nurse practice act for the LPN
A nurse has several tasks to delegate to an AP. Which of the following tasks should the nurse ask the AP to perform?
Take an ABG specimen to the lab
A charge nurse has assigned a group of clients to a LPN. The charge nurse received reports for her assigned clients about the LPNs lack of care. Which of the following actions should the charge nurse take?
Talk with the clients who have reported the LPN's lack of care.
When planning delegation of tasks to an AP, a nurse considers the 5 rights of delegation. Which of the following should the nurse consider when using one of the five rights of delegation?
The AP has the knowledge and skill to perform the task
An RN is making nursing staff assignments for his team consisting of himself, two LPNs, and an AP. Which of the following clients should he assume responsibility for?
The client who is actively dying and requires IV pain medication
A nurse is receiving change-of-shift report at the start of the shift. Which of the following statements by the nurse giving report indicated to the oncoming nurse that she should assume total care for the client, rather than assigning tasks to an AP?
The clients BP and pulse have been fluctuating throughout the day
A nurse manager is providing an inservice program about delegation to AP with staff nurses on the unit. Which of the following statements by a staff nurse indicates an understanding of the teaching?
The nurse should consider the APs level of experience when making delegation decisions
A nurse is planning to delegate tasks to a LPN. Which of the following entities is important for the nurse to understand when delegating tasks to the LPN?
The state nurse practice act
