LPN Midterm: Delegation, Scope & IV Calculations Study Guide
2026/2027 UPDATE
1. Which of the following tasks is considered appropriate for an LPN to delegate
to an Unlicensed Assistive Personnel (UAP)?
A. Performing an initial skin assessment on a new admission
B. Assisting a stable client with ambulation in the hallway
C. Feeding a client who is at high risk for aspiration
D. Administering a scheduled dose of oral acetaminophen
Answer: B
Rationale: UAPs can perform routine tasks for stable clients, such as ambulation.
Assessment, high-risk feeding, and medication administration require licensed nursing
judgment.
2. The nurse is preparing to delegate tasks. Which of the following ‘Five Rights
of Delegation’ is being followed when the nurse checks if the UAP has the
necessary training?
A. Right Task
B. Right Circumstance
C. Right Person
D. Right Direction
Answer: C
Rationale: The Right Person ensures that the delegatee possesses the appropriate skills
and knowledge to perform the task safely.
,3. A healthcare provider orders 1000 mL of Normal Saline to be infused over 8
hours. At what rate in mL/hr should the nurse set the IV pump?
A. 100 mL/hr
B. 150 mL/hr
C. 125 mL/hr
D. 80 mL/hr
Answer: C
Rationale: Divide the total volume (1000 mL) by the total time (8 hours) to get 125 mL/hr.
4. Which nursing action is strictly within the scope of practice of a Registered
Nurse (RN) rather than an LPN?
A. Administering an intramuscular injection
B. Performing a focused respiratory assessment on a stable patient
C. Reinforcing teaching about diabetic foot care
D. Developing the initial nursing care plan for a complex patient
Answer: D
Rationale: While LPNs can contribute to the care plan, the initial development and nursing
diagnosis are responsibilities of the RN.
5. When delegating to a UAP, which instruction from the LPN is the best
example of ‘Right Direction and Communication’?
A. ‘Take everyone’s vital signs and let me know if they are high.’
B. ‘Please help the client in Room 402 get ready for their shower.’
C. ‘Get some intake and output measurements when you have time this morning.’
D. ‘Check the blood pressure of the client in 301 at 10:00 AM and report a systolic pressure below 100 to me
immediately.’
Answer: D
Rationale: Right Direction/Communication should be clear, concise, and include specific
parameters and timeframes.
, 6. An LPN is assigned to care for a group of clients. Which client should be seen
first?
A. A client who is scheduled for physical therapy in one hour
B. A client who received pain medication 30 minutes ago and needs evaluation
C. A client who needs a dressing change for a chronic pressure ulcer
D. A client who is complaining of sudden shortness of breath and chest heaviness
Answer: D
Rationale: Using the ABC (Airway, Breathing, Circulation) priority framework, the client
with shortness of breath is the most unstable and requires immediate assessment.
7. A provider orders 500 mL of D5W to run over 4 hours. The drop factor is 15
gtt/mL. What is the flow rate in drops per minute (gtt/min)?
A. 31 gtt/min
B. 42 gtt/min
C. 52 gtt/min
D. 60 gtt/min
Answer: A
Rationale: (500 mL / 240 min) * 15 gtt/mL = 31.25, rounded to 31 gtt/min.
8. The LPN is working under the supervision of an RN. Which task can the LPN
perform regarding blood transfusions?
A. Monitor the client’s vital signs 15 minutes after the RN starts the infusion
B. Perform the initial identification check of the blood product independently
C. Initiate the first 15 minutes of the blood transfusion
D. Adjust the rate of the transfusion during the first 10 minutes
Answer: A
Rationale: In most jurisdictions, the RN must start the transfusion and stay for the first 15
minutes. The LPN can assist with monitoring after that initial period.
2026/2027 UPDATE
1. Which of the following tasks is considered appropriate for an LPN to delegate
to an Unlicensed Assistive Personnel (UAP)?
A. Performing an initial skin assessment on a new admission
B. Assisting a stable client with ambulation in the hallway
C. Feeding a client who is at high risk for aspiration
D. Administering a scheduled dose of oral acetaminophen
Answer: B
Rationale: UAPs can perform routine tasks for stable clients, such as ambulation.
Assessment, high-risk feeding, and medication administration require licensed nursing
judgment.
2. The nurse is preparing to delegate tasks. Which of the following ‘Five Rights
of Delegation’ is being followed when the nurse checks if the UAP has the
necessary training?
A. Right Task
B. Right Circumstance
C. Right Person
D. Right Direction
Answer: C
Rationale: The Right Person ensures that the delegatee possesses the appropriate skills
and knowledge to perform the task safely.
,3. A healthcare provider orders 1000 mL of Normal Saline to be infused over 8
hours. At what rate in mL/hr should the nurse set the IV pump?
A. 100 mL/hr
B. 150 mL/hr
C. 125 mL/hr
D. 80 mL/hr
Answer: C
Rationale: Divide the total volume (1000 mL) by the total time (8 hours) to get 125 mL/hr.
4. Which nursing action is strictly within the scope of practice of a Registered
Nurse (RN) rather than an LPN?
A. Administering an intramuscular injection
B. Performing a focused respiratory assessment on a stable patient
C. Reinforcing teaching about diabetic foot care
D. Developing the initial nursing care plan for a complex patient
Answer: D
Rationale: While LPNs can contribute to the care plan, the initial development and nursing
diagnosis are responsibilities of the RN.
5. When delegating to a UAP, which instruction from the LPN is the best
example of ‘Right Direction and Communication’?
A. ‘Take everyone’s vital signs and let me know if they are high.’
B. ‘Please help the client in Room 402 get ready for their shower.’
C. ‘Get some intake and output measurements when you have time this morning.’
D. ‘Check the blood pressure of the client in 301 at 10:00 AM and report a systolic pressure below 100 to me
immediately.’
Answer: D
Rationale: Right Direction/Communication should be clear, concise, and include specific
parameters and timeframes.
, 6. An LPN is assigned to care for a group of clients. Which client should be seen
first?
A. A client who is scheduled for physical therapy in one hour
B. A client who received pain medication 30 minutes ago and needs evaluation
C. A client who needs a dressing change for a chronic pressure ulcer
D. A client who is complaining of sudden shortness of breath and chest heaviness
Answer: D
Rationale: Using the ABC (Airway, Breathing, Circulation) priority framework, the client
with shortness of breath is the most unstable and requires immediate assessment.
7. A provider orders 500 mL of D5W to run over 4 hours. The drop factor is 15
gtt/mL. What is the flow rate in drops per minute (gtt/min)?
A. 31 gtt/min
B. 42 gtt/min
C. 52 gtt/min
D. 60 gtt/min
Answer: A
Rationale: (500 mL / 240 min) * 15 gtt/mL = 31.25, rounded to 31 gtt/min.
8. The LPN is working under the supervision of an RN. Which task can the LPN
perform regarding blood transfusions?
A. Monitor the client’s vital signs 15 minutes after the RN starts the infusion
B. Perform the initial identification check of the blood product independently
C. Initiate the first 15 minutes of the blood transfusion
D. Adjust the rate of the transfusion during the first 10 minutes
Answer: A
Rationale: In most jurisdictions, the RN must start the transfusion and stay for the first 15
minutes. The LPN can assist with monitoring after that initial period.
