KAPLAN DELEGATION AND ASSIGNMENT EXAM PRACTICE TEST QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
    Core Domains
    - The Five Rights of Delegation
    - RN vs. LPN/LVN vs. UAP Scope of Practice
    - Patient Assessment and Evaluation Responsibilities
    - Medication Administration and IV Therapy Delegation
    - Stable vs. Unstable Patient Assignment Principles
    - Ethics, Accountability, and Legal Compliance in Delegation
    - Communication and Direction in Delegated Tasks
    - Supervision and Follow-up of Delegated Care
    - Prioritization and Triaging in Care Assignments
    - Regulatory Standards (NCSBN, ANA, State Nurse Practice Acts)
*     Introduction*
    This practice exam is designed to prepare nursing professionals for the Kaplan Delegation and Assignment Exam,
which assesses critical competencies in safely delegating tasks and assigning patient care responsibilities. The test evaluates knowledge of scope of
practice, the Five Rights of Delegation, regulatory compliance, ethical standards, and clinical decision-making in real-world healthcare scenarios.
All questions are multiple-choice and scenario-based, emphasizing applied judgment rather than rote memorization. Success requires
understanding which tasks can be delegated to LPNs/LVNs or Unlicensed Assistive Personnel (UAP), which require RN-level assessment and
evaluation, and how to prioritize patient safety when managing diverse caseloads. This exam mirrors the structure and difficulty of the actual
certification test.
SECTION ONE: QUESTIONS 1–100
Question 1
A nurse is preparing to delegate tasks to a licensed practical nurse (LPN) on a medical-surgical unit. Which task is most appropriate to delegate?
A. Initial admission assessment of a newly admitted patient
B. Administering IV push medication to a postoperative patient
C. Reinforcing discharge teaching for a stable patient
D. Evaluating the effectiveness of a pain management plan
🟢 C. Reinforcing discharge teaching for a stable patient
,🔴 RATIONALE: LPNs can reinforce teaching that has already been initiated by the RN but cannot perform initial teaching. Initial assessments, IV
push medications, and evaluation of care plans are RN-only responsibilities.
Question 2
Which of the following tasks MUST NOT be delegated to unlicensed assistive personnel (UAP)?
A. Assisting a patient with ambulation
B. Recording input and output
C. Performing a focused respiratory assessment
D. Feeding a patient with no swallowing difficulties
🟢 C. Performing a focused respiratory assessment
🔴 RATIONALE: Assessment is a licensed nursing function and cannot be delegated to UAP. UAP may perform ADLs, vital signs, and I&O but never
assessment, teaching, or medication administration.
Question 3
The Five Rights of Delegation include all EXCEPT:
A. Right Task
B. Right Time
C. Right Circumstance
D. Right Person
🟢 B. Right Time
🔴 RATIONALE: The Five Rights are: Right Task, Right Circumstance, Right Person, Right Direction/Communication, and Right
Supervision/Evaluation. "Right Time" is not part of the official framework.
Question 4
A charge nurse is making assignments for the day shift. Which patient should be assigned to the RN?
,A. A stable patient with diabetes requiring routine insulin
B. A patient 2 hours post-op from abdominal surgery with unstable vital signs
C. A patient awaiting discharge with education needs already met
D. A patient requiring routine catheterization
🟢 B. A patient 2 hours post-op from abdominal surgery with unstable vital signs
🔴 RATIONALE: Unstable patients require RN-level assessment, critical thinking, and intervention. LPNs and UAPs care for stable patients with
predictable outcomes.
Question 5
Which task is within the scope of practice for an LPN/LVN but NOT for a UAP?
A. Bathing a patient
B. Administering oral medications
C. Measuring blood pressure
D. Turning a patient every 2 hours
🟢 B. Administering oral medications
🔴 RATIONALE: LPNs can administer oral, IM, and subcutaneous medications. UAP cannot administer any medications. Bathing, BP measurement,
and turning are within UAP scope.
Question 6
When delegating a task, the RN retains which of the following?
A. Accountability for the overall outcome
B. Liability for the delegatee's errors
C. Responsibility for performing the task
D. Authority to delegate assessment functions
🟢 A. Accountability for the overall outcome
🔴 RATIONALE: The RN delegatee remains accountable for the delegation decision and overall patient outcome, even though the delegatee is
responsible for performing the task correctly.
, Question 7
A nurse delegates vital sign collection to a UAP. The UAP reports a blood pressure of 88/50 mmHg. What is the RN's next action?
A. Document the reading and continue with routine care
B. Reassess the patient immediately and evaluate for shock
C. Tell the UAP to recheck the vitals in 4 hours
D. Delegate the reassessment to another UAP
🟢 B. Reassess the patient immediately and evaluate for shock
🔴 RATIONALE: The RN must evaluate abnormal findings reported by UAP. Hypotension requires immediate RN assessment and intervention; it
cannot be delegated.
Question 8
Which patient is most appropriate to assign to an LPN on a mixed medical-surgical unit?
A. A newly admitted patient with suspected sepsis
B. A stable patient with chronic hypertension on oral meds
C. A patient requiring wound debridement
D. A patient 1 day post-op from brain surgery
🟢 B. A stable patient with chronic hypertension on oral meds
🔴 RATIONALE: LPNs care for stable patients with predictable outcomes. New admissions, complex procedures, and unstable neurological patients
require RN care.
Question 9
What is the PRIMARY reason the RN cannot delegate initial patient assessment?
A. It takes too much time
B. It requires nursing judgment and clinical reasoning
C. UAP lack the equipment to assess
D. It is not cost-effective
🟢 B. It requires nursing judgment and clinical reasoning
ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF
    Core Domains
    - The Five Rights of Delegation
    - RN vs. LPN/LVN vs. UAP Scope of Practice
    - Patient Assessment and Evaluation Responsibilities
    - Medication Administration and IV Therapy Delegation
    - Stable vs. Unstable Patient Assignment Principles
    - Ethics, Accountability, and Legal Compliance in Delegation
    - Communication and Direction in Delegated Tasks
    - Supervision and Follow-up of Delegated Care
    - Prioritization and Triaging in Care Assignments
    - Regulatory Standards (NCSBN, ANA, State Nurse Practice Acts)
*     Introduction*
    This practice exam is designed to prepare nursing professionals for the Kaplan Delegation and Assignment Exam,
which assesses critical competencies in safely delegating tasks and assigning patient care responsibilities. The test evaluates knowledge of scope of
practice, the Five Rights of Delegation, regulatory compliance, ethical standards, and clinical decision-making in real-world healthcare scenarios.
All questions are multiple-choice and scenario-based, emphasizing applied judgment rather than rote memorization. Success requires
understanding which tasks can be delegated to LPNs/LVNs or Unlicensed Assistive Personnel (UAP), which require RN-level assessment and
evaluation, and how to prioritize patient safety when managing diverse caseloads. This exam mirrors the structure and difficulty of the actual
certification test.
SECTION ONE: QUESTIONS 1–100
Question 1
A nurse is preparing to delegate tasks to a licensed practical nurse (LPN) on a medical-surgical unit. Which task is most appropriate to delegate?
A. Initial admission assessment of a newly admitted patient
B. Administering IV push medication to a postoperative patient
C. Reinforcing discharge teaching for a stable patient
D. Evaluating the effectiveness of a pain management plan
🟢 C. Reinforcing discharge teaching for a stable patient
,🔴 RATIONALE: LPNs can reinforce teaching that has already been initiated by the RN but cannot perform initial teaching. Initial assessments, IV
push medications, and evaluation of care plans are RN-only responsibilities.
Question 2
Which of the following tasks MUST NOT be delegated to unlicensed assistive personnel (UAP)?
A. Assisting a patient with ambulation
B. Recording input and output
C. Performing a focused respiratory assessment
D. Feeding a patient with no swallowing difficulties
🟢 C. Performing a focused respiratory assessment
🔴 RATIONALE: Assessment is a licensed nursing function and cannot be delegated to UAP. UAP may perform ADLs, vital signs, and I&O but never
assessment, teaching, or medication administration.
Question 3
The Five Rights of Delegation include all EXCEPT:
A. Right Task
B. Right Time
C. Right Circumstance
D. Right Person
🟢 B. Right Time
🔴 RATIONALE: The Five Rights are: Right Task, Right Circumstance, Right Person, Right Direction/Communication, and Right
Supervision/Evaluation. "Right Time" is not part of the official framework.
Question 4
A charge nurse is making assignments for the day shift. Which patient should be assigned to the RN?
,A. A stable patient with diabetes requiring routine insulin
B. A patient 2 hours post-op from abdominal surgery with unstable vital signs
C. A patient awaiting discharge with education needs already met
D. A patient requiring routine catheterization
🟢 B. A patient 2 hours post-op from abdominal surgery with unstable vital signs
🔴 RATIONALE: Unstable patients require RN-level assessment, critical thinking, and intervention. LPNs and UAPs care for stable patients with
predictable outcomes.
Question 5
Which task is within the scope of practice for an LPN/LVN but NOT for a UAP?
A. Bathing a patient
B. Administering oral medications
C. Measuring blood pressure
D. Turning a patient every 2 hours
🟢 B. Administering oral medications
🔴 RATIONALE: LPNs can administer oral, IM, and subcutaneous medications. UAP cannot administer any medications. Bathing, BP measurement,
and turning are within UAP scope.
Question 6
When delegating a task, the RN retains which of the following?
A. Accountability for the overall outcome
B. Liability for the delegatee's errors
C. Responsibility for performing the task
D. Authority to delegate assessment functions
🟢 A. Accountability for the overall outcome
🔴 RATIONALE: The RN delegatee remains accountable for the delegation decision and overall patient outcome, even though the delegatee is
responsible for performing the task correctly.
, Question 7
A nurse delegates vital sign collection to a UAP. The UAP reports a blood pressure of 88/50 mmHg. What is the RN's next action?
A. Document the reading and continue with routine care
B. Reassess the patient immediately and evaluate for shock
C. Tell the UAP to recheck the vitals in 4 hours
D. Delegate the reassessment to another UAP
🟢 B. Reassess the patient immediately and evaluate for shock
🔴 RATIONALE: The RN must evaluate abnormal findings reported by UAP. Hypotension requires immediate RN assessment and intervention; it
cannot be delegated.
Question 8
Which patient is most appropriate to assign to an LPN on a mixed medical-surgical unit?
A. A newly admitted patient with suspected sepsis
B. A stable patient with chronic hypertension on oral meds
C. A patient requiring wound debridement
D. A patient 1 day post-op from brain surgery
🟢 B. A stable patient with chronic hypertension on oral meds
🔴 RATIONALE: LPNs care for stable patients with predictable outcomes. New admissions, complex procedures, and unstable neurological patients
require RN care.
Question 9
What is the PRIMARY reason the RN cannot delegate initial patient assessment?
A. It takes too much time
B. It requires nursing judgment and clinical reasoning
C. UAP lack the equipment to assess
D. It is not cost-effective
🟢 B. It requires nursing judgment and clinical reasoning
