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Nursing 354 Delegation Exam Questions
And Correct Answers (Verified Answers)
Plus Rationales 2026 Q&A Instant
Download Pdf
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1. A registered nurse is delegating tasks to an unlicensed assistive personnel
(UAP). Which principle is most important?
A. Delegate all tasks that take more than 10 minutes
B. Delegate tasks based on the patient's diagnosis
C. Delegate only tasks the UAP is competent to perform
D. Delegate tasks whenever the unit is understaffed
Answer: C. Delegate only tasks the UAP is competent to perform
Rationale: The registered nurse must consider the task, patient condition, UAP
competency, and required supervision before delegation.
2. Which task is generally appropriate for a UAP to perform for a stable
patient?
A. Assessing newly reported chest pain
B. Obtaining routine vital signs
C. Developing a nursing care plan
D. Evaluating response to medication
Answer: B. Obtaining routine vital signs
,Rationale: Routine vital signs for a stable patient can commonly be delegated to
a trained UAP. Assessment, care planning, and evaluation remain nursing
responsibilities.
3. Which nursing responsibility cannot be delegated to a UAP?
A. Measuring intake and output
B. Assisting with bathing
C. Initial patient assessment
D. Making an occupied bed
Answer: C. Initial patient assessment
Rationale: Assessment requires nursing judgment and is the responsibility of the
registered nurse or another appropriately licensed nurse.
4. Before delegating a task, the registered nurse should first:
A. Determine whether the task is appropriate for delegation
B. Ask the UAP whether the patient is stable
C. Delegate the task to the most experienced UAP
D. Document that the UAP accepted the assignment
Answer: A. Determine whether the task is appropriate for delegation
Rationale: The nurse must first determine whether the task is within the scope of
delegation and appropriate for the patient's condition.
5. Which patient is the least appropriate for delegation of routine care to a
UAP?
A. A patient awaiting discharge who needs assistance with bathing
B. A stable patient needing assistance with toileting
C. A patient with newly developed shortness of breath
D. A stable patient requiring assistance with feeding
Answer: C. A patient with newly developed shortness of breath
Rationale: New or worsening symptoms require nursing assessment and clinical
judgment rather than delegation to a UAP.
, 6. The "right person" of delegation refers to:
A. Selecting the nurse with the highest seniority
B. Assigning the task to someone who is competent to perform it
C. Assigning the task to whoever volunteers first
D. Selecting the person with the fewest patients
Answer: B. Assigning the task to someone who is competent to perform it
Rationale: The right person means the individual has the appropriate education,
training, experience, and demonstrated competency for the delegated activity.
7. Which is an example of the "right task" of delegation?
A. Asking a UAP to interpret an electrocardiogram
B. Asking a UAP to assess a postoperative patient's incision
C. Asking a UAP to assist a stable patient with ambulation
D. Asking a UAP to determine whether pain medication is effective
Answer: C. Asking a UAP to assist a stable patient with ambulation
Rationale: Assisting a stable patient with routine ambulation is commonly
appropriate for a trained UAP when the patient's condition and institutional
policy permit it.
8. Which factor should the nurse consider when determining the "right
circumstance"?
A. The nurse's personal preference
B. The patient's stability and predictability
C. The UAP's preferred assignment
D. The number of nurses scheduled
Answer: B. The patient's stability and predictability
Rationale: Delegation is safest when the patient's condition is stable,
predictable, and suitable for the delegated activity.
9. A nurse delegates ambulation of a stable patient to a UAP. Which
instruction demonstrates effective communication?
, A. "Walk the patient when you have time."
B. "Help the patient walk."
C. "Ambulate the patient 50 feet with a gait belt and report dizziness or weakness
immediately."
D. "Do whatever is necessary to get the patient moving."
Answer: C. "Ambulate the patient 50 feet with a gait belt and report dizziness or
weakness immediately."
Rationale: Effective delegation includes clear instructions about the task, limits,
expected outcomes, and circumstances requiring notification.
10.Which "right" of delegation requires the nurse to explain what should be
reported?
A. Right task
B. Right person
C. Right communication and direction
D. Right circumstance
Answer: C. Right communication and direction
Rationale: The nurse must provide clear directions, expectations, limitations,
and reporting requirements.
11.Which activity should remain with the registered nurse?
A. Assisting with oral hygiene
B. Feeding a stable patient without swallowing problems
C. Evaluating whether a patient's pain has improved after medication
D. Making an unoccupied bed
Answer: C. Evaluating whether a patient's pain has improved after medication
Rationale: Evaluation requires clinical judgment and cannot be delegated to a
UAP.
12.A UAP reports that a patient became dizzy while ambulating. What should
the nurse do first?
Nursing 354 Delegation Exam Questions
And Correct Answers (Verified Answers)
Plus Rationales 2026 Q&A Instant
Download Pdf
___________________________________________________________________
1. A registered nurse is delegating tasks to an unlicensed assistive personnel
(UAP). Which principle is most important?
A. Delegate all tasks that take more than 10 minutes
B. Delegate tasks based on the patient's diagnosis
C. Delegate only tasks the UAP is competent to perform
D. Delegate tasks whenever the unit is understaffed
Answer: C. Delegate only tasks the UAP is competent to perform
Rationale: The registered nurse must consider the task, patient condition, UAP
competency, and required supervision before delegation.
2. Which task is generally appropriate for a UAP to perform for a stable
patient?
A. Assessing newly reported chest pain
B. Obtaining routine vital signs
C. Developing a nursing care plan
D. Evaluating response to medication
Answer: B. Obtaining routine vital signs
,Rationale: Routine vital signs for a stable patient can commonly be delegated to
a trained UAP. Assessment, care planning, and evaluation remain nursing
responsibilities.
3. Which nursing responsibility cannot be delegated to a UAP?
A. Measuring intake and output
B. Assisting with bathing
C. Initial patient assessment
D. Making an occupied bed
Answer: C. Initial patient assessment
Rationale: Assessment requires nursing judgment and is the responsibility of the
registered nurse or another appropriately licensed nurse.
4. Before delegating a task, the registered nurse should first:
A. Determine whether the task is appropriate for delegation
B. Ask the UAP whether the patient is stable
C. Delegate the task to the most experienced UAP
D. Document that the UAP accepted the assignment
Answer: A. Determine whether the task is appropriate for delegation
Rationale: The nurse must first determine whether the task is within the scope of
delegation and appropriate for the patient's condition.
5. Which patient is the least appropriate for delegation of routine care to a
UAP?
A. A patient awaiting discharge who needs assistance with bathing
B. A stable patient needing assistance with toileting
C. A patient with newly developed shortness of breath
D. A stable patient requiring assistance with feeding
Answer: C. A patient with newly developed shortness of breath
Rationale: New or worsening symptoms require nursing assessment and clinical
judgment rather than delegation to a UAP.
, 6. The "right person" of delegation refers to:
A. Selecting the nurse with the highest seniority
B. Assigning the task to someone who is competent to perform it
C. Assigning the task to whoever volunteers first
D. Selecting the person with the fewest patients
Answer: B. Assigning the task to someone who is competent to perform it
Rationale: The right person means the individual has the appropriate education,
training, experience, and demonstrated competency for the delegated activity.
7. Which is an example of the "right task" of delegation?
A. Asking a UAP to interpret an electrocardiogram
B. Asking a UAP to assess a postoperative patient's incision
C. Asking a UAP to assist a stable patient with ambulation
D. Asking a UAP to determine whether pain medication is effective
Answer: C. Asking a UAP to assist a stable patient with ambulation
Rationale: Assisting a stable patient with routine ambulation is commonly
appropriate for a trained UAP when the patient's condition and institutional
policy permit it.
8. Which factor should the nurse consider when determining the "right
circumstance"?
A. The nurse's personal preference
B. The patient's stability and predictability
C. The UAP's preferred assignment
D. The number of nurses scheduled
Answer: B. The patient's stability and predictability
Rationale: Delegation is safest when the patient's condition is stable,
predictable, and suitable for the delegated activity.
9. A nurse delegates ambulation of a stable patient to a UAP. Which
instruction demonstrates effective communication?
, A. "Walk the patient when you have time."
B. "Help the patient walk."
C. "Ambulate the patient 50 feet with a gait belt and report dizziness or weakness
immediately."
D. "Do whatever is necessary to get the patient moving."
Answer: C. "Ambulate the patient 50 feet with a gait belt and report dizziness or
weakness immediately."
Rationale: Effective delegation includes clear instructions about the task, limits,
expected outcomes, and circumstances requiring notification.
10.Which "right" of delegation requires the nurse to explain what should be
reported?
A. Right task
B. Right person
C. Right communication and direction
D. Right circumstance
Answer: C. Right communication and direction
Rationale: The nurse must provide clear directions, expectations, limitations,
and reporting requirements.
11.Which activity should remain with the registered nurse?
A. Assisting with oral hygiene
B. Feeding a stable patient without swallowing problems
C. Evaluating whether a patient's pain has improved after medication
D. Making an unoccupied bed
Answer: C. Evaluating whether a patient's pain has improved after medication
Rationale: Evaluation requires clinical judgment and cannot be delegated to a
UAP.
12.A UAP reports that a patient became dizzy while ambulating. What should
the nurse do first?
