,NURS 420 exam 2 Principles of Leadership and Management
Questions And Answers 2026/2027 West Coast University
Q1. A nurse manager is delegating tasks to an unlicensed assistive
personnel (UAP). Which task is appropriate to delegate?
A. Perform an initial assessment of a newly admitted client
B. Develop the nursing care plan
C. Assist a stable client with ambulation
D. Evaluate the effectiveness of pain medication
Correct Answer: C
Rationale: UAPs can perform routine, predictable tasks for stable clients
that do not require nursing judgment. Initial assessment, care planning, and
evaluation remain RN responsibilities. Recent WCU Exam 2 material
specifically emphasizes ambulation of a stable client as an appropriate
delegation example.
Q2. Which task should the RN retain rather than delegate to a UAP?
A. Obtain routine vital signs on a stable client
B. Assist with bathing
C. Measure intake and output
D. Perform an initial assessment
Correct Answer: D
Rationale: Initial assessment requires professional nursing judgment and
cannot be delegated to UAP.
Q3. Which is one of the Five Rights of Delegation?
A. Right compensation
B. Right direction and communication
C. Right seniority
D. Right diagnosis
Correct Answer: B
Rationale: The Five Rights are right task, right circumstance, right person,
right direction/communication, and right supervision/evaluation.
Q4. Which action demonstrates the "right person" in delegation?
A. Assigning a task based on the person's competence and scope of practice
B. Assigning the task to whoever is closest
, C. Assigning the task to the newest employee
D. Assigning the task without checking qualifications
Correct Answer: A
Rationale: The nurse must verify that the person accepting the task has the
appropriate knowledge, skill, competence, and legal scope.
Q5. Which action demonstrates the "right direction and communication" in
delegation?
A. "Take care of room 204."
B. "Obtain the client's vital signs at 0800 and report a systolic BP below 90
mm Hg."
C. "Do what you normally do."
D. "Check on the patient sometime this morning."
Correct Answer: B
Rationale: Directions should be clear, specific, measurable, and include
important limits or reporting requirements.
Q6. Which action demonstrates the "right supervision and evaluation" after
delegation?
A. Assume the task was completed correctly
B. Follow up and evaluate the client's response
C. Transfer all accountability to the UAP
D. Avoid checking the result
Correct Answer: B
Rationale: The RN must provide appropriate supervision and evaluate the
outcome of delegated care.
Q7. Which task is most appropriate for an LPN/LVN caring for a stable client?
A. Perform the initial comprehensive assessment
B. Develop the initial nursing care plan
C. Reinforce previously taught information
D. Determine the client's nursing diagnosis
Correct Answer: C
Rationale: Reinforcement of established teaching for a stable client may be
within LPN/LVN scope, depending on jurisdiction and organizational policy.
Questions And Answers 2026/2027 West Coast University
Q1. A nurse manager is delegating tasks to an unlicensed assistive
personnel (UAP). Which task is appropriate to delegate?
A. Perform an initial assessment of a newly admitted client
B. Develop the nursing care plan
C. Assist a stable client with ambulation
D. Evaluate the effectiveness of pain medication
Correct Answer: C
Rationale: UAPs can perform routine, predictable tasks for stable clients
that do not require nursing judgment. Initial assessment, care planning, and
evaluation remain RN responsibilities. Recent WCU Exam 2 material
specifically emphasizes ambulation of a stable client as an appropriate
delegation example.
Q2. Which task should the RN retain rather than delegate to a UAP?
A. Obtain routine vital signs on a stable client
B. Assist with bathing
C. Measure intake and output
D. Perform an initial assessment
Correct Answer: D
Rationale: Initial assessment requires professional nursing judgment and
cannot be delegated to UAP.
Q3. Which is one of the Five Rights of Delegation?
A. Right compensation
B. Right direction and communication
C. Right seniority
D. Right diagnosis
Correct Answer: B
Rationale: The Five Rights are right task, right circumstance, right person,
right direction/communication, and right supervision/evaluation.
Q4. Which action demonstrates the "right person" in delegation?
A. Assigning a task based on the person's competence and scope of practice
B. Assigning the task to whoever is closest
, C. Assigning the task to the newest employee
D. Assigning the task without checking qualifications
Correct Answer: A
Rationale: The nurse must verify that the person accepting the task has the
appropriate knowledge, skill, competence, and legal scope.
Q5. Which action demonstrates the "right direction and communication" in
delegation?
A. "Take care of room 204."
B. "Obtain the client's vital signs at 0800 and report a systolic BP below 90
mm Hg."
C. "Do what you normally do."
D. "Check on the patient sometime this morning."
Correct Answer: B
Rationale: Directions should be clear, specific, measurable, and include
important limits or reporting requirements.
Q6. Which action demonstrates the "right supervision and evaluation" after
delegation?
A. Assume the task was completed correctly
B. Follow up and evaluate the client's response
C. Transfer all accountability to the UAP
D. Avoid checking the result
Correct Answer: B
Rationale: The RN must provide appropriate supervision and evaluate the
outcome of delegated care.
Q7. Which task is most appropriate for an LPN/LVN caring for a stable client?
A. Perform the initial comprehensive assessment
B. Develop the initial nursing care plan
C. Reinforce previously taught information
D. Determine the client's nursing diagnosis
Correct Answer: C
Rationale: Reinforcement of established teaching for a stable client may be
within LPN/LVN scope, depending on jurisdiction and organizational policy.
