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exAm Questions And coRRect
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Section 1: Delegation, Supervision & Scope of Practice (Q1–25)
1. A charge nurse is assigning tasks for the shift. Which task is most appropriate to
delegate to a licensed practical nurse (LPN)?
A. Performing the initial admission assessment on a newly admitted client with chest pain
B. Administering oral medications to stable clients as prescribed
C. Developing the nursing care plan for a client newly diagnosed with diabetes
D. Providing discharge teaching to a client going home on anticoagulation therapy
Correct Answer: B
Rationale: Administering oral medications to stable clients is within the LPN's scope of
practice. Initial assessments, developing care plans, and providing discharge teaching require
the comprehensive clinical judgment of an RN .
2. A registered nurse (RN) is caring for four clients on a medical-surgical unit. Which client
should the RN assign to an unlicensed assistive personnel (UAP)?
A. A client who is 1 day postoperative following abdominal surgery with a Jackson-Pratt drain
B. A client who was just admitted with acute exacerbation of heart failure and is reporting
dyspnea
C. A client who requires assistance with ambulation to the bathroom and morning hygiene
care
D. A client who is receiving a continuous heparin infusion and needs frequent aPTT
monitoring
Correct Answer: C
Rationale: Assisting with ambulation and hygiene care represents stable, predictable tasks
,within the UAP's scope. Postoperative clients with drains, unstable heart failure clients, and
clients on high-risk infusions require RN assessment and monitoring .
3. The RN is delegating tasks to a UAP. Which of the following is the RN's responsibility
after delegation?
A. The UAP assumes full accountability for the task
B. The RN retains accountability for the outcome of the delegated task
C. The delegating nurse is no longer responsible for the client
D. The task is transferred to the UAP's scope of practice
Correct Answer: B
Rationale: The RN retains accountability for the outcome of delegated tasks. Delegation
involves transferring the authority to perform a task, but not the ultimate responsibility for
client outcomes .
4. Which statement by a nurse manager best demonstrates the principle of the 'five rights
of delegation'?
A. "I delegated the task to the most experienced nurse on the unit regardless of the patient's
needs."
B. "I chose to delegate this task because the delegatee has the appropriate education,
training, and skill."
C. "I assigned this task to a new graduate nurse to help her learn the procedure."
D. "I delegate all routine tasks to the LPN so I can focus on documentation."
Correct Answer: B
Rationale: The five rights of delegation include right task, right circumstance, right person,
right direction/communication, and right supervision. Choosing a delegatee with the
appropriate education, training, and skill addresses the 'right person' component .
5. A nurse is supervising a UAP who is assisting with feeding a client who had a left-sided
cerebrovascular accident (stroke). Which action by the UAP requires immediate
intervention by the nurse?
A. Positioning the client upright at a 90-degree angle before feeding
B. Placing food on the unaffected side of the client's mouth
C. Offering the client thin liquids to drink first to assess swallowing ability
D. Allowing the client adequate time to chew and swallow between bites
Correct Answer: C
Rationale: Offering thin liquids to a stroke patient is dangerous because they are at high risk
for aspiration. A swallowing evaluation should be performed before any oral intake. The
nurse must intervene immediately to prevent aspiration .
6. A nurse manager on a busy telemetry unit is making shift assignments. Which pairing of
client assignments is most appropriate for an RN who is 6 months post-orientation?
, A. A client receiving titrated nitroglycerin infusion and a client on a ventilator
B. A stable client post-cardiac catheterization and a client on telemetry with chronic atrial
fibrillation
C. A client with new-onset chest pain and a client receiving a blood transfusion
D. A client with diabetic ketoacidosis and a client undergoing an emergency procedure
Correct Answer: B
Rationale: Assigning stable clients with chronic conditions is appropriate for a nurse who is
still relatively new. Titrated infusions, ventilators, new-onset chest pain, and DKA are high-
acuity situations requiring experienced RNs .
7. A charge nurse is making client assignments. Which client should be assigned to the
most experienced RN?
A. A client with pneumonia who requires IV antibiotics
B. A client with diabetes who needs insulin administration
C. A client who is 2 hours post-operative from a total laryngectomy
D. A client with a urinary tract infection who needs oral antibiotics
Correct Answer: C
Rationale: A client who is 2 hours post-operative from a total laryngectomy requires close
monitoring of the airway, vital signs, and potential complications. The most experienced RN
should be assigned to the most unstable or complex client .
8. Which task should the RN delegate to unlicensed assistive personnel (UAP)?
A. Ambulating a stable client
B. Teaching a client about a new medication
C. Assessing a post-operative wound
D. Administering a blood transfusion
Correct Answer: A
Rationale: Ambulating a stable client is within the scope of UAP. Teaching, assessment, and
blood administration require an RN license .
9. A nurse is preparing to delegate vital signs to a UAP. Which client should the nurse
assess personally instead?
A. A client with stable hypertension
B. A client receiving a new IV antihypertensive
C. A client with a chronic stable condition
D. A client requesting a blanket
Correct Answer: B
Rationale: Clients receiving new medications with potential for instability require RN
assessment. Stable clients with chronic conditions are appropriate for delegation .
BundLed exAms / Ati Rn
LeAdeRship pRepARAtion /Ati Rn
LeAdeRship pRActice exAm ReAL
exAm Questions And coRRect
AnsweRs(ALL AnsweRs ARe
coRRect)|AgRAde,,,
Section 1: Delegation, Supervision & Scope of Practice (Q1–25)
1. A charge nurse is assigning tasks for the shift. Which task is most appropriate to
delegate to a licensed practical nurse (LPN)?
A. Performing the initial admission assessment on a newly admitted client with chest pain
B. Administering oral medications to stable clients as prescribed
C. Developing the nursing care plan for a client newly diagnosed with diabetes
D. Providing discharge teaching to a client going home on anticoagulation therapy
Correct Answer: B
Rationale: Administering oral medications to stable clients is within the LPN's scope of
practice. Initial assessments, developing care plans, and providing discharge teaching require
the comprehensive clinical judgment of an RN .
2. A registered nurse (RN) is caring for four clients on a medical-surgical unit. Which client
should the RN assign to an unlicensed assistive personnel (UAP)?
A. A client who is 1 day postoperative following abdominal surgery with a Jackson-Pratt drain
B. A client who was just admitted with acute exacerbation of heart failure and is reporting
dyspnea
C. A client who requires assistance with ambulation to the bathroom and morning hygiene
care
D. A client who is receiving a continuous heparin infusion and needs frequent aPTT
monitoring
Correct Answer: C
Rationale: Assisting with ambulation and hygiene care represents stable, predictable tasks
,within the UAP's scope. Postoperative clients with drains, unstable heart failure clients, and
clients on high-risk infusions require RN assessment and monitoring .
3. The RN is delegating tasks to a UAP. Which of the following is the RN's responsibility
after delegation?
A. The UAP assumes full accountability for the task
B. The RN retains accountability for the outcome of the delegated task
C. The delegating nurse is no longer responsible for the client
D. The task is transferred to the UAP's scope of practice
Correct Answer: B
Rationale: The RN retains accountability for the outcome of delegated tasks. Delegation
involves transferring the authority to perform a task, but not the ultimate responsibility for
client outcomes .
4. Which statement by a nurse manager best demonstrates the principle of the 'five rights
of delegation'?
A. "I delegated the task to the most experienced nurse on the unit regardless of the patient's
needs."
B. "I chose to delegate this task because the delegatee has the appropriate education,
training, and skill."
C. "I assigned this task to a new graduate nurse to help her learn the procedure."
D. "I delegate all routine tasks to the LPN so I can focus on documentation."
Correct Answer: B
Rationale: The five rights of delegation include right task, right circumstance, right person,
right direction/communication, and right supervision. Choosing a delegatee with the
appropriate education, training, and skill addresses the 'right person' component .
5. A nurse is supervising a UAP who is assisting with feeding a client who had a left-sided
cerebrovascular accident (stroke). Which action by the UAP requires immediate
intervention by the nurse?
A. Positioning the client upright at a 90-degree angle before feeding
B. Placing food on the unaffected side of the client's mouth
C. Offering the client thin liquids to drink first to assess swallowing ability
D. Allowing the client adequate time to chew and swallow between bites
Correct Answer: C
Rationale: Offering thin liquids to a stroke patient is dangerous because they are at high risk
for aspiration. A swallowing evaluation should be performed before any oral intake. The
nurse must intervene immediately to prevent aspiration .
6. A nurse manager on a busy telemetry unit is making shift assignments. Which pairing of
client assignments is most appropriate for an RN who is 6 months post-orientation?
, A. A client receiving titrated nitroglycerin infusion and a client on a ventilator
B. A stable client post-cardiac catheterization and a client on telemetry with chronic atrial
fibrillation
C. A client with new-onset chest pain and a client receiving a blood transfusion
D. A client with diabetic ketoacidosis and a client undergoing an emergency procedure
Correct Answer: B
Rationale: Assigning stable clients with chronic conditions is appropriate for a nurse who is
still relatively new. Titrated infusions, ventilators, new-onset chest pain, and DKA are high-
acuity situations requiring experienced RNs .
7. A charge nurse is making client assignments. Which client should be assigned to the
most experienced RN?
A. A client with pneumonia who requires IV antibiotics
B. A client with diabetes who needs insulin administration
C. A client who is 2 hours post-operative from a total laryngectomy
D. A client with a urinary tract infection who needs oral antibiotics
Correct Answer: C
Rationale: A client who is 2 hours post-operative from a total laryngectomy requires close
monitoring of the airway, vital signs, and potential complications. The most experienced RN
should be assigned to the most unstable or complex client .
8. Which task should the RN delegate to unlicensed assistive personnel (UAP)?
A. Ambulating a stable client
B. Teaching a client about a new medication
C. Assessing a post-operative wound
D. Administering a blood transfusion
Correct Answer: A
Rationale: Ambulating a stable client is within the scope of UAP. Teaching, assessment, and
blood administration require an RN license .
9. A nurse is preparing to delegate vital signs to a UAP. Which client should the nurse
assess personally instead?
A. A client with stable hypertension
B. A client receiving a new IV antihypertensive
C. A client with a chronic stable condition
D. A client requesting a blanket
Correct Answer: B
Rationale: Clients receiving new medications with potential for instability require RN
assessment. Stable clients with chronic conditions are appropriate for delegation .
