GALEN NUR 282
Exam 2 Delegation, Prioritization
& Supervision Practice Set
75 Original Questions with Detailed Rationales
2026/2027 EDITION
Delegation • assignment • scope • priorities • supervision • conflict and escalation
Unofficial, independent educational practice. Not affiliated with or endorsed by Galen College of Nursing, ATI, NCSBN, NCLEX, or any instructor. Scope
and delegation rules vary by jurisdiction and organization; always apply current law and policy.
, Exam 2 Blueprint and Study Method
Answer all questions before reviewing the yellow rationale panels. For every missed or uncertain item, identify the decision rule:
client stability, task predictability, required judgment, team-member competence, direction, supervision, or urgency of harm.
Domain Questions Core judgment
Delegation 1-15 Five rights, retained RN duties, outcomes
Prioritization 16-30 Instability, ABCs, trends, time sensitivity
Scope and assignment 31-45 Law, policy, competence, acuity, skill mix
Supervision and evaluation 46-60 Directions, monitoring, feedback, follow-up
Conflict and escalation 61-75 Assertiveness, DESC, resolution, chain of command
Suggested benchmark: 64-75 = strong readiness; 53-63 = targeted review; 0-52 = rebuild decision frameworks and retest. This
is not an official Galen cut score.
Delegation checkpoint: task and circumstance → person and competence → directions and report parameters → supervision
and evaluation. If assessment, nursing judgment, initial teaching, planning, or evaluation is central, the RN should retain the
responsibility.
NUR 282 | Exam 2 Delegation, Prioritization & Supervision Page 2
, 1. Which task is most appropriate for the RN to delegate to experienced assistive personnel (AP)?
A. Teach incentive spirometer use for the first time
B. Obtain routine vital signs for a stable postoperative client
C. Perform the initial postoperative assessment
D. Evaluate whether pain medication was effective
Correct answer: B. Obtain routine vital signs for a stable postoperative client
Rationale: Routine data collection on a stable client can be delegated after clear directions and report parameters. Initial assessment,
teaching, and evaluation require nursing judgment and remain with the RN.
2. The RN asks an AP to measure urine output. Which instruction is essential?
A. Report output below the specified amount or any unexpected change promptly
B. Decide independently whether renal failure is present
C. Record the amount only at the end of the week
D. Change the fluid prescription if output is low
Correct answer: A. Report output below the specified amount or any unexpected change promptly
Rationale: Safe delegation includes the expected result, time frame, and findings that require immediate reporting. Diagnosis and
treatment changes are outside the AP role.
3. Which client is most appropriate for an LPN/LVN assignment, subject to local law and policy?
A. A stable client needing routine medication administration and focused data collection
B. A newly admitted client requiring comprehensive assessment
C. A client with rapidly changing neurologic findings
D. A client requiring initial teaching for a complex new diagnosis
Correct answer: A. A stable client needing routine medication administration and focused data collection
Rationale: A stable, predictable client with established care is generally the safer assignment. Initial assessment, complex teaching,
and management of instability require RN-level judgment.
NUR 282 | Exam 2 Delegation, Prioritization & Supervision Page 3
Exam 2 Delegation, Prioritization
& Supervision Practice Set
75 Original Questions with Detailed Rationales
2026/2027 EDITION
Delegation • assignment • scope • priorities • supervision • conflict and escalation
Unofficial, independent educational practice. Not affiliated with or endorsed by Galen College of Nursing, ATI, NCSBN, NCLEX, or any instructor. Scope
and delegation rules vary by jurisdiction and organization; always apply current law and policy.
, Exam 2 Blueprint and Study Method
Answer all questions before reviewing the yellow rationale panels. For every missed or uncertain item, identify the decision rule:
client stability, task predictability, required judgment, team-member competence, direction, supervision, or urgency of harm.
Domain Questions Core judgment
Delegation 1-15 Five rights, retained RN duties, outcomes
Prioritization 16-30 Instability, ABCs, trends, time sensitivity
Scope and assignment 31-45 Law, policy, competence, acuity, skill mix
Supervision and evaluation 46-60 Directions, monitoring, feedback, follow-up
Conflict and escalation 61-75 Assertiveness, DESC, resolution, chain of command
Suggested benchmark: 64-75 = strong readiness; 53-63 = targeted review; 0-52 = rebuild decision frameworks and retest. This
is not an official Galen cut score.
Delegation checkpoint: task and circumstance → person and competence → directions and report parameters → supervision
and evaluation. If assessment, nursing judgment, initial teaching, planning, or evaluation is central, the RN should retain the
responsibility.
NUR 282 | Exam 2 Delegation, Prioritization & Supervision Page 2
, 1. Which task is most appropriate for the RN to delegate to experienced assistive personnel (AP)?
A. Teach incentive spirometer use for the first time
B. Obtain routine vital signs for a stable postoperative client
C. Perform the initial postoperative assessment
D. Evaluate whether pain medication was effective
Correct answer: B. Obtain routine vital signs for a stable postoperative client
Rationale: Routine data collection on a stable client can be delegated after clear directions and report parameters. Initial assessment,
teaching, and evaluation require nursing judgment and remain with the RN.
2. The RN asks an AP to measure urine output. Which instruction is essential?
A. Report output below the specified amount or any unexpected change promptly
B. Decide independently whether renal failure is present
C. Record the amount only at the end of the week
D. Change the fluid prescription if output is low
Correct answer: A. Report output below the specified amount or any unexpected change promptly
Rationale: Safe delegation includes the expected result, time frame, and findings that require immediate reporting. Diagnosis and
treatment changes are outside the AP role.
3. Which client is most appropriate for an LPN/LVN assignment, subject to local law and policy?
A. A stable client needing routine medication administration and focused data collection
B. A newly admitted client requiring comprehensive assessment
C. A client with rapidly changing neurologic findings
D. A client requiring initial teaching for a complex new diagnosis
Correct answer: A. A stable client needing routine medication administration and focused data collection
Rationale: A stable, predictable client with established care is generally the safer assignment. Initial assessment, complex teaching,
and management of instability require RN-level judgment.
NUR 282 | Exam 2 Delegation, Prioritization & Supervision Page 3
