assignment/ delegation Exam
Questions and Answers 100% Pass
The night charge nurse is making assignments for the next shift. Which client is
most appropriate to assign to a nurse with less than a year of experience who is
floated from the orthopedic unit to the medical unit?
1. Client newly admitted for an evolving ischemic stroke.
2. Client newly diagnosed with diabetes mellitus who needs insulin administration
teaching.
3. Client with exacerbation of chronic obstructive pulmonary disease (COPD) with
a new tracheostomy.
4. Client with sickle cell crisis who requires frequent intravenous (IV) opioid
medication for pain - ANSWER-4. Client with sickle cell crisis who requires
frequent intravenous (IV) opioid medication for pain.
Sickle cell crisis is managed with IV hydration, frequent IV pain medication, and
as-needed blood transfusion.
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,Many orthopedic clients require medication with opioids to control pain, IV fluids,
and blood transfusion (blood loss with surgery/trauma). The float nurse is familiar
with the policies and procedures for pain assessment and administering opioid
medications, which should be the same on non-specialty units within the same
facility.
(Option 1) The client newly admitted for an evolving ischemic stroke is best
assigned to an experienced nurse who regularly works on the unit. The nurse will
perform baseline and frequent follow-up neurologic assessments to determine if
the client's condition is worsening.
(Option 2) The client newly diagnosed with diabetes mellitus who needs insulin
administration teaching is best assigned to a nurse who regularly works on the unit.
The nurse would be familiar with the location of diabetic teaching materials,
documentation procedure, and referral resources, and would be better able to
evaluate the client's understanding and performance of insulin administration the
next day.
(Option 3) The client with exacerbation of COPD with a new tracheostomy is best
assigned to an experienced nurse who regularly works on the unit. Care of a new
tracheostomy requires the nurse to be familiar with assessment (eg, appearance,
bleeding) and care (eg, suctioning).
A nurse delegates a task to the unlicensed assistive personnel (UAP). The UAP
states, "I can't do that." Which is the best initial response for the nurse to make?
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,1. Ask the UAP the reason for the response.
2. Do the task, but discuss the UAP's response with the manager.
3. Ignore the UAP's initial response and repeat the delegation request.
4. Remind the UAP of the importance of teamwork. - ANSWER-1. Ask the UAP
the reason for the response.
Just as in clinical situations, the nurse should first assess in management situations.
The UAP may not have the skills or abilities to do the task or the availability if
doing something else. The nurse may need to reprioritize the tasks that the UAP
has been delegated or provide additional instructions/education. However, finding
out the reason for the response is the first step.
(Option 2) This does not solve the issue. The RN does not have the time to do
everything, which is the reason for delegating. Speaking to the manager is an
appropriate response if there is a pattern of insubordination or refusals, such as
when the UAP is capable, not busy, and yet does not respond to the nurse's
encouragement to help out.
(Option 3) It is important to find out the reason for the response to ensure client
safety and completion of the task. A repeat request would be more appropriate if
the UAP did not indicate a response (maybe the UAP didn't hear or understand) or
gave an inappropriate response (eg, not my team).
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, (Option 4) This response is more appropriate if the UAP has the ability and
availability but is citing something else for the refusal, such as the task not
belonging to the UAP's assigned team. Assessment for the reason should be first.
A client is admitted with a lower urinary tract infection from an obstructing
ureteral stone. Which tasks can the registered nurse (RN) delegate to the
experienced unlicensed assistive personnel (UAP)? Select all that apply.
1. Assisting the client in completing a health history form
2. Collecting a urine specimen for culture and sensitivity
3. Instructing the client to strain urine when voiding
4. Measuring and documenting urine output
5. Monitoring the color and characteristics of urine output - ANSWER-2.
Collecting a urine specimen for culture and sensitivity
4. Measuring and documenting urine output.
Measuring intake and output and obtaining a urine specimen for culture and
sensitivity are both appropriate duties to delegate to the UAP. Objective
measurements (eg, vital signs, intake and output) do not require assessment skills
and are therefore appropriate for delegation (Option 4). Nursing actions that
require assessment, teaching, evaluation, or clinical judgment must be performed
by the RN.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 4
Questions and Answers 100% Pass
The night charge nurse is making assignments for the next shift. Which client is
most appropriate to assign to a nurse with less than a year of experience who is
floated from the orthopedic unit to the medical unit?
1. Client newly admitted for an evolving ischemic stroke.
2. Client newly diagnosed with diabetes mellitus who needs insulin administration
teaching.
3. Client with exacerbation of chronic obstructive pulmonary disease (COPD) with
a new tracheostomy.
4. Client with sickle cell crisis who requires frequent intravenous (IV) opioid
medication for pain - ANSWER-4. Client with sickle cell crisis who requires
frequent intravenous (IV) opioid medication for pain.
Sickle cell crisis is managed with IV hydration, frequent IV pain medication, and
as-needed blood transfusion.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
,Many orthopedic clients require medication with opioids to control pain, IV fluids,
and blood transfusion (blood loss with surgery/trauma). The float nurse is familiar
with the policies and procedures for pain assessment and administering opioid
medications, which should be the same on non-specialty units within the same
facility.
(Option 1) The client newly admitted for an evolving ischemic stroke is best
assigned to an experienced nurse who regularly works on the unit. The nurse will
perform baseline and frequent follow-up neurologic assessments to determine if
the client's condition is worsening.
(Option 2) The client newly diagnosed with diabetes mellitus who needs insulin
administration teaching is best assigned to a nurse who regularly works on the unit.
The nurse would be familiar with the location of diabetic teaching materials,
documentation procedure, and referral resources, and would be better able to
evaluate the client's understanding and performance of insulin administration the
next day.
(Option 3) The client with exacerbation of COPD with a new tracheostomy is best
assigned to an experienced nurse who regularly works on the unit. Care of a new
tracheostomy requires the nurse to be familiar with assessment (eg, appearance,
bleeding) and care (eg, suctioning).
A nurse delegates a task to the unlicensed assistive personnel (UAP). The UAP
states, "I can't do that." Which is the best initial response for the nurse to make?
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
,1. Ask the UAP the reason for the response.
2. Do the task, but discuss the UAP's response with the manager.
3. Ignore the UAP's initial response and repeat the delegation request.
4. Remind the UAP of the importance of teamwork. - ANSWER-1. Ask the UAP
the reason for the response.
Just as in clinical situations, the nurse should first assess in management situations.
The UAP may not have the skills or abilities to do the task or the availability if
doing something else. The nurse may need to reprioritize the tasks that the UAP
has been delegated or provide additional instructions/education. However, finding
out the reason for the response is the first step.
(Option 2) This does not solve the issue. The RN does not have the time to do
everything, which is the reason for delegating. Speaking to the manager is an
appropriate response if there is a pattern of insubordination or refusals, such as
when the UAP is capable, not busy, and yet does not respond to the nurse's
encouragement to help out.
(Option 3) It is important to find out the reason for the response to ensure client
safety and completion of the task. A repeat request would be more appropriate if
the UAP did not indicate a response (maybe the UAP didn't hear or understand) or
gave an inappropriate response (eg, not my team).
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 3
, (Option 4) This response is more appropriate if the UAP has the ability and
availability but is citing something else for the refusal, such as the task not
belonging to the UAP's assigned team. Assessment for the reason should be first.
A client is admitted with a lower urinary tract infection from an obstructing
ureteral stone. Which tasks can the registered nurse (RN) delegate to the
experienced unlicensed assistive personnel (UAP)? Select all that apply.
1. Assisting the client in completing a health history form
2. Collecting a urine specimen for culture and sensitivity
3. Instructing the client to strain urine when voiding
4. Measuring and documenting urine output
5. Monitoring the color and characteristics of urine output - ANSWER-2.
Collecting a urine specimen for culture and sensitivity
4. Measuring and documenting urine output.
Measuring intake and output and obtaining a urine specimen for culture and
sensitivity are both appropriate duties to delegate to the UAP. Objective
measurements (eg, vital signs, intake and output) do not require assessment skills
and are therefore appropriate for delegation (Option 4). Nursing actions that
require assessment, teaching, evaluation, or clinical judgment must be performed
by the RN.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 4
