,NR 452 Capstone Course Exam Prep —
Comprehensive Review + Practice MCQs —
Chamberlain College of Nursing 2025/2026
1. A charge nurse is delegating tasks to an unlicensed assistive personnel (UAP) on a medical-surgical unit.
Which task is appropriate for the UAP?
A. Evaluating a client's response to PRN pain medication
B. Performing a sterile dressing change on a postoperative wound
C. Assisting a stable client with ambulation in the hallway
D. Teaching a client how to use an incentive spirometer
Correct Answer: C
Rationale: UAPs may perform routine, non-invasive tasks that do not require nursing judgment. Ambulating a
stable client falls within UAP scope. Evaluation, sterile procedures, and teaching require licensed nurse
expertise.
2. A charge nurse is making patient assignments for the upcoming shift. Which patient assignment is most
appropriate for an LPN working under RN supervision?
A. A patient who is 2 hours post-return from the recovery room following a CABG
B. A patient with a newly placed tracheostomy requiring frequent suctioning
C. A patient with stable diabetes mellitus requiring routine insulin administration and glucose monitoring
D. A patient postoperative day 1 following total hip replacement requiring pain assessment every 2 hours
Correct Answer: C
,Rationale: LPNs can administer medications to stable patients and perform routine monitoring. Complex
assessments, unstable patients, and new tracheostomy care require RN expertise.
3. A nurse is delegating to assistive personnel (AP). Which task is most appropriate for the AP?
A. Evaluating a client's response to pain medication
B. Measuring and recording intake and output for a client on the unit
C. Providing discharge teaching to a client with new diabetes diagnosis
D. Assisting a stable client with ambulation for the first time after surgery
Correct Answer: B
Rationale: Measuring intake and output is a routine task within AP scope. Assessment, teaching, and first-time
ambulation post-surgery require licensed nurse judgment.
4. A nurse is explaining delegation principles to a new graduate. Which statement by the new nurse indicates
correct understanding?
A. "I am responsible for all tasks that I delegate to UAP."
B. "I am not responsible for tasks that I delegate to LPNs."
C. "I can delegate any task to UAP as long as I supervise them."
D. "Delegation means I am transferring accountability to the UAP."
Correct Answer: A
, Rationale: The RN retains accountability for all delegated tasks. Accountability cannot be transferred. The RN
remains responsible for the outcome of delegated nursing tasks.
5. A charge nurse is delegating tasks to UAP on a busy unit. Which task is appropriate for the charge nurse to
delegate?
A. Measuring intake and output for a client with heart failure
B. Obtaining a clean-catch urine specimen from a client with suspected UTI
C. Assessing skin integrity of a client at risk for pressure injuries
D. Administering a suppository to a client who is constipated
Correct Answer: A
Rationale: Measuring intake and output may be delegated to UAP. Assessment (skin integrity) is RN
responsibility. Specimen collection and medication administration typically fall within LPN/RN scope.
6. A nurse is working with an LPN and UAP. Which client should the nurse assign to the LPN?
A. A client requiring initial assessment for new-onset chest pain
B. A client with stable heart failure requiring medication administration and vital signs
C. A client requiring discharge teaching after cardiac catheterization
D. A client with new tracheostomy requiring suctioning and assessment
Correct Answer: B
Comprehensive Review + Practice MCQs —
Chamberlain College of Nursing 2025/2026
1. A charge nurse is delegating tasks to an unlicensed assistive personnel (UAP) on a medical-surgical unit.
Which task is appropriate for the UAP?
A. Evaluating a client's response to PRN pain medication
B. Performing a sterile dressing change on a postoperative wound
C. Assisting a stable client with ambulation in the hallway
D. Teaching a client how to use an incentive spirometer
Correct Answer: C
Rationale: UAPs may perform routine, non-invasive tasks that do not require nursing judgment. Ambulating a
stable client falls within UAP scope. Evaluation, sterile procedures, and teaching require licensed nurse
expertise.
2. A charge nurse is making patient assignments for the upcoming shift. Which patient assignment is most
appropriate for an LPN working under RN supervision?
A. A patient who is 2 hours post-return from the recovery room following a CABG
B. A patient with a newly placed tracheostomy requiring frequent suctioning
C. A patient with stable diabetes mellitus requiring routine insulin administration and glucose monitoring
D. A patient postoperative day 1 following total hip replacement requiring pain assessment every 2 hours
Correct Answer: C
,Rationale: LPNs can administer medications to stable patients and perform routine monitoring. Complex
assessments, unstable patients, and new tracheostomy care require RN expertise.
3. A nurse is delegating to assistive personnel (AP). Which task is most appropriate for the AP?
A. Evaluating a client's response to pain medication
B. Measuring and recording intake and output for a client on the unit
C. Providing discharge teaching to a client with new diabetes diagnosis
D. Assisting a stable client with ambulation for the first time after surgery
Correct Answer: B
Rationale: Measuring intake and output is a routine task within AP scope. Assessment, teaching, and first-time
ambulation post-surgery require licensed nurse judgment.
4. A nurse is explaining delegation principles to a new graduate. Which statement by the new nurse indicates
correct understanding?
A. "I am responsible for all tasks that I delegate to UAP."
B. "I am not responsible for tasks that I delegate to LPNs."
C. "I can delegate any task to UAP as long as I supervise them."
D. "Delegation means I am transferring accountability to the UAP."
Correct Answer: A
, Rationale: The RN retains accountability for all delegated tasks. Accountability cannot be transferred. The RN
remains responsible for the outcome of delegated nursing tasks.
5. A charge nurse is delegating tasks to UAP on a busy unit. Which task is appropriate for the charge nurse to
delegate?
A. Measuring intake and output for a client with heart failure
B. Obtaining a clean-catch urine specimen from a client with suspected UTI
C. Assessing skin integrity of a client at risk for pressure injuries
D. Administering a suppository to a client who is constipated
Correct Answer: A
Rationale: Measuring intake and output may be delegated to UAP. Assessment (skin integrity) is RN
responsibility. Specimen collection and medication administration typically fall within LPN/RN scope.
6. A nurse is working with an LPN and UAP. Which client should the nurse assign to the LPN?
A. A client requiring initial assessment for new-onset chest pain
B. A client with stable heart failure requiring medication administration and vital signs
C. A client requiring discharge teaching after cardiac catheterization
D. A client with new tracheostomy requiring suctioning and assessment
Correct Answer: B
