Leadership & Delegation Exam – RN, LPN & UAP
Assignment Practice Questions with Rationales Verified
and Graded A+ Latest Updated 2026
The charge nurse is making assignments for a 30-bed cardiac unit staffed with three
registered nurses (RNs), three licensed practical nurses (LPNs), and three unlicensed
assistive personnel (UAPs). Which assignment is most appropriate by the charge
nurse?
1. Assign an RN to perform all sterile procedures.
2. Assign an LPN to give all IV medications.
3. Assign an UAP to complete the a.m. care.
4. Assign an LPN to write the care plans.
3. Assign an UAP to complete the a.m. care. -
The primary cardiac nurse is delegating tasks to the unlicensed assistive personnel
(UAP). Which delegation task warrants intervention by the charge nurse of the
cardiac unit?
1. The UAP is instructed to bathe the client who is on telemetry.
2. The UAP is requested to obtain a bedside glucometer reading.
3. The UAP is asked to assist with a portable chest x-ray.
4. The UAP is told to feed a client who is dysphagic.
4. The UAP is told to feed a client who is dysphagic.
The nurse and the UAP enter the client's room and discover that the client is
unresponsive. Which action, according to the American Heart Association (AHA)
guidelines, should the nurse assign to the UAP first?
1. Ask the UAP to check whether the client is asleep.
2. Tell the UAP to perform cardiac compressions.
3. Instruct the UAP to get the crash cart.
4. Request the UAP to put the client in a recumbent position.
3. Instruct the UAP to get the crash cart.
The cardiac clinic nurse has told the female unlicensed assistive personnel (UAP)
twice to change the sharps container in the examination room, but it has not been
changed. Which action should the nurse implement first?
1. Tell the UAP to change it immediately.
2. Ask the UAP why the sharps container has not been changed.
,3. Change the sharps container as per clinic policy.
4. Document the situation and place a copy of the documentation in the employee file.
3. Change the sharps container as per clinic policy.
The client on telemetry is showing ventricular tachycardia. Which action should the
telemetry nurse delegate to the unlicensed assistive personnel (UAP)?
1. Have the UAP call the operator and announce the code.
2. Tell the UAP to answer the other call lights on the unit.
3. Send the UAP to the room to start rescue breaths.
4. Ask the family to step out of the room during the code.
2. Tell the UAP to answer the other call lights on the unit
The intensive care unit nurse and a UAP are caring for a client who has had a
coronary artery bypass graft (CABG). Which nursing task should the nurse assign
to the UAP?
1. Monitor the client's arterial blood gases.
2. Re-infuse the client's blood using the cell saver.
3. Assist the client to take a sponge bath.
4. Change the client's saturated leg dressing.
3. Assist the client to take a sponge bath
The clinic nurse is making assignments to the staff. Which assignment/delegation is
most appropriate?
1. Request the LPN to escort the client to the examination room.
2. Ask the unlicensed assistive personnel (UAP) to prepare the room for the next client.
3. Instruct the RN to administer the tetanus shot to the client.
4. Tell the clinic secretary to call in a new prescription for a client.
2. Ask the unlicensed assistive personnel (UAP) to prepare the room for the next client
Which action by the unlicensed assistive personnel (UAP) indicates to the nurse the
UAP understands the correct procedure for applying compression stockings to the
client recovering from a pulmonary embolus?
1. The UAP instructs the client to sit in the chair when applying the stockings.
2. The UAP cannot insert one finger under the proximal end of the stocking.
3. The UAP ensures the toe opening is placed on the top side of the feet.
4. The UAP checked to make sure the client's toes were warm after putting the
stockings on.
, 4. The UAP checked to make sure the client's toes were warm after putting the
stockings on.
The nurse observes an LPN crushing nifedipine (Procardia XL) before administering
the medication to a client with arterial hypertension who has difficulty swallowing
pills. Which intervention should the nurse implement first?
1. Tell the LPN to take the client's blood pressure.
2. Take no action since this is appropriate behaviour.
3. Show the LPN where to find pudding for the client.
4. Tell the LPN this medication cannot be crushed.
4. Tell the LPN this medication cannot be crushed
The nurse is caring for clients on a vascular unit. Which nursing task is most appropriate
to delegate to an unlicensed assistive personnel (UAP)?
1. Tell the UAP to obtain the glucometer reading of the client who is dizzy and
lightheaded.
2. Request the UAP to elevate the feet of the client with chronic venous insufficiency.
3. Ask the UAP to take the vital signs of the client who has numbness of the right arm.
4. Instruct the UAP to administer a tap water enema to the client with an aorta aneurysm.
2. Request the UAP to elevate the feet of the client with chronic venous insufficiency
. The unlicensed assistive personnel (UAP) is caring for a client diagnosed with chronic venous
insufficiency. Which action would warrant immediate intervention from the nurse?
1. The UAP assists the client to apply compression stockings.
2. The UAP elevates the client's leg while sitting in the recliner.
3. The UAP assists the client to the bathroom for a.m. care.
4. The UAP is cutting the client's toenails after soaking the client's feet in tepid water.
4. The UAP is cutting the client's toenails after soaking the client's feet in tepid water.
The nurse is working with a licensed practical nurse (LPN) and an unlicensed assistive
personnel (UAP) to care for a group of clients. Which nursing task should not be
delegated or assigned?
1. The routine oral medications for the clients.
2. The bed baths and oral care.
3. Evaluating the client's progress.
4. Transporting a client to dialysis.
3. Evaluating the client's progress.
Assignment Practice Questions with Rationales Verified
and Graded A+ Latest Updated 2026
The charge nurse is making assignments for a 30-bed cardiac unit staffed with three
registered nurses (RNs), three licensed practical nurses (LPNs), and three unlicensed
assistive personnel (UAPs). Which assignment is most appropriate by the charge
nurse?
1. Assign an RN to perform all sterile procedures.
2. Assign an LPN to give all IV medications.
3. Assign an UAP to complete the a.m. care.
4. Assign an LPN to write the care plans.
3. Assign an UAP to complete the a.m. care. -
The primary cardiac nurse is delegating tasks to the unlicensed assistive personnel
(UAP). Which delegation task warrants intervention by the charge nurse of the
cardiac unit?
1. The UAP is instructed to bathe the client who is on telemetry.
2. The UAP is requested to obtain a bedside glucometer reading.
3. The UAP is asked to assist with a portable chest x-ray.
4. The UAP is told to feed a client who is dysphagic.
4. The UAP is told to feed a client who is dysphagic.
The nurse and the UAP enter the client's room and discover that the client is
unresponsive. Which action, according to the American Heart Association (AHA)
guidelines, should the nurse assign to the UAP first?
1. Ask the UAP to check whether the client is asleep.
2. Tell the UAP to perform cardiac compressions.
3. Instruct the UAP to get the crash cart.
4. Request the UAP to put the client in a recumbent position.
3. Instruct the UAP to get the crash cart.
The cardiac clinic nurse has told the female unlicensed assistive personnel (UAP)
twice to change the sharps container in the examination room, but it has not been
changed. Which action should the nurse implement first?
1. Tell the UAP to change it immediately.
2. Ask the UAP why the sharps container has not been changed.
,3. Change the sharps container as per clinic policy.
4. Document the situation and place a copy of the documentation in the employee file.
3. Change the sharps container as per clinic policy.
The client on telemetry is showing ventricular tachycardia. Which action should the
telemetry nurse delegate to the unlicensed assistive personnel (UAP)?
1. Have the UAP call the operator and announce the code.
2. Tell the UAP to answer the other call lights on the unit.
3. Send the UAP to the room to start rescue breaths.
4. Ask the family to step out of the room during the code.
2. Tell the UAP to answer the other call lights on the unit
The intensive care unit nurse and a UAP are caring for a client who has had a
coronary artery bypass graft (CABG). Which nursing task should the nurse assign
to the UAP?
1. Monitor the client's arterial blood gases.
2. Re-infuse the client's blood using the cell saver.
3. Assist the client to take a sponge bath.
4. Change the client's saturated leg dressing.
3. Assist the client to take a sponge bath
The clinic nurse is making assignments to the staff. Which assignment/delegation is
most appropriate?
1. Request the LPN to escort the client to the examination room.
2. Ask the unlicensed assistive personnel (UAP) to prepare the room for the next client.
3. Instruct the RN to administer the tetanus shot to the client.
4. Tell the clinic secretary to call in a new prescription for a client.
2. Ask the unlicensed assistive personnel (UAP) to prepare the room for the next client
Which action by the unlicensed assistive personnel (UAP) indicates to the nurse the
UAP understands the correct procedure for applying compression stockings to the
client recovering from a pulmonary embolus?
1. The UAP instructs the client to sit in the chair when applying the stockings.
2. The UAP cannot insert one finger under the proximal end of the stocking.
3. The UAP ensures the toe opening is placed on the top side of the feet.
4. The UAP checked to make sure the client's toes were warm after putting the
stockings on.
, 4. The UAP checked to make sure the client's toes were warm after putting the
stockings on.
The nurse observes an LPN crushing nifedipine (Procardia XL) before administering
the medication to a client with arterial hypertension who has difficulty swallowing
pills. Which intervention should the nurse implement first?
1. Tell the LPN to take the client's blood pressure.
2. Take no action since this is appropriate behaviour.
3. Show the LPN where to find pudding for the client.
4. Tell the LPN this medication cannot be crushed.
4. Tell the LPN this medication cannot be crushed
The nurse is caring for clients on a vascular unit. Which nursing task is most appropriate
to delegate to an unlicensed assistive personnel (UAP)?
1. Tell the UAP to obtain the glucometer reading of the client who is dizzy and
lightheaded.
2. Request the UAP to elevate the feet of the client with chronic venous insufficiency.
3. Ask the UAP to take the vital signs of the client who has numbness of the right arm.
4. Instruct the UAP to administer a tap water enema to the client with an aorta aneurysm.
2. Request the UAP to elevate the feet of the client with chronic venous insufficiency
. The unlicensed assistive personnel (UAP) is caring for a client diagnosed with chronic venous
insufficiency. Which action would warrant immediate intervention from the nurse?
1. The UAP assists the client to apply compression stockings.
2. The UAP elevates the client's leg while sitting in the recliner.
3. The UAP assists the client to the bathroom for a.m. care.
4. The UAP is cutting the client's toenails after soaking the client's feet in tepid water.
4. The UAP is cutting the client's toenails after soaking the client's feet in tepid water.
The nurse is working with a licensed practical nurse (LPN) and an unlicensed assistive
personnel (UAP) to care for a group of clients. Which nursing task should not be
delegated or assigned?
1. The routine oral medications for the clients.
2. The bed baths and oral care.
3. Evaluating the client's progress.
4. Transporting a client to dialysis.
3. Evaluating the client's progress.
