Delegation and Assignment
Test Bank Questions And
Correct Answers (Verified
Answers) Plus Rationales
2025/2026 Q&A | Instant
Download Pdf
1. Which task can a registered nurse (RN) delegate to a licensed
practical nurse (LPN)?
A. Initial assessment of a newly admitted patient
B. Administering a routine oral medication
C. Developing a nursing care plan
D. Performing a comprehensive health history
Rationale: LPNs can administer medications and perform routine care
under RN supervision, but initial assessments and care planning are
RN responsibilities.
2. Which task is appropriate for delegation to a nursing assistant?
A. Administering IV medications
B. Assisting a patient with bathing
C. Performing a focused assessment
D. Initiating a teaching session on disease management
Rationale: Nursing assistants can perform basic hygiene and comfort
tasks but cannot administer medications or perform assessments.
,3. An RN is delegating a task. Which statement demonstrates
proper delegation?
A. "Do this task whenever you feel like it."
B. "Complete the task and report back if it’s difficult."
C. "Perform this procedure now and notify me of any changes in
the patient’s condition."
D. "I’ll assume the patient will be fine without supervision."
Rationale: Delegation requires clear instructions and accountability,
ensuring the delegatee knows to report changes.
4. Which is an essential principle when delegating nursing care?
A. Delegation should only occur if the RN is busy.
B. Only assign tasks to peers with more experience.
C. The RN retains accountability for the outcome of delegated
tasks.
D. Delegation eliminates the RN’s responsibility for the task.
Rationale: The RN remains accountable for all care, even if tasks are
delegated.
5. Which task should not be delegated to an LPN?
A. Administering oral medications
B. Monitoring vital signs
C. Performing an initial admission assessment
D. Assisting with wound care
Rationale: Initial assessments require RN judgment; LPNs can assist
with monitoring and routine procedures.
, 6. A patient is unstable after surgery. Which action should the RN
take?
A. Delegate vital sign checks to an LPN
B. Perform the assessment themselves
C. Assign ambulation to a nursing assistant
D. Delegate the care to a new graduate RN
Rationale: Unstable patients require RN assessment and judgment,
not delegation.
7. What is the primary factor when determining delegation?
A. RN workload
B. Staff preferences
C. Patient condition and complexity of the task
D. Shift schedule
Rationale: Delegation decisions depend on patient needs and task
complexity, not convenience.
8. Which task is appropriate to assign to a nursing assistant?
A. Administering insulin
B. Performing a tracheostomy suction
C. Measuring and recording daily intake and output
D. Evaluating a patient’s response to medication
Rationale: Nursing assistants can measure and document routine
data, not perform clinical interventions.
9. Which statement about delegation is correct?
A. RN responsibility ends after delegation.
B. Delegation can be done to anyone on the healthcare team.
C. Delegation requires matching the right task to the right person.
Test Bank Questions And
Correct Answers (Verified
Answers) Plus Rationales
2025/2026 Q&A | Instant
Download Pdf
1. Which task can a registered nurse (RN) delegate to a licensed
practical nurse (LPN)?
A. Initial assessment of a newly admitted patient
B. Administering a routine oral medication
C. Developing a nursing care plan
D. Performing a comprehensive health history
Rationale: LPNs can administer medications and perform routine care
under RN supervision, but initial assessments and care planning are
RN responsibilities.
2. Which task is appropriate for delegation to a nursing assistant?
A. Administering IV medications
B. Assisting a patient with bathing
C. Performing a focused assessment
D. Initiating a teaching session on disease management
Rationale: Nursing assistants can perform basic hygiene and comfort
tasks but cannot administer medications or perform assessments.
,3. An RN is delegating a task. Which statement demonstrates
proper delegation?
A. "Do this task whenever you feel like it."
B. "Complete the task and report back if it’s difficult."
C. "Perform this procedure now and notify me of any changes in
the patient’s condition."
D. "I’ll assume the patient will be fine without supervision."
Rationale: Delegation requires clear instructions and accountability,
ensuring the delegatee knows to report changes.
4. Which is an essential principle when delegating nursing care?
A. Delegation should only occur if the RN is busy.
B. Only assign tasks to peers with more experience.
C. The RN retains accountability for the outcome of delegated
tasks.
D. Delegation eliminates the RN’s responsibility for the task.
Rationale: The RN remains accountable for all care, even if tasks are
delegated.
5. Which task should not be delegated to an LPN?
A. Administering oral medications
B. Monitoring vital signs
C. Performing an initial admission assessment
D. Assisting with wound care
Rationale: Initial assessments require RN judgment; LPNs can assist
with monitoring and routine procedures.
, 6. A patient is unstable after surgery. Which action should the RN
take?
A. Delegate vital sign checks to an LPN
B. Perform the assessment themselves
C. Assign ambulation to a nursing assistant
D. Delegate the care to a new graduate RN
Rationale: Unstable patients require RN assessment and judgment,
not delegation.
7. What is the primary factor when determining delegation?
A. RN workload
B. Staff preferences
C. Patient condition and complexity of the task
D. Shift schedule
Rationale: Delegation decisions depend on patient needs and task
complexity, not convenience.
8. Which task is appropriate to assign to a nursing assistant?
A. Administering insulin
B. Performing a tracheostomy suction
C. Measuring and recording daily intake and output
D. Evaluating a patient’s response to medication
Rationale: Nursing assistants can measure and document routine
data, not perform clinical interventions.
9. Which statement about delegation is correct?
A. RN responsibility ends after delegation.
B. Delegation can be done to anyone on the healthcare team.
C. Delegation requires matching the right task to the right person.
