LPN Leadership, Delegation & LPN Scope of Practice 2026/2027
UPDATE
1. Which of the following is considered one of the ‘Five Rights of Delegation’?
A. Right Direction and Communication
B. Right Place
C. Right Cost
D. Right Time
E. N/A
Answer: A
Rationale: The five rights of delegation are: Right Task, Right Circumstance, Right Person,
Right Direction/Communication, and Right Supervision/Evaluation.
2. An LPN is assigning tasks to an Unlicensed Assistive Personnel (UAP). Which
task is most appropriate to delegate?
A. Administering an initial dose of an oral antibiotic
B. Performing a bed bath for a stable patient
C. Assessing a patient’s pain level after surgery
D. Developing a nursing care plan for a new admission
Answer: B
Rationale: UAPs can perform ADLs like bed baths for stable patients. Assessment,
medication administration (initial), and care planning require nursing judgment.
,3. Which leadership style is characterized by a leader who makes all decisions
without consulting the team?
A. Democratic
B. Autocratic
C. Transactional
D. Laissez-faire
Answer: B
Rationale: Autocratic leadership involves a leader who maintains total control and makes
decisions independently, often used in emergency situations.
4. The LPN is working under the supervision of an RN. Who is ultimately
accountable for the overall nursing care of the patient?
A. The LPN
B. The Physician
C. The RN
D. The Hospital Administrator
Answer: C
Rationale: While the LPN is responsible for the tasks they perform, the RN is accountable
for the overall coordination and management of the nursing process and delegation.
5. Which legal document defines the scope of practice for LPNs in a specific
state?
A. The Hospital Policy Manual
B. The Nurse Practice Act
C. The Code of Ethics for Nurses
D. The Patient’s Bill of Rights
Answer: B
Rationale: Each state’s Nurse Practice Act (NPA) establishes the legal boundaries and
scope of practice for licensed nurses.
, 6. An LPN is caring for a patient who is 2 days post-op. Which action falls within
the LPN’s scope of practice regarding patient teaching?
A. Providing the initial education about a new diagnosis
B. Reinforcing teaching previously provided by the RN
C. Creating a teaching plan for a complex diabetic patient
D. Deciding when a patient is ready for discharge teaching
Answer: B
Rationale: LPNs can reinforce teaching that has already been initiated by an RN but
typically do not perform the initial education or create the teaching plan.
7. A nurse leader encourages staff input and values collaboration in decision-
making. This describes which leadership style?
A. Democratic
B. Autocratic
C. Bureaucratic
D. Laissez-faire
Answer: A
Rationale: Democratic leadership (or participative leadership) encourages group
discussion and decision-making through consensus.
8. When delegating a task to a UAP, the LPN must ensure ‘Right Supervision.’
This means:
A. The LPN must monitor, evaluate, and provide feedback on the task
B. The LPN must stand next to the UAP while the task is performed
C. The LPN only needs to check the chart at the end of the shift
D. The RN is the only one who needs to supervise the UAP
Answer: A
Rationale: Right Supervision involves monitoring the performance, intervening if
necessary, and evaluating the outcome of the delegated task.
UPDATE
1. Which of the following is considered one of the ‘Five Rights of Delegation’?
A. Right Direction and Communication
B. Right Place
C. Right Cost
D. Right Time
E. N/A
Answer: A
Rationale: The five rights of delegation are: Right Task, Right Circumstance, Right Person,
Right Direction/Communication, and Right Supervision/Evaluation.
2. An LPN is assigning tasks to an Unlicensed Assistive Personnel (UAP). Which
task is most appropriate to delegate?
A. Administering an initial dose of an oral antibiotic
B. Performing a bed bath for a stable patient
C. Assessing a patient’s pain level after surgery
D. Developing a nursing care plan for a new admission
Answer: B
Rationale: UAPs can perform ADLs like bed baths for stable patients. Assessment,
medication administration (initial), and care planning require nursing judgment.
,3. Which leadership style is characterized by a leader who makes all decisions
without consulting the team?
A. Democratic
B. Autocratic
C. Transactional
D. Laissez-faire
Answer: B
Rationale: Autocratic leadership involves a leader who maintains total control and makes
decisions independently, often used in emergency situations.
4. The LPN is working under the supervision of an RN. Who is ultimately
accountable for the overall nursing care of the patient?
A. The LPN
B. The Physician
C. The RN
D. The Hospital Administrator
Answer: C
Rationale: While the LPN is responsible for the tasks they perform, the RN is accountable
for the overall coordination and management of the nursing process and delegation.
5. Which legal document defines the scope of practice for LPNs in a specific
state?
A. The Hospital Policy Manual
B. The Nurse Practice Act
C. The Code of Ethics for Nurses
D. The Patient’s Bill of Rights
Answer: B
Rationale: Each state’s Nurse Practice Act (NPA) establishes the legal boundaries and
scope of practice for licensed nurses.
, 6. An LPN is caring for a patient who is 2 days post-op. Which action falls within
the LPN’s scope of practice regarding patient teaching?
A. Providing the initial education about a new diagnosis
B. Reinforcing teaching previously provided by the RN
C. Creating a teaching plan for a complex diabetic patient
D. Deciding when a patient is ready for discharge teaching
Answer: B
Rationale: LPNs can reinforce teaching that has already been initiated by an RN but
typically do not perform the initial education or create the teaching plan.
7. A nurse leader encourages staff input and values collaboration in decision-
making. This describes which leadership style?
A. Democratic
B. Autocratic
C. Bureaucratic
D. Laissez-faire
Answer: A
Rationale: Democratic leadership (or participative leadership) encourages group
discussion and decision-making through consensus.
8. When delegating a task to a UAP, the LPN must ensure ‘Right Supervision.’
This means:
A. The LPN must monitor, evaluate, and provide feedback on the task
B. The LPN must stand next to the UAP while the task is performed
C. The LPN only needs to check the chart at the end of the shift
D. The RN is the only one who needs to supervise the UAP
Answer: A
Rationale: Right Supervision involves monitoring the performance, intervening if
necessary, and evaluating the outcome of the delegated task.
