LPN/LVN Delegation, Prioritization & Time Management 2026/2027
UPDATE |SBON
1. Which principle of delegation refers to the nurse providing the right
instructions and descriptions of the task?
A. Right Direction and Communication
B. Right Circumstances
C. Right Supervision
D. Right Task
Answer: A
Rationale: Right Direction and Communication involves giving clear, concise descriptions
of the task, including its objective, limits, and expectations.
2. The LPN is caring for a group of clients. Which client should be seen first?
A. A client with a history of heart failure reporting slight ankle edema
B. A client who had a hip replacement 2 days ago and is requesting pain medication
C. A client with pneumonia who has become suddenly restless and confused
D. A client with diabetes whose morning blood glucose was 150 mg/dL
Answer: C
Rationale: Sudden restlessness and confusion are early signs of hypoxia
(Airway/Breathing), making this client the highest priority.
,3. Which task can the LPN safely delegate to an Unlicensed Assistive Personnel
(UAP)?
A. Updating the nursing care plan for a stable client
B. Suctioning a client with a new tracheostomy
C. Emptying a urinary catheter bag and recording output
D. Teaching a client how to use a glucose monitor
Answer: C
Rationale: UAPs can perform routine tasks such as measuring and recording intake and
output. Assessment, teaching, and complex procedures are the responsibility of licensed
nurses.
4. The nurse is prioritizing care using Maslow’s Hierarchy of Needs. Which client
concern should be addressed first?
A. A client expressing anxiety about their upcoming surgery
B. A client reporting difficulty breathing while lying flat
C. A client who has not had a bowel movement in three days
D. A client requesting a visit from their spiritual advisor
Answer: B
Rationale: Physiological needs, specifically breathing (Airway/Breathing), are the most
basic and highest priority according to Maslow.
5. Who retains the ultimate accountability for the outcome of a delegated
nursing task?
A. The nursing supervisor
B. The nurse who delegated the task
C. The person to whom the task was delegated
D. The facility administrator
Answer: B
, Rationale: While the delegatee is responsible for performing the task, the delegator
(nurse) remains accountable for the overall outcome and supervision.
6. An LPN is assigned to care for four clients. Which client should the nurse
assess first after receiving the change-of-shift report?
A. A client with chronic obstructive pulmonary disease (COPD) with a pulse oximetry of 90%
B. A client scheduled for discharge later in the afternoon
C. A client with a Stage 2 pressure injury requiring a dressing change
D. A client 1 hour post-thyroidectomy reporting tingling in the fingers
Answer: D
Rationale: Tingling in the fingers after a thyroidectomy may indicate hypocalcemia (a
potential surgical complication), which can lead to laryngospasm and airway obstruction.
7. Which of the following is considered one of the ‘Five Rights of Delegation’?
A. Right Compensation
B. Right Person
C. Right Documentation
D. Right Time Management
Answer: B
Rationale: The Five Rights are: Right Task, Right Circumstances, Right Person, Right
Direction/Communication, and Right Supervision/Evaluation.
8. When applying time management skills, which action should the LPN take
first at the start of the shift?
A. Begin morning medication administration
B. Assess all assigned clients and prioritize their needs
C. Complete the most difficult task immediately
D. Document the previous shift’s intake and output
Answer: B
UPDATE |SBON
1. Which principle of delegation refers to the nurse providing the right
instructions and descriptions of the task?
A. Right Direction and Communication
B. Right Circumstances
C. Right Supervision
D. Right Task
Answer: A
Rationale: Right Direction and Communication involves giving clear, concise descriptions
of the task, including its objective, limits, and expectations.
2. The LPN is caring for a group of clients. Which client should be seen first?
A. A client with a history of heart failure reporting slight ankle edema
B. A client who had a hip replacement 2 days ago and is requesting pain medication
C. A client with pneumonia who has become suddenly restless and confused
D. A client with diabetes whose morning blood glucose was 150 mg/dL
Answer: C
Rationale: Sudden restlessness and confusion are early signs of hypoxia
(Airway/Breathing), making this client the highest priority.
,3. Which task can the LPN safely delegate to an Unlicensed Assistive Personnel
(UAP)?
A. Updating the nursing care plan for a stable client
B. Suctioning a client with a new tracheostomy
C. Emptying a urinary catheter bag and recording output
D. Teaching a client how to use a glucose monitor
Answer: C
Rationale: UAPs can perform routine tasks such as measuring and recording intake and
output. Assessment, teaching, and complex procedures are the responsibility of licensed
nurses.
4. The nurse is prioritizing care using Maslow’s Hierarchy of Needs. Which client
concern should be addressed first?
A. A client expressing anxiety about their upcoming surgery
B. A client reporting difficulty breathing while lying flat
C. A client who has not had a bowel movement in three days
D. A client requesting a visit from their spiritual advisor
Answer: B
Rationale: Physiological needs, specifically breathing (Airway/Breathing), are the most
basic and highest priority according to Maslow.
5. Who retains the ultimate accountability for the outcome of a delegated
nursing task?
A. The nursing supervisor
B. The nurse who delegated the task
C. The person to whom the task was delegated
D. The facility administrator
Answer: B
, Rationale: While the delegatee is responsible for performing the task, the delegator
(nurse) remains accountable for the overall outcome and supervision.
6. An LPN is assigned to care for four clients. Which client should the nurse
assess first after receiving the change-of-shift report?
A. A client with chronic obstructive pulmonary disease (COPD) with a pulse oximetry of 90%
B. A client scheduled for discharge later in the afternoon
C. A client with a Stage 2 pressure injury requiring a dressing change
D. A client 1 hour post-thyroidectomy reporting tingling in the fingers
Answer: D
Rationale: Tingling in the fingers after a thyroidectomy may indicate hypocalcemia (a
potential surgical complication), which can lead to laryngospasm and airway obstruction.
7. Which of the following is considered one of the ‘Five Rights of Delegation’?
A. Right Compensation
B. Right Person
C. Right Documentation
D. Right Time Management
Answer: B
Rationale: The Five Rights are: Right Task, Right Circumstances, Right Person, Right
Direction/Communication, and Right Supervision/Evaluation.
8. When applying time management skills, which action should the LPN take
first at the start of the shift?
A. Begin morning medication administration
B. Assess all assigned clients and prioritize their needs
C. Complete the most difficult task immediately
D. Document the previous shift’s intake and output
Answer: B
