CLINICAL NURSING SKILLS AND
TECHNIQUES CERTIFICATION EVALUATION
2026 EXAM SCRIPT FULLY SOLVED
QUESTIONS
◉What is delegating? Answer: transferring the authority and
responsibility to another team member to complete a task, while
retaining the accountability
◉What is supervising? Answer: directing, monitoring, and
evaluating the performance of tasks by another. RNs are responsible
for supervising delegated tasks to an LPN or AP
◉What is appropriate delegation? Answer: the transfer of
responsibility for the performance of a task from one individual to
another while retaining accountability for the outcome, the
individual receiving the assignment is RESPONSIBLE for the
performance of the task, the individual delegating the task retains
ACCOUNTABILITY for the outcome
,◉What is the difference between accountability and responsibility?
Answer: you can delegate responsibility, but you cannot delegate
accountability to anyone
◉What to consider when assigning (client factors)? Answer:
condition of the patient and level of care needed, specific patient
needs or precautions, time commitment
◉What to consider when assigning (health care team)? Answer:
knowledge and skill of team member, amount of supervision
required, nurse to patient ratio, experience with similar patients,
familiarity of staff with unit
◉What are the five rights of delegation? Answer: right
direction/communication, right supervision, right circumstances,
right task, right person
◉What does it mean to have the right direction/communication in
delegation? Answer: clear, concise, correct, and complete initial and
ongoing directions (include time, expectations, follow-up
communication, etc)
◉What does it mean to have the right supervision in delegation?`
Answer: oversee assigned/delegated tasks (huddles/checkpoints-
solicit team members opinion; credit team for accomplishments)
,◉What does it mean to have the right circumstances in delegation?
Answer: long term vs acute vs home health; knowledge and skill of
delegatee, verification of clinical competence, stability of patient's
condition, availability of resources (including human)
◉What does it mean to have the right task in delegation? Answer: is
it safe to delegate? requires little supervision
◉What does it mean to have the right person in delegation?
Answer: license, certification and role description; strengths,
experience, competence?
◉Who can RNs delegate to? Answer: other licensed nurses:
LPN/LVN, RNs
◉Who can Assistive Personnel (AP) delegate to? Answer: CNA or
CMA, monitor techs, dialysis techs, phlebotomists, orderlies/house
attendants, nursing students
LPNs can also delegate to NAPs
◉What do RNs delegate tasks based on? Answer: the needs or
condition of the patient, potential for harm, stability of the patient's
condition, complexity of the task, predictability of the outcome,
abilities of the staff whom the task is delegated
, ◉What can RNs not delegate? Answer: nursing process:
assessment, diagnosis, planning, and evaluation; patient education
(LPNs may reinforce education); tasks that require clinical
judgement critical thinking
◉What are some examples of tasks delegated to LPNs? Answer:
monitoring client findings as input to the RN's ongoing assessment,
reinforcement of client teaching from standard care plan, insertion
of urinary catheter, medication administration (IV meds?) NO
BLOOD ANYTHING
◉What are some examples of tasks delegated to CNAs? Answer:
activities of daily lining (ADLs): bathing, grooming, dressing,
toileting, ambulating, feeding (with swallowing precautions),
positioning, bedmaking; specimen collection (non-sterile), intake
and output, vital signs (on stable clients)
◉What is the ANA Code of Ethics: Provision 7? Answer: "The Nurse,
in all roles and settings, advances the profession through research
and scholarly inquiry, professional standards of development, and
the generation of both nursing and health policy."
◉What is evidence? Answer: up to date information from relevant.
valid research
TECHNIQUES CERTIFICATION EVALUATION
2026 EXAM SCRIPT FULLY SOLVED
QUESTIONS
◉What is delegating? Answer: transferring the authority and
responsibility to another team member to complete a task, while
retaining the accountability
◉What is supervising? Answer: directing, monitoring, and
evaluating the performance of tasks by another. RNs are responsible
for supervising delegated tasks to an LPN or AP
◉What is appropriate delegation? Answer: the transfer of
responsibility for the performance of a task from one individual to
another while retaining accountability for the outcome, the
individual receiving the assignment is RESPONSIBLE for the
performance of the task, the individual delegating the task retains
ACCOUNTABILITY for the outcome
,◉What is the difference between accountability and responsibility?
Answer: you can delegate responsibility, but you cannot delegate
accountability to anyone
◉What to consider when assigning (client factors)? Answer:
condition of the patient and level of care needed, specific patient
needs or precautions, time commitment
◉What to consider when assigning (health care team)? Answer:
knowledge and skill of team member, amount of supervision
required, nurse to patient ratio, experience with similar patients,
familiarity of staff with unit
◉What are the five rights of delegation? Answer: right
direction/communication, right supervision, right circumstances,
right task, right person
◉What does it mean to have the right direction/communication in
delegation? Answer: clear, concise, correct, and complete initial and
ongoing directions (include time, expectations, follow-up
communication, etc)
◉What does it mean to have the right supervision in delegation?`
Answer: oversee assigned/delegated tasks (huddles/checkpoints-
solicit team members opinion; credit team for accomplishments)
,◉What does it mean to have the right circumstances in delegation?
Answer: long term vs acute vs home health; knowledge and skill of
delegatee, verification of clinical competence, stability of patient's
condition, availability of resources (including human)
◉What does it mean to have the right task in delegation? Answer: is
it safe to delegate? requires little supervision
◉What does it mean to have the right person in delegation?
Answer: license, certification and role description; strengths,
experience, competence?
◉Who can RNs delegate to? Answer: other licensed nurses:
LPN/LVN, RNs
◉Who can Assistive Personnel (AP) delegate to? Answer: CNA or
CMA, monitor techs, dialysis techs, phlebotomists, orderlies/house
attendants, nursing students
LPNs can also delegate to NAPs
◉What do RNs delegate tasks based on? Answer: the needs or
condition of the patient, potential for harm, stability of the patient's
condition, complexity of the task, predictability of the outcome,
abilities of the staff whom the task is delegated
, ◉What can RNs not delegate? Answer: nursing process:
assessment, diagnosis, planning, and evaluation; patient education
(LPNs may reinforce education); tasks that require clinical
judgement critical thinking
◉What are some examples of tasks delegated to LPNs? Answer:
monitoring client findings as input to the RN's ongoing assessment,
reinforcement of client teaching from standard care plan, insertion
of urinary catheter, medication administration (IV meds?) NO
BLOOD ANYTHING
◉What are some examples of tasks delegated to CNAs? Answer:
activities of daily lining (ADLs): bathing, grooming, dressing,
toileting, ambulating, feeding (with swallowing precautions),
positioning, bedmaking; specimen collection (non-sterile), intake
and output, vital signs (on stable clients)
◉What is the ANA Code of Ethics: Provision 7? Answer: "The Nurse,
in all roles and settings, advances the profession through research
and scholarly inquiry, professional standards of development, and
the generation of both nursing and health policy."
◉What is evidence? Answer: up to date information from relevant.
valid research
