WASHINGTON STATE NURSE DELEGATION
PRACTICE EXAM | QUESTIONS AND ANSWERS |
VERIFIED AND WELL DETAILED ANSWERS PLUS
RATIONALES | GUARANTEED PASS | LATEST EXAM
UPDATE | EXAM PREP | STUDY GUIDE | PRACTICE
TEST | DOWNLOAD INSTANT PDF
1. A registered nurse in Washington State is preparing to delegate a task to a
nursing assistant. Which principle is most important?
A. Delegate only tasks that require clinical judgment
B. Delegate tasks that are within the assistant’s training and scope
C. Delegate all medication administration tasks
D. Delegate only complex procedures
Delegation must align with the UAP’s training, legal scope, and facility policy
while ensuring patient safety.
2. Which task is most appropriate for a nursing assistant?
A. Assessing lung sounds
B. Administering IV push medication
C. Assisting a stable patient with hygiene care
D. Developing a care plan
Basic care tasks for stable patients are appropriate for delegation to nursing
assistants.
3. The nurse delegates vital signs to a nursing assistant. Which situation
requires immediate follow-up?
A. BP 120/80 mmHg
B. Temperature 98.6°F
C. Respiratory rate 8/min
D. Pulse 72 bpm
,A low respiratory rate is abnormal and may indicate respiratory depression
requiring urgent nursing assessment.
4. Which task should NEVER be delegated to unlicensed assistive personnel?
A. Bathing a stable patient
B. Feeding a patient with no swallowing issues
C. Initial patient assessment
D. Measuring intake and output
Assessment requires nursing judgment and cannot be delegated.
5. A nurse delegates ambulation to a nursing assistant. What must the nurse
do?
A. Assume completion will occur
B. Provide clear instructions and evaluate outcome
C. Delegate and leave the unit
D. Avoid follow-up if patient is stable
The nurse remains responsible for ensuring safe delegation and must supervise
and evaluate outcomes.
6. Which patient is most appropriate for delegation of routine care?
A. Unstable post-stroke patient
B. Stable patient recovering from flu
C. Patient with chest pain
D. Patient with active seizures
Stable patients with predictable conditions are appropriate for delegated care.
7. A nursing assistant reports a patient is confused. What should the nurse
do?
,A. Ignore report
B. Assess the patient immediately
C. Ask assistant to monitor only
D. Document without action
Changes in mental status require immediate nursing assessment.
8. Which factor is most important when delegating tasks?
A. Nurse convenience
B. Patient preference only
C. Patient stability and task complexity
D. Time available only
Delegation decisions must prioritize safety, stability, and complexity of care.
9. A nurse delegates blood pressure measurement. Which instruction is most
important?
A. “Report any abnormal readings immediately.”
B. “Do not record results.”
C. “Only measure once a day.”
D. “Guess if unsure.”
Clear communication ensures timely escalation of abnormal findings.
10. Which action demonstrates improper delegation?
A. Assigning stable patient hygiene care
B. Delegating vital signs with instructions
C. Asking assistant to assess pain level
D. Reviewing delegated tasks
Pain assessment requires nursing judgment and cannot be delegated.
, 11. A nurse delegates feeding to a nursing assistant. What must be confirmed
first?
A. Patient allergies
B. Swallowing ability
C. Vital signs
D. IV access
Risk of aspiration must be ruled out before delegating feeding.
12. Which task is appropriate for a nursing assistant in post-operative care?
A. Changing sterile dressings
B. Monitoring surgical drains output trends
C. Assisting with hygiene care
D. Prescribing pain medication
Basic non-sterile supportive care is appropriate for delegation.
13. A nurse delegates a task but does not follow up. This is considered:
A. Appropriate delegation
B. Safe practice
C. Incomplete delegation
D. Independent practice
Delegation requires supervision and evaluation of outcomes.
14. Which patient requires the nurse, not the assistant, to provide care?
A. Stable diabetic patient
B. Patient requiring routine hygiene
C. Patient with unstable oxygen saturation
D. Patient ambulating independently
Unstable patients require licensed nursing assessment and intervention.
PRACTICE EXAM | QUESTIONS AND ANSWERS |
VERIFIED AND WELL DETAILED ANSWERS PLUS
RATIONALES | GUARANTEED PASS | LATEST EXAM
UPDATE | EXAM PREP | STUDY GUIDE | PRACTICE
TEST | DOWNLOAD INSTANT PDF
1. A registered nurse in Washington State is preparing to delegate a task to a
nursing assistant. Which principle is most important?
A. Delegate only tasks that require clinical judgment
B. Delegate tasks that are within the assistant’s training and scope
C. Delegate all medication administration tasks
D. Delegate only complex procedures
Delegation must align with the UAP’s training, legal scope, and facility policy
while ensuring patient safety.
2. Which task is most appropriate for a nursing assistant?
A. Assessing lung sounds
B. Administering IV push medication
C. Assisting a stable patient with hygiene care
D. Developing a care plan
Basic care tasks for stable patients are appropriate for delegation to nursing
assistants.
3. The nurse delegates vital signs to a nursing assistant. Which situation
requires immediate follow-up?
A. BP 120/80 mmHg
B. Temperature 98.6°F
C. Respiratory rate 8/min
D. Pulse 72 bpm
,A low respiratory rate is abnormal and may indicate respiratory depression
requiring urgent nursing assessment.
4. Which task should NEVER be delegated to unlicensed assistive personnel?
A. Bathing a stable patient
B. Feeding a patient with no swallowing issues
C. Initial patient assessment
D. Measuring intake and output
Assessment requires nursing judgment and cannot be delegated.
5. A nurse delegates ambulation to a nursing assistant. What must the nurse
do?
A. Assume completion will occur
B. Provide clear instructions and evaluate outcome
C. Delegate and leave the unit
D. Avoid follow-up if patient is stable
The nurse remains responsible for ensuring safe delegation and must supervise
and evaluate outcomes.
6. Which patient is most appropriate for delegation of routine care?
A. Unstable post-stroke patient
B. Stable patient recovering from flu
C. Patient with chest pain
D. Patient with active seizures
Stable patients with predictable conditions are appropriate for delegated care.
7. A nursing assistant reports a patient is confused. What should the nurse
do?
,A. Ignore report
B. Assess the patient immediately
C. Ask assistant to monitor only
D. Document without action
Changes in mental status require immediate nursing assessment.
8. Which factor is most important when delegating tasks?
A. Nurse convenience
B. Patient preference only
C. Patient stability and task complexity
D. Time available only
Delegation decisions must prioritize safety, stability, and complexity of care.
9. A nurse delegates blood pressure measurement. Which instruction is most
important?
A. “Report any abnormal readings immediately.”
B. “Do not record results.”
C. “Only measure once a day.”
D. “Guess if unsure.”
Clear communication ensures timely escalation of abnormal findings.
10. Which action demonstrates improper delegation?
A. Assigning stable patient hygiene care
B. Delegating vital signs with instructions
C. Asking assistant to assess pain level
D. Reviewing delegated tasks
Pain assessment requires nursing judgment and cannot be delegated.
, 11. A nurse delegates feeding to a nursing assistant. What must be confirmed
first?
A. Patient allergies
B. Swallowing ability
C. Vital signs
D. IV access
Risk of aspiration must be ruled out before delegating feeding.
12. Which task is appropriate for a nursing assistant in post-operative care?
A. Changing sterile dressings
B. Monitoring surgical drains output trends
C. Assisting with hygiene care
D. Prescribing pain medication
Basic non-sterile supportive care is appropriate for delegation.
13. A nurse delegates a task but does not follow up. This is considered:
A. Appropriate delegation
B. Safe practice
C. Incomplete delegation
D. Independent practice
Delegation requires supervision and evaluation of outcomes.
14. Which patient requires the nurse, not the assistant, to provide care?
A. Stable diabetic patient
B. Patient requiring routine hygiene
C. Patient with unstable oxygen saturation
D. Patient ambulating independently
Unstable patients require licensed nursing assessment and intervention.
