NR 465 Final Exam 2026 Expert
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Delegation - ANSWER ✔✔· Reassigning of responsibility for the
performance of a job from one person to another
o Direct- usually is verbal direction, RN decides which staff member can
perform a specific task
o Indirect- contained in approved listing of tasks established by an
institution; permitted tasks mat vary from institution to institution (ex: vital
signs, blood sugar checks as an aid)
Delegation vs. Supervision - ANSWER ✔✔- Supervision is usually
more direct than delegation
,- Requires directly overseeing the work and performance of others and
includes checking in with individuals during the day
- May entail delegation of tasks and activities (nursing manager performs
both)
Vicarious Liability, Respondent Superior - ANSWER ✔✔· Healthcare
organizations are responsible for the acts of its employees
· Failure to delegate/supervise within acceptable standards may be
considered malpractice
Considerations for Delegation - ANSWER ✔✔· Predictability of
outcome= if patient's response to an activity cannot be known with some
certainty it should not be delegation
· Potential for harm= how much risk is involved to the patient due to this
task
· Complexity of task= the greater the complexity of this task the less
likely it should be delegated
· Need for assessment/problem solving= if the problem involves a high
degree of problem solving it should be done by the RN
· Level of patient interaction= don't delegate activities that will interfere
with the nurse/patient relationship
,· Cannot delegate= nursing process (think ADPIE), education, tasks that
require clinical judgement/assessment
Understanding the Role of the LPN - ANSWER ✔✔· Care for stable
patients
· Collection of patient data and report to RN
· Reinforcement of RN education
· Medication administration (must be IV certified in OH, can only
administer certain IV drugs)
· Basic dressing changes
· Administration of enteral feeds
LPNs and IV medications - ANSWER ✔✔· An LPN cannot administer
or maintain blood or blood components, solutions for total parenteral
nutrition, cancer therapeutic medications, medications administered
through any other line that does not run through a peripheral vein
including a central venous line and arterial line, and an IV piggyback
infusion
· An LPN is not able to discontinue medication running through any other
line that does run through the peripheral vein
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, · And LPN cannot begin or stop a peripherally inserted central catheter·
An LPN cannot program or set any function of a patient-controlled
analgesic (PCA) pump
Priority Setting - ANSWER ✔✔· A complex step in the decision-
making process
· Used to rank patient needs, determine order of nursing activities, and
manage resources
· "Critical thinking" supplies the logic within this process
What is priority? - ANSWER ✔✔· Something that is more important
than anything else at a given time
· Could be related to a patient, team, or organization
· These are principles that assist in arranging activities based on
urgency, importance, significance, or preference
Principles of Prioritization- systemic before local - ANSWER ✔✔o
Something affecting the whole body vs. something affecting a specific
area of the body
Principles of Prioritization- acute before chronic - ANSWER ✔✔o
Something that develops very suddenly vs. something that is chronic
and life-long
Verifed Ace the Test
Delegation - ANSWER ✔✔· Reassigning of responsibility for the
performance of a job from one person to another
o Direct- usually is verbal direction, RN decides which staff member can
perform a specific task
o Indirect- contained in approved listing of tasks established by an
institution; permitted tasks mat vary from institution to institution (ex: vital
signs, blood sugar checks as an aid)
Delegation vs. Supervision - ANSWER ✔✔- Supervision is usually
more direct than delegation
,- Requires directly overseeing the work and performance of others and
includes checking in with individuals during the day
- May entail delegation of tasks and activities (nursing manager performs
both)
Vicarious Liability, Respondent Superior - ANSWER ✔✔· Healthcare
organizations are responsible for the acts of its employees
· Failure to delegate/supervise within acceptable standards may be
considered malpractice
Considerations for Delegation - ANSWER ✔✔· Predictability of
outcome= if patient's response to an activity cannot be known with some
certainty it should not be delegation
· Potential for harm= how much risk is involved to the patient due to this
task
· Complexity of task= the greater the complexity of this task the less
likely it should be delegated
· Need for assessment/problem solving= if the problem involves a high
degree of problem solving it should be done by the RN
· Level of patient interaction= don't delegate activities that will interfere
with the nurse/patient relationship
,· Cannot delegate= nursing process (think ADPIE), education, tasks that
require clinical judgement/assessment
Understanding the Role of the LPN - ANSWER ✔✔· Care for stable
patients
· Collection of patient data and report to RN
· Reinforcement of RN education
· Medication administration (must be IV certified in OH, can only
administer certain IV drugs)
· Basic dressing changes
· Administration of enteral feeds
LPNs and IV medications - ANSWER ✔✔· An LPN cannot administer
or maintain blood or blood components, solutions for total parenteral
nutrition, cancer therapeutic medications, medications administered
through any other line that does not run through a peripheral vein
including a central venous line and arterial line, and an IV piggyback
infusion
· An LPN is not able to discontinue medication running through any other
line that does run through the peripheral vein
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, · And LPN cannot begin or stop a peripherally inserted central catheter·
An LPN cannot program or set any function of a patient-controlled
analgesic (PCA) pump
Priority Setting - ANSWER ✔✔· A complex step in the decision-
making process
· Used to rank patient needs, determine order of nursing activities, and
manage resources
· "Critical thinking" supplies the logic within this process
What is priority? - ANSWER ✔✔· Something that is more important
than anything else at a given time
· Could be related to a patient, team, or organization
· These are principles that assist in arranging activities based on
urgency, importance, significance, or preference
Principles of Prioritization- systemic before local - ANSWER ✔✔o
Something affecting the whole body vs. something affecting a specific
area of the body
Principles of Prioritization- acute before chronic - ANSWER ✔✔o
Something that develops very suddenly vs. something that is chronic
and life-long
