Exam Review 2026/2027 Expert
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delegation/supervision - ANSWER ✔✔*5 rights*
1. task
2. circumstance
3. person
4. direction and communication
5. supervision and evaluation
,-based on individual client needs, facility policies and job descriptions,
state NPA, professional standards
-consider the individual's education, training, and experience
-RNs can delegate to:
>>other RNs
>>LPNs
>>APs
delegating to AP - ANSWER ✔✔-ADLs
-bathing
-grooming
-dressing
-toileting
-ambulating
-feeding without swallowing precautions
-positioning
-bed making
-VS for stable clients
,-specimen collection
-I&O
>>follow facility policies and stage practice guidelines
right task - ANSWER ✔✔repetitive, requires little supervision, and
relatively noninvasive
right task: AP to assist pt with bedpan and pneumonia
wrong task: delegate AP to administer a nebilizer to a pt with pneumonia
right circumstance - ANSWER ✔✔-assess health status and
complexity of care required by the client
-match the complexity of care demands to the skill level of the health
care team
-consider workload
right circustance: delegate to AP to measure VS on stable pt
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, wrong: delegate AP to measure VS on pt who is post-op and received
naloxone to reverse respiratory depression
right person - ANSWER ✔✔-assess and verify competency of the
health care team member
>>within scope of practice and necessary competence and training
-continual performance reviews
right: delegate a LPN to adminster enteral to a client who has a head
injury
wrong: delegate an AP to adminster enteral feedings to a client who has
a head injury
right direction/communication - ANSWER ✔✔-data that needs to be
collected
-method and time line for reporting (when to report concerns/findings