DELEGATION EXAM 2025 QUESTIONS
AND ANSWERS
A nurse from a medical-surgical unit has been asked to work on the orthopedic unit. The
medical-surgical nurse has orthopedic nursing experience. Which client should be assigned to
the medical-surgical unit?
A. a client with a cast for a fractured femur and who has a numbers and discoloration of the
toes
B. a client with balanced skeletal traction and who needs assistance with morning care
C. A client who had an above the knee amputation yesterday and has a temperature of 101.4
D. A client who has a total hip replacement 2 days ago and needs blood glucose monitoring -
ANS D. A client who has a total hip replacement 2 days ago and needs blood glucose
monitoring
A preceptor is working with a new nurse and notes that the new nurse is reluctant to delegate
tasks to members of the care team. Th nurse preceptor recognizes that this reluctance most
likely is due to...
A. role modeling behaviors of the preceptor
B. the philosophy of the new nurse's school of nursing
C. the orientation provided to the new nurse
D. lack of trust in the team members - ANS D. lack of trust in the team members
The measurement and documentation of vital signs is expected for clients in a long term
facility. Which staff type would it be a priority to delegate these tasks to?
A. Practical Nurse (PN)
B. Registered Nurse (RN)
C. Unlicensed Assistive Nursing personnel (UAP)
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, D. Volunteer - ANS C. Unlicensed Assistive Nursing personnel (UAP)
The RN delegates the task of taking vital signs of all the clients on the medical surgical unit to an
unlicensed assistive personnel. Specific written instructions are given to not take a post-
mastectomy client's BP in the left arm. Later as the RN is making rounds, she finds that the BP
cuff is on the client's left arm. Which of these statements is most accurate?
A. The RN has no accountability for this situation
B. The RN did not delegate appropriately
C. The UAP is covered by the RN's license
D. The UAP is responsible for following instructions - ANS D. The UAP is responsible for
following instructions
The nurse in a same-day unit assigns the unlicensed assistive personnel to provide a hernia
patient with a lunch tray. Which statement by the nurse is most appropriate?
A. Tell the family they can bring in a pizza if the patient would prefer that
B. Make sure the patient gets at least 2 cartons of milk
C. Stop the IV if the patient is able to eat solid food
D. Encourage the patient to eat slowly to prevent gas - ANS D. Encourage the patient to eat
slowly to prevent gas
A staff nurse complains to the nurse manager that an UAP consistently leaves the work area
untidy and doss not restock supplies. The best initial response by the nurse manager is which of
these?
A. I will arrange for a conference with you and the UAP within a week
B. I can assure you that I will look into the matter
C. I wold like for you to approach the UAP about the problem the next time it occurs
D. I will add this concern to the agenda for the next unit meeting - ANS C. I wold like for you
to approach the UAP about the problem the next time it occurs
The home care nurse has been managing a client for 6 weeks. What is the best method to
determine the quality of care provided by a home care aide assigned to assist with he care of
this client.
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AND ANSWERS
A nurse from a medical-surgical unit has been asked to work on the orthopedic unit. The
medical-surgical nurse has orthopedic nursing experience. Which client should be assigned to
the medical-surgical unit?
A. a client with a cast for a fractured femur and who has a numbers and discoloration of the
toes
B. a client with balanced skeletal traction and who needs assistance with morning care
C. A client who had an above the knee amputation yesterday and has a temperature of 101.4
D. A client who has a total hip replacement 2 days ago and needs blood glucose monitoring -
ANS D. A client who has a total hip replacement 2 days ago and needs blood glucose
monitoring
A preceptor is working with a new nurse and notes that the new nurse is reluctant to delegate
tasks to members of the care team. Th nurse preceptor recognizes that this reluctance most
likely is due to...
A. role modeling behaviors of the preceptor
B. the philosophy of the new nurse's school of nursing
C. the orientation provided to the new nurse
D. lack of trust in the team members - ANS D. lack of trust in the team members
The measurement and documentation of vital signs is expected for clients in a long term
facility. Which staff type would it be a priority to delegate these tasks to?
A. Practical Nurse (PN)
B. Registered Nurse (RN)
C. Unlicensed Assistive Nursing personnel (UAP)
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, D. Volunteer - ANS C. Unlicensed Assistive Nursing personnel (UAP)
The RN delegates the task of taking vital signs of all the clients on the medical surgical unit to an
unlicensed assistive personnel. Specific written instructions are given to not take a post-
mastectomy client's BP in the left arm. Later as the RN is making rounds, she finds that the BP
cuff is on the client's left arm. Which of these statements is most accurate?
A. The RN has no accountability for this situation
B. The RN did not delegate appropriately
C. The UAP is covered by the RN's license
D. The UAP is responsible for following instructions - ANS D. The UAP is responsible for
following instructions
The nurse in a same-day unit assigns the unlicensed assistive personnel to provide a hernia
patient with a lunch tray. Which statement by the nurse is most appropriate?
A. Tell the family they can bring in a pizza if the patient would prefer that
B. Make sure the patient gets at least 2 cartons of milk
C. Stop the IV if the patient is able to eat solid food
D. Encourage the patient to eat slowly to prevent gas - ANS D. Encourage the patient to eat
slowly to prevent gas
A staff nurse complains to the nurse manager that an UAP consistently leaves the work area
untidy and doss not restock supplies. The best initial response by the nurse manager is which of
these?
A. I will arrange for a conference with you and the UAP within a week
B. I can assure you that I will look into the matter
C. I wold like for you to approach the UAP about the problem the next time it occurs
D. I will add this concern to the agenda for the next unit meeting - ANS C. I wold like for you
to approach the UAP about the problem the next time it occurs
The home care nurse has been managing a client for 6 weeks. What is the best method to
determine the quality of care provided by a home care aide assigned to assist with he care of
this client.
Copyright ©2025 THEBRIGHT ALL RIGHTS RESERVED 2
