DELEGATION LEADERSHIP EXAM WITH WELL DETAILED
QUESTION & ANSWERS PERFECTLY A+ GRADED WITH
RATIONALE
What order should the nurse follow during the delegation decision-making process when
delegating client care?
1.Assessing the health needs exhibited by the client
2.Assessing the abilities demonstrated by unlicensed personnel
3.Seeking client care issues
4.Ensuring the stability of the client
5. Monitoring the task
6.Providing feedback to unlicensed personnel CORRECT ANSWER>>>>The delegation
process starts with assessing the health needs of the client and the skills of unlicensed
personnel (UNP). The key component of delegation decision-making is assessing the UNP's
ability to perform the work, including, safety, critical thinking, stability, and time. It is also vital
to make client care decisions at the same time. The nurse has to make sure that the client is
stable and steady to ensure the best care. The greater the stability of a client, the more likely
the UNP can provide safe client care. The nurse should then monitor the task being performed
by the UNP. The nurse should also maintain an open line of communication with the UNP to
seek client care updates and limitations. The nurse should always provide direct feedback to the
UNP for professional growth and development to improve client care outcomes.
The registered nurse (RN) is delegating tasks to several health care team members caring for a
client with a bacterial infection and high fever. Which statements by the registered nurse would
be most appropriate for the licensed practical nurse (LPN)? Select all that apply.
Correct1
,"You should administer an antipyretic after the meal."
2
"You should assess the client's condition."
3
"You should change the bed sheets and dress the client every day."
Correct4
"You should administer prescribed antibiotics to the client twice a day."
Correct5
"You should collect data that can be used in the assessment of client's condition."
CORRECT ANSWER>>>>The delegator can delegate tasks such as administration of
antipyretic for the client who has fever. This particular task should be delegated only to the
licensed nursing personnel, such as LPN. The delegator can delegate the task such as
administration of antiallergic medication to the licensed professional, such as LPN. The RN is
responsible for all the assessments performed, but the UAP or LPN can collect the data that can
be used for the assessment. The RN is responsible for assessing the client's condition. The RN
should delegate basic tasks such as changing the bed sheets and dressing the client to
unlicensed nursing personnel.
Which client's care can the registered nurse (RN) safely delegate to unlicensed nursing
personnel (UNP) based on the given data?
Correct1
Client A, with chronic hypertension and stable vitals
2
Client B, with drainage from diabetic foot
3
Client C, with myocardial infarction due to atherosclerosis
4
,Client D, with foot ulcers from peripheral vascular disease CORRECT
ANSWER>>>>Care of client A can be safely delegated because the chronic hypertension with
stable vitals is not generally associated with any complications. Client B with drainage from
diabetic foot is at a risk of aggravating foot issues, so this client's care cannot be safely
delegated. Client C with myocardial infarction due to atherosclerosis is at a risk of cardiovascular
instability and care should not be delegated. Client D has a risk of foot ulcers due to peripheral
heart disease so this client's care also cannot be safely delegated to the UNP.
The nurse is delegating someone to care for a client with diabetes mellitus. Which instruction
given by the nurse better explains the selling relationship with the delegatee?
1
"Record the client's blood glucose level each morning."
2
"You may approach me for further assistance and questions. Thank you."
3
"I will guide and assist you while you learn how to check the client's blood glucose."
Correct4
"You will take complete care of the client with diabetes and make sure to record the blood
glucose level." CORRECT ANSWER>>>>Selling includes ongoing relationships with an
explanation of the delegated new task. This is better explained in the statement, "You have to
take complete care of the client with diabetes and make sure that you record the blood glucose
level." Telling is ordering the delegate to record the client's blood glucose level each morning.
Delegation, involving established relationships and expertise, is better explained by, "You may
approach me for further assistance and questions. Thank you." Participation is mutual
involvement to accomplish the task. It is better explained by the statement, "I will guide and
assist you while you learn how to check the client's blood glucose."
The nurse is assisting the registered nurse with delegation decisions regarding management of a
client with shortness of breath. Which action by the nurse indicates a need for correction?
1
, Asking questions about the client's respiratory rate
2
Asking the client to perform breathing exercises regularly
3
Administering oxygen to the client with shortness of breath
Correct4
Providing constructive feedback about client care management CORRECT
ANSWER>>>>The nurse may not provide constructive feedback about the client care
management during delegation decisions. The nurse may, however, provide constructive
feedback to the delegatee to maximize the efficiency of the client care.
The registered nurse (RN) is caring for a client who has severe abdominal pain. The RN plans to
work with the assistance of an unlicensed nursing personnel (UNP). The RN starts the client
care. What should the RN consider during the process of active delegation? Select all that apply.
Correct1
Assessing the level of the client's abdominal pain
Correct2
Directing the UNP to assist the client while toileting
3
Advising the client to take pain medication when needed
Correct4
Ensuring that the UNP is accountable for successful completion of the task
5
Explaining to the client about the reason and cause of abdominal pain CORRECT
ANSWER>>>>In active delegation the RN assesses the client's situation to ensure the client is
stable enough to be handed over to the UNP. The RN can then delegate specific basic tasks to
QUESTION & ANSWERS PERFECTLY A+ GRADED WITH
RATIONALE
What order should the nurse follow during the delegation decision-making process when
delegating client care?
1.Assessing the health needs exhibited by the client
2.Assessing the abilities demonstrated by unlicensed personnel
3.Seeking client care issues
4.Ensuring the stability of the client
5. Monitoring the task
6.Providing feedback to unlicensed personnel CORRECT ANSWER>>>>The delegation
process starts with assessing the health needs of the client and the skills of unlicensed
personnel (UNP). The key component of delegation decision-making is assessing the UNP's
ability to perform the work, including, safety, critical thinking, stability, and time. It is also vital
to make client care decisions at the same time. The nurse has to make sure that the client is
stable and steady to ensure the best care. The greater the stability of a client, the more likely
the UNP can provide safe client care. The nurse should then monitor the task being performed
by the UNP. The nurse should also maintain an open line of communication with the UNP to
seek client care updates and limitations. The nurse should always provide direct feedback to the
UNP for professional growth and development to improve client care outcomes.
The registered nurse (RN) is delegating tasks to several health care team members caring for a
client with a bacterial infection and high fever. Which statements by the registered nurse would
be most appropriate for the licensed practical nurse (LPN)? Select all that apply.
Correct1
,"You should administer an antipyretic after the meal."
2
"You should assess the client's condition."
3
"You should change the bed sheets and dress the client every day."
Correct4
"You should administer prescribed antibiotics to the client twice a day."
Correct5
"You should collect data that can be used in the assessment of client's condition."
CORRECT ANSWER>>>>The delegator can delegate tasks such as administration of
antipyretic for the client who has fever. This particular task should be delegated only to the
licensed nursing personnel, such as LPN. The delegator can delegate the task such as
administration of antiallergic medication to the licensed professional, such as LPN. The RN is
responsible for all the assessments performed, but the UAP or LPN can collect the data that can
be used for the assessment. The RN is responsible for assessing the client's condition. The RN
should delegate basic tasks such as changing the bed sheets and dressing the client to
unlicensed nursing personnel.
Which client's care can the registered nurse (RN) safely delegate to unlicensed nursing
personnel (UNP) based on the given data?
Correct1
Client A, with chronic hypertension and stable vitals
2
Client B, with drainage from diabetic foot
3
Client C, with myocardial infarction due to atherosclerosis
4
,Client D, with foot ulcers from peripheral vascular disease CORRECT
ANSWER>>>>Care of client A can be safely delegated because the chronic hypertension with
stable vitals is not generally associated with any complications. Client B with drainage from
diabetic foot is at a risk of aggravating foot issues, so this client's care cannot be safely
delegated. Client C with myocardial infarction due to atherosclerosis is at a risk of cardiovascular
instability and care should not be delegated. Client D has a risk of foot ulcers due to peripheral
heart disease so this client's care also cannot be safely delegated to the UNP.
The nurse is delegating someone to care for a client with diabetes mellitus. Which instruction
given by the nurse better explains the selling relationship with the delegatee?
1
"Record the client's blood glucose level each morning."
2
"You may approach me for further assistance and questions. Thank you."
3
"I will guide and assist you while you learn how to check the client's blood glucose."
Correct4
"You will take complete care of the client with diabetes and make sure to record the blood
glucose level." CORRECT ANSWER>>>>Selling includes ongoing relationships with an
explanation of the delegated new task. This is better explained in the statement, "You have to
take complete care of the client with diabetes and make sure that you record the blood glucose
level." Telling is ordering the delegate to record the client's blood glucose level each morning.
Delegation, involving established relationships and expertise, is better explained by, "You may
approach me for further assistance and questions. Thank you." Participation is mutual
involvement to accomplish the task. It is better explained by the statement, "I will guide and
assist you while you learn how to check the client's blood glucose."
The nurse is assisting the registered nurse with delegation decisions regarding management of a
client with shortness of breath. Which action by the nurse indicates a need for correction?
1
, Asking questions about the client's respiratory rate
2
Asking the client to perform breathing exercises regularly
3
Administering oxygen to the client with shortness of breath
Correct4
Providing constructive feedback about client care management CORRECT
ANSWER>>>>The nurse may not provide constructive feedback about the client care
management during delegation decisions. The nurse may, however, provide constructive
feedback to the delegatee to maximize the efficiency of the client care.
The registered nurse (RN) is caring for a client who has severe abdominal pain. The RN plans to
work with the assistance of an unlicensed nursing personnel (UNP). The RN starts the client
care. What should the RN consider during the process of active delegation? Select all that apply.
Correct1
Assessing the level of the client's abdominal pain
Correct2
Directing the UNP to assist the client while toileting
3
Advising the client to take pain medication when needed
Correct4
Ensuring that the UNP is accountable for successful completion of the task
5
Explaining to the client about the reason and cause of abdominal pain CORRECT
ANSWER>>>>In active delegation the RN assesses the client's situation to ensure the client is
stable enough to be handed over to the UNP. The RN can then delegate specific basic tasks to
