Nursing Exit Exam | Delegation in Nursing Practice | HESI &
NCLEX RN Test Bank | Questions with Rationales
Question 1
A registered nurse (RN) is assigning tasks on a medical-surgical unit. Which task can be safely
delegated to a nursing assistive personnel (UAP)?
A. Assisting a stable post-op client with ambulation
B. Administering oral pain medication to a client with new orders
C. Performing initial assessment of a newly admitted client
D. Evaluating a client’s response to IV antibiotics
Correct Answer: A
Rationale:
UAPs may perform activities of daily living (ADLs) for stable clients. Tasks that require
assessment, evaluation, or medication administration require RN judgment.
Why the others are not correct:
A. Correct — ambulation assistance is within UAP scope.
B. Medication administration requires licensed personnel.
C. Initial assessment is an RN responsibility.
D. Evaluation of IV therapy response requires RN clinical judgment.
Question 2
Which task can an RN delegate to a licensed practical nurse (LPN)?
A. Administering scheduled oral medications to stable clients
B. Performing comprehensive admission assessments
C. Teaching a client how to self-administer insulin
D. Evaluating a client’s response to new IV medications
Correct Answer: A
Rationale:
LPNs can administer routine medications to stable clients. Initial assessments, teaching, and
evaluation of new medications require RN judgment.
Why the others are not correct:
A. Correct — routine medication administration is safe for LPN.
B. Comprehensive assessments require RN critical thinking.
, C. Teaching requires RN assessment skills.
D. Evaluation requires RN judgment.
Question 3
A UAP reports a client is stumbling while ambulating. What should the RN do first?
A. Immediately assist the client to prevent a fall
B. Continue with routine care
C. Ask the UAP to document only
D. Encourage the client to walk again
Correct Answer: A
Rationale:
Loss of balance is an immediate safety concern. RN intervention is required to prevent falls.
Why the others are not correct:
A. Correct — prioritize client safety.
B. Delaying intervention is unsafe.
C. Documentation alone does not prevent injury.
D. Encouraging walking could cause harm.
Question 4
An RN is delegating tasks on a medical-surgical unit. Which client assignment is appropriate for
a UAP?
A. Assisting a stable client with feeding and hygiene
B. Assessing for new neurological deficits
C. Administering oral hypoglycemic medication
D. Performing wound assessment on a post-op client
Correct Answer: A
Rationale:
UAPs can perform basic care tasks for stable clients. Tasks requiring assessment, medication
administration, or evaluation must be performed by an RN or LPN.
Why the others are not correct:
A. Correct — assisting with ADLs is appropriate.
B. Assessment requires RN judgment.
C. Medications must be administered by licensed personnel.
D. Wound assessment requires RN skill.
NCLEX RN Test Bank | Questions with Rationales
Question 1
A registered nurse (RN) is assigning tasks on a medical-surgical unit. Which task can be safely
delegated to a nursing assistive personnel (UAP)?
A. Assisting a stable post-op client with ambulation
B. Administering oral pain medication to a client with new orders
C. Performing initial assessment of a newly admitted client
D. Evaluating a client’s response to IV antibiotics
Correct Answer: A
Rationale:
UAPs may perform activities of daily living (ADLs) for stable clients. Tasks that require
assessment, evaluation, or medication administration require RN judgment.
Why the others are not correct:
A. Correct — ambulation assistance is within UAP scope.
B. Medication administration requires licensed personnel.
C. Initial assessment is an RN responsibility.
D. Evaluation of IV therapy response requires RN clinical judgment.
Question 2
Which task can an RN delegate to a licensed practical nurse (LPN)?
A. Administering scheduled oral medications to stable clients
B. Performing comprehensive admission assessments
C. Teaching a client how to self-administer insulin
D. Evaluating a client’s response to new IV medications
Correct Answer: A
Rationale:
LPNs can administer routine medications to stable clients. Initial assessments, teaching, and
evaluation of new medications require RN judgment.
Why the others are not correct:
A. Correct — routine medication administration is safe for LPN.
B. Comprehensive assessments require RN critical thinking.
, C. Teaching requires RN assessment skills.
D. Evaluation requires RN judgment.
Question 3
A UAP reports a client is stumbling while ambulating. What should the RN do first?
A. Immediately assist the client to prevent a fall
B. Continue with routine care
C. Ask the UAP to document only
D. Encourage the client to walk again
Correct Answer: A
Rationale:
Loss of balance is an immediate safety concern. RN intervention is required to prevent falls.
Why the others are not correct:
A. Correct — prioritize client safety.
B. Delaying intervention is unsafe.
C. Documentation alone does not prevent injury.
D. Encouraging walking could cause harm.
Question 4
An RN is delegating tasks on a medical-surgical unit. Which client assignment is appropriate for
a UAP?
A. Assisting a stable client with feeding and hygiene
B. Assessing for new neurological deficits
C. Administering oral hypoglycemic medication
D. Performing wound assessment on a post-op client
Correct Answer: A
Rationale:
UAPs can perform basic care tasks for stable clients. Tasks requiring assessment, medication
administration, or evaluation must be performed by an RN or LPN.
Why the others are not correct:
A. Correct — assisting with ADLs is appropriate.
B. Assessment requires RN judgment.
C. Medications must be administered by licensed personnel.
D. Wound assessment requires RN skill.
