BSN Midterm Study Guide: Delegation, Pediatrics & EBP Frameworks
2026/2027 UPDATE
1. Which of the following is considered one of the ‘Five Rights of Delegation’?
A. Right Hospital
B. Right Circumstance
C. Right Supervisor
D. Right Documentation
Answer: B
Rationale: The Five Rights of Delegation are Right Task, Right Circumstance, Right Person,
Right Direction/Communication, and Right Supervision/Evaluation.
2. An RN is delegating tasks to a Unlicensed Assistive Personnel (UAP). Which
task is appropriate for the UAP?
A. Assessing a patient’s surgical wound
B. Educating a patient on insulin administration
C. Assisting a stable patient with ambulation
D. Administering oral medications
Answer: C
Rationale: UAPs can perform routine tasks like ambulation for stable patients, while
assessment, education, and medication administration require licensed nursing judgment.
,3. According to Erikson’s stages of psychosocial development, what is the
primary conflict for a child aged 1 to 3 years?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Industry vs. Inferiority
D. Initiative vs. Guilt
Answer: B
Rationale: Toddlers (1-3 years) are in the Autonomy vs. Shame and Doubt stage, focusing
on developing a sense of personal control over physical skills.
4. In the PICO(T) framework for Evidence-Based Practice, what does the ‘I’
represent?
A. Implementation
B. Intervention
C. Information
D. Interpretation
Answer: B
Rationale: PICO(T) stands for Patient/Population, Intervention, Comparison, Outcome,
and Time.
5. Which level of evidence is considered the highest in the hierarchy of
evidence?
A. Expert opinion
B. Case-control studies
C. Single randomized controlled trials (RCTs)
D. Systematic reviews and meta-analyses of RCTs
Answer: D
Rationale: Systematic reviews and meta-analyses of all relevant randomized controlled
trials represent Level 1 evidence, the highest level.
, 6. When delegating to a Licensed Practical Nurse (LPN), which patient is most
appropriate?
A. A patient newly admitted with chest pain
B. A patient requiring complex teaching for a new diagnosis
C. An unstable patient with fluctuating blood pressure
D. A stable patient requiring routine dressing changes
Answer: D
Rationale: LPNs should be assigned stable patients with predictable outcomes; new
admissions and unstable patients require RN assessment.
7. A 4-year-old child is in which of Piaget’s stages of cognitive development?
A. Sensorimotor
B. Concrete Operational
C. Preoperational
D. Formal Operational
Answer: C
Rationale: The Preoperational stage occurs from age 2 to 7 years, characterized by
symbolic thinking and egocentrism.
8. What is the first step in the Evidence-Based Practice process?
A. Search for the best evidence
B. Critically appraise the evidence
C. Integrate evidence with clinical expertise
D. Cultivate a spirit of inquiry
Answer: D
Rationale: Step 0 of EBP is cultivating a spirit of inquiry; Step 1 is asking the clinical
question in PICO format.
2026/2027 UPDATE
1. Which of the following is considered one of the ‘Five Rights of Delegation’?
A. Right Hospital
B. Right Circumstance
C. Right Supervisor
D. Right Documentation
Answer: B
Rationale: The Five Rights of Delegation are Right Task, Right Circumstance, Right Person,
Right Direction/Communication, and Right Supervision/Evaluation.
2. An RN is delegating tasks to a Unlicensed Assistive Personnel (UAP). Which
task is appropriate for the UAP?
A. Assessing a patient’s surgical wound
B. Educating a patient on insulin administration
C. Assisting a stable patient with ambulation
D. Administering oral medications
Answer: C
Rationale: UAPs can perform routine tasks like ambulation for stable patients, while
assessment, education, and medication administration require licensed nursing judgment.
,3. According to Erikson’s stages of psychosocial development, what is the
primary conflict for a child aged 1 to 3 years?
A. Trust vs. Mistrust
B. Autonomy vs. Shame and Doubt
C. Industry vs. Inferiority
D. Initiative vs. Guilt
Answer: B
Rationale: Toddlers (1-3 years) are in the Autonomy vs. Shame and Doubt stage, focusing
on developing a sense of personal control over physical skills.
4. In the PICO(T) framework for Evidence-Based Practice, what does the ‘I’
represent?
A. Implementation
B. Intervention
C. Information
D. Interpretation
Answer: B
Rationale: PICO(T) stands for Patient/Population, Intervention, Comparison, Outcome,
and Time.
5. Which level of evidence is considered the highest in the hierarchy of
evidence?
A. Expert opinion
B. Case-control studies
C. Single randomized controlled trials (RCTs)
D. Systematic reviews and meta-analyses of RCTs
Answer: D
Rationale: Systematic reviews and meta-analyses of all relevant randomized controlled
trials represent Level 1 evidence, the highest level.
, 6. When delegating to a Licensed Practical Nurse (LPN), which patient is most
appropriate?
A. A patient newly admitted with chest pain
B. A patient requiring complex teaching for a new diagnosis
C. An unstable patient with fluctuating blood pressure
D. A stable patient requiring routine dressing changes
Answer: D
Rationale: LPNs should be assigned stable patients with predictable outcomes; new
admissions and unstable patients require RN assessment.
7. A 4-year-old child is in which of Piaget’s stages of cognitive development?
A. Sensorimotor
B. Concrete Operational
C. Preoperational
D. Formal Operational
Answer: C
Rationale: The Preoperational stage occurs from age 2 to 7 years, characterized by
symbolic thinking and egocentrism.
8. What is the first step in the Evidence-Based Practice process?
A. Search for the best evidence
B. Critically appraise the evidence
C. Integrate evidence with clinical expertise
D. Cultivate a spirit of inquiry
Answer: D
Rationale: Step 0 of EBP is cultivating a spirit of inquiry; Step 1 is asking the clinical
question in PICO format.
