ELSEVIER ADAPTIVE 2026 TEST PAPER QUESTIONS AND
ANSWERS GRADED A+
✔✔While organizing a community health care program for polio vaccinations, the
registered nurse delegates the task of administering vaccines to the members of the
health care team. Who among the health care team is most suitable to carry out the
task?
a. Technician
b. Patient care associate
c. Certified nursing aide
d. Licensed practical nurse - ✔✔d. Licensed practical nurse
*The licensed practical nurse can be delegated the task of administering oral
medications or vaccines.* Technicians, patient care associates, and certified nursing
aides are unlicensed assistive personnel who are not appropriate for delegation of tasks
such as administering medication or vaccines as per the delegation rights. The scope of
practice for unlicensed assistive personnel providing client care is limited to providing
basic care, comfort, and hygiene.
✔✔8. Which professionals in a healthcare organization can be delegators?
a. Assistants
b. Technicians
c. Registered nurses
d. Client care associates - ✔✔c. Registered nurses
*Registered nurses are professionals in a healthcare organization who can be
delegators. The registered nurses allocate a portion of work related to client care to
other individuals.* Assistants, technicians, and client care associates in a healthcare
organization can be delegatees.
✔✔A healthcare team is caring for a client with dental pain. Which task is most suitable
to be delegated to unlicensed assistive personnel (UAP) to provide effective client care?
a. Administering analgesics
b. Administering intravenous antibiotics
c. Administering nerve block anesthesia
d. Administering mouth wash for oral hygiene - ✔✔d. Administering mouth wash for oral
hygiene
*The UAP scope of practice includes administering mouth wash to the client.*
Instructing the UAP to administer medications such as antibiotics and anesthetics is
inappropriate because the UAP is not eligible to do so and may not have the knowledge
to administer medications. Administering nerve block anesthesia should be performed
by the anesthesiologist.
,✔✔Which team member is most accountable when delegating a task to the healthcare
team?
a. Certified technician
b. Registered nurse (RN)
c. Licensed practical nurse (LPN)
d. Unlicensed assistive personnel (UAP) - ✔✔b. Registered nurse (RN)
*The registered nurse (RN) on the healthcare team is most accountable when
delegating a task to the team. *The certified technician on the healthcare team is
responsible for the assigned task. Similarly, the LPN and UAP are also responsible for
the assigned task.
✔✔Which component of delegation is retained while the delegator is delegating the
client's care task to the nursing aide?
a. Authority
b. Supervision
c. Responsibility
d. Accountability - ✔✔d. Accountability
*Accountability is retained by the delegator while delegating a client's care task to the
nursing aide.* Every individual on the healthcare team has authority for the delegated
task. The nursing aide is just responsible for the delegated task, so the delegator retains
the accountability. Supervision is a right of delegation.
✔✔What entity outlined the principles of delegation for registered nurses?
a. Nurse Practice Act
b. Multilevel nursing model
c. American Nurses Association (ANA)
d. National Council of State Boards of Nursing (NCSBN) - ✔✔c. American Nurses
Association (ANA)
*The ANA outlined the principles of delegation for registered nurses.* The Nurse
Practice Act of each state examines the value of unlicensed personnel in client care
delivery and declares that the importance of delegation decisions is the safety and
welfare of the public. The multilevel nursing model consists of registered nurses,
licensed practical nurses, and unlicensed nursing professionals. The National Council of
State Boards of Nursing (NCSBN) stated that the state boards of nursing should
regulate nursing assistive personnel across multiple settings.
✔✔Who is accountable for the ongoing evaluation of a client's care?
a. Registered nurse (RN)
b. Chief nursing officer (CNO)
c. Licensed practical nurse (LPN)
d. Unlicensed nursing personnel (UNP) - ✔✔a. Registered nurse (RN)
,*Registered nurses are accountable for the initial assessment and the ongoing
evaluation of a client's care.* CNOs are accountable for establishing systems to
communicate competency requirements related to delegation. The LPN directly
provides care to the client. UNPs provide client care under the supervision of a
registered nurse.
✔✔Who would the registered nurse state is accountable for establishing systems to
communicate competency requirements related to delegation?
a. Registered nurse (RN)
b. Chief nursing officer (CNO)
c. Licensed practical nurse (LPN)
d. Unlicensed assistive personnel (UAP) - ✔✔b. Chief nursing officer (CNO)
*CNOs are accountable for establishing systems to communicate competency related to
delegation.* The registered nurse delegates the task to LPN and UAP. In delegation,
the RN implements in clinical practice to improve the safety and quality of client care.
LPNs provide direct care to the client. UAP provide direct care to the client under the
supervision of the registered nurse who retains accountability for client care outcomes.
✔✔Who functions as a liaison between team leaders and other healthcare providers?
a. Charge nurse
b. Registered nurse
c. Nursing manager
d. Chief nursing officer - ✔✔a. Charge nurse
*The charge nurse functions as a liaison between team leaders and other healthcare
providers.* Registered nurses function as accountable and responsible people for
delegated tasks. Nursing managers are responsible for more than one unit and have
other managerial responsibilities. Chief nursing officers are accountable for establishing
systems to assess, monitor, verify, and communicate competency requirements related
to delegation.
✔✔What is the role of unlicensed assistive personnel in intravenous (IV) therapy for a
client?
a. Monitoring clinical manifestations
b. Collecting the data to be used in the assessment of the IV site
c. Administering IV fluids and medications
d. Evaluating the client for clinical manifestations - ✔✔a. Monitoring clinical
manifestations
In IV therapy the role of the registered nurse is to collect the data that can be used in
the assessment of the IV site. *Monitoring clinical manifestation is performed by the
unlicensed assistive professional and report to the RN.* Administering IV fluids and
medications is done by a registered nurse or LPN. Evaluating the client for clinical
manifestations is performed by the registered nurse.
, ✔✔17. What is the status of the unit secretary as a member of the healthcare team,
which is in the span of control of a registered nurse (RN)?
a. Devoid of legal authority
b. Answerable to the nurse manager
c. Answerable to the registered nurse
d. Devoid of performing non-medical tasks - ✔✔a. Devoid of legal authority
*A unit secretary is a member of the healthcare team who is devoid of formal
preparation or legal recognition.* RNs or healthcare providers who report to a
designated delegator, such as a nurse manager, are answerable to the nurse manager.
Members with dependent status such as unlicensed assistive personnel (UAP) and the
licensed practical nurse (LPN) and licensed vocational nurse (LVN) who function under
the direction of an RN or physician are answerable to the RN. The unit secretary's role
in the healthcare team is to perform nonmedical tasks.
✔✔Which task can be delegated to the licensed vocational nurse (LVN)? Select all that
apply.
a. Analyzing vital signs
b. Maintaining oral hygiene
c. Administering intravenous drugs
d. Administering oral hypoglycemic agents
e. Administering intramuscular medications - ✔✔d. Administering oral hypoglycemic
agents
e. Administering intramuscular medications
*Licensed vocational nurses and licensed practical nurses are authorized to administer
drugs through oral and intramuscular routes.* Analyzing vital signs should be performed
by the registered nurse. Hygiene maintenance can be delegated to unlicensed nursing
practitioners (UNP). Administering intravenous drugs should be done by the registered
nurse.
✔✔Which questions should the delegator assess to determine the right task? Select all
that apply.
a. "Is the task legally appropriate to delegate?"
b. "Is the environment conducive to completing the task safely?"
c. "Does the delegator provide clear and concise directions for the task?"
d. "Is the task appropriate to delegate based on institutional policies and procedures?"
e. "Does the delegatee have the knowledge and experience to perform the specific task
safely?" - ✔✔a. "Is the task legally appropriate to delegate?"
d. "Is the task appropriate to delegate based on institutional policies and procedures?"
*The delegator has to determine right task by assessing whether the task is legally
appropriate to delegate. The delegator must also check that the task is appropriate to
delegate based on institutional policies and procedures.* The right circumstance can be
assessed by asking, "Is the environment conducive to completing the task safely?" The
ANSWERS GRADED A+
✔✔While organizing a community health care program for polio vaccinations, the
registered nurse delegates the task of administering vaccines to the members of the
health care team. Who among the health care team is most suitable to carry out the
task?
a. Technician
b. Patient care associate
c. Certified nursing aide
d. Licensed practical nurse - ✔✔d. Licensed practical nurse
*The licensed practical nurse can be delegated the task of administering oral
medications or vaccines.* Technicians, patient care associates, and certified nursing
aides are unlicensed assistive personnel who are not appropriate for delegation of tasks
such as administering medication or vaccines as per the delegation rights. The scope of
practice for unlicensed assistive personnel providing client care is limited to providing
basic care, comfort, and hygiene.
✔✔8. Which professionals in a healthcare organization can be delegators?
a. Assistants
b. Technicians
c. Registered nurses
d. Client care associates - ✔✔c. Registered nurses
*Registered nurses are professionals in a healthcare organization who can be
delegators. The registered nurses allocate a portion of work related to client care to
other individuals.* Assistants, technicians, and client care associates in a healthcare
organization can be delegatees.
✔✔A healthcare team is caring for a client with dental pain. Which task is most suitable
to be delegated to unlicensed assistive personnel (UAP) to provide effective client care?
a. Administering analgesics
b. Administering intravenous antibiotics
c. Administering nerve block anesthesia
d. Administering mouth wash for oral hygiene - ✔✔d. Administering mouth wash for oral
hygiene
*The UAP scope of practice includes administering mouth wash to the client.*
Instructing the UAP to administer medications such as antibiotics and anesthetics is
inappropriate because the UAP is not eligible to do so and may not have the knowledge
to administer medications. Administering nerve block anesthesia should be performed
by the anesthesiologist.
,✔✔Which team member is most accountable when delegating a task to the healthcare
team?
a. Certified technician
b. Registered nurse (RN)
c. Licensed practical nurse (LPN)
d. Unlicensed assistive personnel (UAP) - ✔✔b. Registered nurse (RN)
*The registered nurse (RN) on the healthcare team is most accountable when
delegating a task to the team. *The certified technician on the healthcare team is
responsible for the assigned task. Similarly, the LPN and UAP are also responsible for
the assigned task.
✔✔Which component of delegation is retained while the delegator is delegating the
client's care task to the nursing aide?
a. Authority
b. Supervision
c. Responsibility
d. Accountability - ✔✔d. Accountability
*Accountability is retained by the delegator while delegating a client's care task to the
nursing aide.* Every individual on the healthcare team has authority for the delegated
task. The nursing aide is just responsible for the delegated task, so the delegator retains
the accountability. Supervision is a right of delegation.
✔✔What entity outlined the principles of delegation for registered nurses?
a. Nurse Practice Act
b. Multilevel nursing model
c. American Nurses Association (ANA)
d. National Council of State Boards of Nursing (NCSBN) - ✔✔c. American Nurses
Association (ANA)
*The ANA outlined the principles of delegation for registered nurses.* The Nurse
Practice Act of each state examines the value of unlicensed personnel in client care
delivery and declares that the importance of delegation decisions is the safety and
welfare of the public. The multilevel nursing model consists of registered nurses,
licensed practical nurses, and unlicensed nursing professionals. The National Council of
State Boards of Nursing (NCSBN) stated that the state boards of nursing should
regulate nursing assistive personnel across multiple settings.
✔✔Who is accountable for the ongoing evaluation of a client's care?
a. Registered nurse (RN)
b. Chief nursing officer (CNO)
c. Licensed practical nurse (LPN)
d. Unlicensed nursing personnel (UNP) - ✔✔a. Registered nurse (RN)
,*Registered nurses are accountable for the initial assessment and the ongoing
evaluation of a client's care.* CNOs are accountable for establishing systems to
communicate competency requirements related to delegation. The LPN directly
provides care to the client. UNPs provide client care under the supervision of a
registered nurse.
✔✔Who would the registered nurse state is accountable for establishing systems to
communicate competency requirements related to delegation?
a. Registered nurse (RN)
b. Chief nursing officer (CNO)
c. Licensed practical nurse (LPN)
d. Unlicensed assistive personnel (UAP) - ✔✔b. Chief nursing officer (CNO)
*CNOs are accountable for establishing systems to communicate competency related to
delegation.* The registered nurse delegates the task to LPN and UAP. In delegation,
the RN implements in clinical practice to improve the safety and quality of client care.
LPNs provide direct care to the client. UAP provide direct care to the client under the
supervision of the registered nurse who retains accountability for client care outcomes.
✔✔Who functions as a liaison between team leaders and other healthcare providers?
a. Charge nurse
b. Registered nurse
c. Nursing manager
d. Chief nursing officer - ✔✔a. Charge nurse
*The charge nurse functions as a liaison between team leaders and other healthcare
providers.* Registered nurses function as accountable and responsible people for
delegated tasks. Nursing managers are responsible for more than one unit and have
other managerial responsibilities. Chief nursing officers are accountable for establishing
systems to assess, monitor, verify, and communicate competency requirements related
to delegation.
✔✔What is the role of unlicensed assistive personnel in intravenous (IV) therapy for a
client?
a. Monitoring clinical manifestations
b. Collecting the data to be used in the assessment of the IV site
c. Administering IV fluids and medications
d. Evaluating the client for clinical manifestations - ✔✔a. Monitoring clinical
manifestations
In IV therapy the role of the registered nurse is to collect the data that can be used in
the assessment of the IV site. *Monitoring clinical manifestation is performed by the
unlicensed assistive professional and report to the RN.* Administering IV fluids and
medications is done by a registered nurse or LPN. Evaluating the client for clinical
manifestations is performed by the registered nurse.
, ✔✔17. What is the status of the unit secretary as a member of the healthcare team,
which is in the span of control of a registered nurse (RN)?
a. Devoid of legal authority
b. Answerable to the nurse manager
c. Answerable to the registered nurse
d. Devoid of performing non-medical tasks - ✔✔a. Devoid of legal authority
*A unit secretary is a member of the healthcare team who is devoid of formal
preparation or legal recognition.* RNs or healthcare providers who report to a
designated delegator, such as a nurse manager, are answerable to the nurse manager.
Members with dependent status such as unlicensed assistive personnel (UAP) and the
licensed practical nurse (LPN) and licensed vocational nurse (LVN) who function under
the direction of an RN or physician are answerable to the RN. The unit secretary's role
in the healthcare team is to perform nonmedical tasks.
✔✔Which task can be delegated to the licensed vocational nurse (LVN)? Select all that
apply.
a. Analyzing vital signs
b. Maintaining oral hygiene
c. Administering intravenous drugs
d. Administering oral hypoglycemic agents
e. Administering intramuscular medications - ✔✔d. Administering oral hypoglycemic
agents
e. Administering intramuscular medications
*Licensed vocational nurses and licensed practical nurses are authorized to administer
drugs through oral and intramuscular routes.* Analyzing vital signs should be performed
by the registered nurse. Hygiene maintenance can be delegated to unlicensed nursing
practitioners (UNP). Administering intravenous drugs should be done by the registered
nurse.
✔✔Which questions should the delegator assess to determine the right task? Select all
that apply.
a. "Is the task legally appropriate to delegate?"
b. "Is the environment conducive to completing the task safely?"
c. "Does the delegator provide clear and concise directions for the task?"
d. "Is the task appropriate to delegate based on institutional policies and procedures?"
e. "Does the delegatee have the knowledge and experience to perform the specific task
safely?" - ✔✔a. "Is the task legally appropriate to delegate?"
d. "Is the task appropriate to delegate based on institutional policies and procedures?"
*The delegator has to determine right task by assessing whether the task is legally
appropriate to delegate. The delegator must also check that the task is appropriate to
delegate based on institutional policies and procedures.* The right circumstance can be
assessed by asking, "Is the environment conducive to completing the task safely?" The
