DELEGATION NCLEX EXAM
QUESTIONS AND DETAILED
ANSWERS FOR NURSING 2026
You're making the patient assignments for the next shift. On your unit there are
three LPNs, two RNs, and two nursing assistants. Which patients will you assign to
the LPNs?*
A. A 68 year-old male patient who is expected to be discharged home with IV
antibiotic therapy.
B. A 25 year-old female patient newly admitted with diabetic ketoacidosis.
C. A 75 year-old male patient with dementia who has an ileostomy and scheduled
tube feedings.
D. A 65 year-old female patient who has a order to remove the Foley catheter.
Answers are
C and D. The best for the LPNs: these are standard routine procedures the LPN can
perform and these patient cases are stable.
C. A 75 year-old male patient with dementia who has an ileostomy and scheduled
tube feedings.
D. A 65 year-old female patient who has a order to remove the Foley catheter.
As the registered nurse, which tasks below should you NOT delegate to the LPN?*
A. Performing an assessment on a new admission
B. Collecting a urine sample from an indwelling Foley catheter
C. Developing a plan of care for a patient who is admitted with Guillain-Barré
Syndrome
D. Educating a patient about how to monitor for side effects associated with
Warfarin
, E. Auscultating lung and bowel sounds
F. Starting a blood transfusion
G. Administering IV Morphine 2 mg for pain
H. Providing wound care to a stage 3 pressure injury
Answers are
A, C, D, F, G...these are all out of the scope of practice for an LPN. Remember
anything that deals with assessments, educating, evaluating, developing a plan of
care, IV medications, unstable patients, or invasive/complex procedures where
there is unpredictability the RN is responsible for doing it, and these tasks can't be
delegated.
A. Performing an assessment on a new admission
C. Developing a plan of care for a patient who is admitted with Guillain-Barré
Syndrome
D. Educating a patient about how to monitor for side effects associated with
Warfarin
F. Starting a blood transfusion
G. Administering IV Morphine 2 mg for pain
On your unit there are two RNs: one is a new RN while the other is an experienced
RN. In addition, there are three LPNs and two nursing assistants. Which tasks
delegated to one of the nursing assistants by the new RN needs to be re-evaluated?
*
A. Apply hydrocortisone cream to eczema on skin after giving the patient a bath.
B. Assist the patient with administering a Fleet Enema.
C. Empty an ostomy bag.
D. Collect and record patient's blood pressure, heart rate, temperature, oxygen
saturation, respirations, and pain rating.
QUESTIONS AND DETAILED
ANSWERS FOR NURSING 2026
You're making the patient assignments for the next shift. On your unit there are
three LPNs, two RNs, and two nursing assistants. Which patients will you assign to
the LPNs?*
A. A 68 year-old male patient who is expected to be discharged home with IV
antibiotic therapy.
B. A 25 year-old female patient newly admitted with diabetic ketoacidosis.
C. A 75 year-old male patient with dementia who has an ileostomy and scheduled
tube feedings.
D. A 65 year-old female patient who has a order to remove the Foley catheter.
Answers are
C and D. The best for the LPNs: these are standard routine procedures the LPN can
perform and these patient cases are stable.
C. A 75 year-old male patient with dementia who has an ileostomy and scheduled
tube feedings.
D. A 65 year-old female patient who has a order to remove the Foley catheter.
As the registered nurse, which tasks below should you NOT delegate to the LPN?*
A. Performing an assessment on a new admission
B. Collecting a urine sample from an indwelling Foley catheter
C. Developing a plan of care for a patient who is admitted with Guillain-Barré
Syndrome
D. Educating a patient about how to monitor for side effects associated with
Warfarin
, E. Auscultating lung and bowel sounds
F. Starting a blood transfusion
G. Administering IV Morphine 2 mg for pain
H. Providing wound care to a stage 3 pressure injury
Answers are
A, C, D, F, G...these are all out of the scope of practice for an LPN. Remember
anything that deals with assessments, educating, evaluating, developing a plan of
care, IV medications, unstable patients, or invasive/complex procedures where
there is unpredictability the RN is responsible for doing it, and these tasks can't be
delegated.
A. Performing an assessment on a new admission
C. Developing a plan of care for a patient who is admitted with Guillain-Barré
Syndrome
D. Educating a patient about how to monitor for side effects associated with
Warfarin
F. Starting a blood transfusion
G. Administering IV Morphine 2 mg for pain
On your unit there are two RNs: one is a new RN while the other is an experienced
RN. In addition, there are three LPNs and two nursing assistants. Which tasks
delegated to one of the nursing assistants by the new RN needs to be re-evaluated?
*
A. Apply hydrocortisone cream to eczema on skin after giving the patient a bath.
B. Assist the patient with administering a Fleet Enema.
C. Empty an ostomy bag.
D. Collect and record patient's blood pressure, heart rate, temperature, oxygen
saturation, respirations, and pain rating.
