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NCLEX Practice Questions on Delegation

A Multiple Choice Question on Delegation


Question: Select the client who is best paired with the nursing staff member who can, and should, be delegated the authority to care for this patient.

A) A patient affected with acute unpredictable health needs: Licensed practical nurse
B) A patient with chronic and predictable health needs: Registered nurse
C) A patient with complex long-term needs: Licensed practical nurse
D) A patient with extensive needs related to activities of daily living: Nursing assistant

Answer: The nursing assistant can be delegated the care of patients with extensive needs related to the activities of daily living. In fact, the majority of the nursing assistant's role consists of bathing, grooming, hygiene, dressing, and bed making. Only the Registered Nurse should care for a patient with acute, unpredictable needs or complex-long term needs. The licensed practical nurse is trained to care for patients with chronic health problems and predictable health needs in a structured setting. Therefore, the correct answer is D.

Topics: Scope of practice, Delegation, Management
Nursing Process: Nursing Process
NCLEX Category: Management of Care
Nurse Types: RN

References: Lillis, C., Lynn, P., & Taylor, C. (2015). Nurse Leader, Manager, and Care Coordinator In Fundamentals of Nursing (p. 520). (8th ed). Philadelphia, Pa: Wolters Kluwer Health | Lippincott Williams & Wilkins.




A Select All That Apply (SATA) Question on Delegation


Question: You are delegating patient care to your team. Which tasks can the nursing assistant and patient care technician do?

A) Perform heights and weights for new admissions
B) Observe and assess patient changes
C) Perform non-pharmacological comfort measures
D) Establish expected outcomes of care
E) Document care that was rendered
F) Apply a wound dressing with a topical ointment
G) Apply a dressing without a topical ointment

Answer: Unlicensed assistive personnel, like nursing assistants and patient-care technicians, can provide some aspects of direct and indirect patient care. They can perform heights and weights for all patients, including new admissions; they can administer non-pharmacological comfort measures, like backrubs; they can, and should, document care that they provided. Unlicensed assistive personnel can observe and report, but they do not assess. They also do not establish expected outcomes or care or apply any wound dressings, with or without topical ointments. Therefore, the correct answer is ACE.

Topics: Delegation, Scope of practice, Management
Nursing Process: Nursing Process
NCLEX Category: Management of Care
Nurse Types: RN

References: Lillis, C., Lynn, P., & Taylor, C. (2015). Nurse Leader, Manager, and Care Coordinator In Fundamentals of Nursing (p. 520). (8th ed). Philadelphia, Pa: Wolters Kluwer Health | Lippincott Williams & Wilkins.