Nursing Delegation Practice Questions

1. Question 1
   • A nurse leader who creates facility delegation policies
   • A licensed nurse who retains responsibility for every task performed by the team
   • Any staff member who is assigned routine non-nursing duties
   • A person who receives a nursing responsibility, is competent to perform it, and verbally accepts it
2. Question 2
   • Delegation is used only when a client is unstable
   • Delegation involves only tasks performed independently by the nurse
   • Delegation transfers a task that is outside the delegatee's traditional role after additional training and competency validation
   • Delegation eliminates the licensed nurse's accountability for the client
3. Question 3
   • Being responsible only for tasks completed by another person
   • Being answerable to oneself and others for one's choices, decisions, and actions against a standard
   • Being permitted to perform any task requested by a nurse leader
   • Being responsible only when a client experiences harm
4. Question 4
   • The licensed nurse who delegated the responsibility
   • The nurse leader only
   • The delegatee
   • The employer's policy committee
5. Question 5
   • Formal delegation
   • A routine assignment
   • Independent nursing judgment
   • Informal role substitution
6. Question 6
   • Transfer accountability to the nurse leader
   • Perform the activity themselves
   • Ask the delegatee to decide whether the task is safe
   • Delegate it and increase the documentation afterward
7. Question 7
   • Performing a validated activity within facility policy
   • Reporting observed information to the licensed nurse
   • Collecting routine data from a stable client
   • Making a nursing judgment about a client's changing condition
8. Question 8
   • The CDC and OSHA
   • The WHO and ANA
   • The Joint Commission and CMS
   • The ANA and NCSBN
9. Question 9
   • Only LPN/VNs and UAPs
   • Only RNs
   • Only APRNs and RNs
   • APRNs, RNs, and LPN/VNs
10. Question 10
    • Neither party remains accountable once the task is accepted
    • Both parties have identical accountability for every aspect of care
    • The nurse retains overall client accountability, while the delegatee is responsible for the delegated activity
    • The delegatee has overall client accountability, while the nurse has task responsibility
11. Question 11
    • The task may still be delegated if the UAP is competent
    • The responsibility cannot be delegated by that nurse
    • The task may be delegated if the client is stable
    • The delegatee's verbal acceptance makes delegation valid
12. Question 12
    • Has the delegatee demonstrated competence?
    • Is the client stable enough for this activity?
    • When will the nurse evaluate the client outcome?
    • Is this activity permitted by written facility policy and applicable practice boundaries?
13. Question 13
    • A client requiring an initial nursing assessment
    • A client needing a new nursing care plan
    • A client whose condition is changing rapidly
    • A stable client with predictable needs
14. Question 14
    • The assistant has performed the task before
    • The task is listed in the assignment sheet
    • The nurse has provided a reporting deadline
    • The client reports a new change in condition
15. Question 15
    • A brief verbal explanation and general healthcare experience
    • A job title matching the client's diagnosis
    • Appropriate knowledge, demonstrated competence, and willingness to accept the task
    • Availability, seniority, and willingness to work overtime
16. Question 16
    • Obtain the specified vital signs using the stated method, complete them by the defined time, and report the results and concerns to me
    • Please handle the client when you have time
    • Take the client's vital signs and report anything unusual
    • Do what you normally do and let me know if you need help
17. Question 17
    • Sure.
    • I heard you.
    • I will handle the client.
    • I will obtain the specified vital signs by 10:00, report the results to you, and ask before making any changes.
18. Question 18
    • Tell the delegatee to use personal judgment
    • Ask another UAP to approve the modification
    • Allow the modification if the delegatee has performed the procedure previously
    • Direct the delegatee to consult the nurse before making changes
19. Question 19
    • Reviewing only whether the delegatee was willing
    • Monitoring the activity, following up, evaluating the client outcome, and ensuring documentation
    • Assuming completion because the task was accepted
    • Transferring follow-up entirely to the delegatee
20. Question 20
    • Whether the unit is busy regardless of client condition
    • Whether the nurse prefers not to perform vital signs
    • Whether the assistant has the longest tenure
    • Whether the client is stable and the assistant is competent
21. Question 21
    • The nurse remains available for questions
    • The nurse identifies client-specific precautions
    • The delegatee repeats the task and reporting deadline
    • The delegatee does not know what information to report or when to report it
22. Question 22
    • Right person
    • Right circumstance
    • Right task
    • Right supervision and evaluation
23. Question 23
    • An initial admission assessment
    • Routine data collection on a stable client
    • Reporting an observed change to the nurse
    • Completing a validated routine activity
24. Question 24
    • Reporting an unusual observation
    • Collecting specified routine data
    • Creating and evaluating a nursing care plan
    • Performing a validated procedure according to policy
25. Question 25
    • Decline acceptance and communicate the training or competency concern
    • Delegate it to another available person
    • Accept it if the unit is short-staffed
    • Accept the task and learn while performing it
26. Question 26
    • Competency is established permanently after a single successful demonstration
    • Competency is determined only by the delegatee's confidence
    • Competency must be maintained because infrequent performance may reduce ability
    • Competency is the sole responsibility of the employer
27. Question 27
    • Ask another delegatee whether it is important
    • Correct the situation independently without informing the nurse
    • Wait until the end of the shift to mention it
    • Communicate the incident promptly to the licensed nurse
28. Question 28
    • The employer alone
    • The client
    • The delegatee
    • The nurse leader alone
29. Question 29
    • Continue without assistance to avoid delay
    • Inform the licensed nurse immediately
    • Wait for the nurse to discover the problem
    • Transfer the task to another person
30. Question 30
    • Complete only the documentation and leave
    • Relinquish the responsibility when requested by the licensed nurse
    • Ask another delegatee to take over
    • Continue because acceptance is irrevocable

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