Effective Delegation and Supervision in Nursing
Test your knowledge of proper nursing delegation and supervision practices with scenarios focused on patient care and safety.
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Quiz Questions & Answers
Review every prompt, the correct responses, and helpful context to prep for your own run-through.
Question 1: The Registered Nurse (RN) is preparing assignments for the shift. Which patient task is appropriate to delegate to the Unlicensed Assistive Personnel (UAP)?
Obtaining a sterile urine specimen from a Foley catheter
Performing the initial assessment on a new admission
Reinforcing teaching on how to use a bedpan
Measuring and recording intake and output (I&O)
Question 2: A post-operative client is 2 hours out from surgery and stable. Which task can the RN safely delegate to the Licensed Practical Nurse (LPN)?
Giving the initial dose of IV push pain medication
Changing the dressing on the surgical incision
Performing the client's discharge teaching checklist
Evaluating the client's pain level and response to medication
Question 3: Which 'Right of Delegation' is violated when an RN asks a UAP to administer a scheduled oral medication?
Right Task
Right Person
Right Circumstance
Right Supervision
Question 4: The RN is reviewing the skills of a new LPN. Which patient should the RN assign to the LPN?
A 45-year-old client admitted with new-onset chest pain
A 68-year-old client with chronic, stable diabetes requiring a scheduled dressing change
A 22-year-old client requiring teaching on a new insulin pump
A 50-year-old client with increasing shortness of breath who is on 100% oxygen
Question 5: The RN is delegating morning vital signs to the UAP for four clients. Which instruction best ensures the 'Right Direction/Communication' of delegation?
Take all the clients' vital signs before 0900
Let me know if any vital signs seem abnormal
Notify me immediately if Client A's systolic BP is under 100 or over 160
Take the vital signs and record them in the chart
Question 6: A UAP reports that a client's pulse rate is 120 beats/minute. The RN finds the UAP caring for another patient. What is the RN's priority action?
Remind the UAP about the importance of reporting abnormal vitals promptly
Check the client's vital signs and perform a focused assessment
Report the UAP to the nurse manager for improper care delivery
Assign the UAP to only stable patients for the remainder of the shift
Question 7: Which task, when delegated to the UAP, requires the most supervision and follow-up from the RN?
Measuring the client's height and weight upon admission
Assisting a client with ambulation using a walker
Transporting a stable client to the radiology department
Feeding a client with no known swallowing issues
Question 8: An LPN asks the RN if they can insert a nasogastric (NG) tube on a newly admitted patient. The RN knows that LPNs are trained to perform this skill. Which Right of Delegation is the RN assessing by checking the LPN's training status?
Right Task
Right Circumstance
Right Person
Right Direction
Question 9: The RN is supervising a UAP who is assisting a client with a shower. Which observation requires the RN to intervene immediately?
The UAP used a gait belt to transfer the client from the bed to the shower chair
The client's call light is out of reach on the counter
The UAP checked the water temperature with their wrist
The UAP is providing privacy by keeping the door closed
Question 10: An RN is collaborating with a Physical Therapist (PT). Which task is most appropriate for the RN to delegate to the PT?
Assisting the client to use crutches for the first time
Teaching the client how to use an adaptive feeding utensil
Evaluating the client's ability to swallow thin liquids
Changing a central line dressing before ambulation