Delegation questions test whether you know who can safely do what. Practice assigning tasks to RNs, LPNs, and assistive personnel.
Which client should the charge nurse assign to the most experienced RN?
Correct answer: A
The most complex, unstable client with high-alert medications and frequent titration needs the most experienced nurse. The other clients are stable with predictable needs.
Source: ADA. Standards of Care in Diabetes (DKA management)
The charge nurse is making assignments. Which client is most appropriate to assign to an LPN?
Correct answer: C
LPNs care for stable clients with predictable outcomes and can perform sterile procedures such as intermittent catheterization. A new admission with chest pain needs RN assessment, initial discharge teaching on a high-alert drug is an RN responsibility, and a fresh tracheostomy is an unstable, high-risk airway.
Source: NCSBN. National Guidelines for Nursing Delegation (2019); state LPN scope
Which action by an LPN requires the RN to intervene?
Correct answer: D
Initial comprehensive assessment is an RN responsibility. LPNs collect data and reinforce teaching within their scope.
Source: NCSBN. Model Nursing Practice Act and Rules; state nurse practice acts
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