The RN is caring for clients with an LPN and AP. Which tasks are appropriate to delegate to the AP? Select all that apply.

A. Teaching a client to use an insulin pen
B. Helping a client with a hip fracture use the bedpan
C. Recording a client's food intake
D. Measuring vital signs on a stable client after a cholecystectomy
E. Monitoring a client who just received the first dose of a new opioid

Show answer and rationale

Correct answers: B, C, D

Routine measurements, toileting help, and recording intake are within the AP role for stable clients. Monitoring response to a first opioid dose and teaching require nursing assessment.

Source: NCSBN & ANA. National Guidelines for Nursing Delegation (2019)

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This question is one of 193 Management of Care items in NCLEXSim. On the NCLEX-RN, this category makes up 15–21% of the exam.

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Study tip

Work every 'who first' item through the same ladder: airway, breathing, circulation; then unstable before stable, acute before chronic, actual before potential.
Delegation: the RN keeps initial assessment, care planning, teaching, evaluation, and any unstable client. LPNs take stable, predictable clients. Assistive personnel take routine tasks such as vital signs on stable clients, hygiene, feeding without swallowing risk, and ambulation.

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The RN is caring for clients with an LPN and AP. Which tasks are appropriate to delegate to the AP? Select all that apply.

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