Free Practice Quiz Question List

2 Delegation and Nursing Accountability Online Quiz Questions

Use this free practice quiz with 20 questions to review 2 Delegation and Nursing Accountability, test your knowledge, and prepare for your next test or exam.

20 questions

True or false

1 point

A licensed nurse handing off a patient's care to another licensed nurse is making a transfer of care, not delegating an activity. True or false?

A
True
B
False

Fill in the blank

1 point

Delegation does not transfer the nurse's or authority to another person.

Written response

1 point

A nurse distributes work that is already within each team member's authorized role and scope. What is this distribution of work called?

Choose one

1 point

A task is prohibited by the applicable nurse practice act, but an employer policy permits it. Which principle should guide the licensed nurse?

A
An employer policy can authorize an activity prohibited by law if the delegatee is experienced.
B
An employer policy cannot authorize practice prohibited by law.
C
A nurse's judgment alone determines what activities are legally within scope.
D
A delegatee's willingness to accept a task makes it permissible.

Fill in the blank

1 point

After accepting a delegated activity, the delegatee must not pass the task to .

Written response

1 point

Which of the Five Rights of Delegation concerns whether a delegatee has the required training, competence, and time to perform an activity safely?

True or false

1 point

After a task is delegated, the nurse remains accountable for the delegation decision and the patient's overall nursing care, while the delegatee is responsible for carrying out the accepted activity safely and accurately. True or false?

A
True
B
False

Choose one

1 point

A patient becomes unstable, and the nurse is considering delegating a complex activity. What is the safest course?

A
Delegate the task because the delegatee has completed it before.
B
Delegate the task with instructions to report only at the end of the shift.
C
Retain the activity or seek appropriate assistance because the patient is unstable.
D
Ask the delegatee to assess the patient and decide whether the plan of care should change.

Choose all

1 point

A nurse is preparing to delegate a routine activity. Which actions support the right directions and communication? Select all that apply.

A
Specify what to do, when to do it, what to report, and how to document.
B
Give only a general instruction and let the delegatee decide what findings matter.
C
Confirm that the delegatee understands the directions and accepts the activity.
D
Provide patient-specific instructions about findings that require prompt notification.

Choose one

1 point

A stable patient needs routine vital signs, and a trained assistive personnel member is authorized to obtain them. Which plan best preserves safe delegation?

A
Ask the assistive personnel member to interpret the results and revise the plan of care.
B
Ask the trained assistive personnel member to obtain routine vital signs if permitted, and specify which findings to report promptly.
C
Have the assistive personnel member decide whether the patient's condition is stable enough for care.
D
Delegate the vital signs without stating when or how to report the results.

Choose all

1 point

Before deciding whether a routine activity can be delegated, which factors should the nurse consider? Select all that apply.

A
Consider patient acuity, risk of deterioration, and time sensitivity.
B
Delegate whenever an activity is routine, regardless of workload or supervision.
C
Match the patient's needs to the team member's authorized role and competence.
D
Consider the delegatee's workload and the supervision available.

Written response

1 point

A delegatee reports that a patient has become short of breath during a delegated activity. Which role must reassess the patient and determine the next steps?

Choose one

1 point

Which nursing action best demonstrates active supervision after delegating an activity?

A
Give the instructions and assume the activity is complete unless the delegatee asks a question.
B
Check only that the task was started, without reviewing the outcome.
C
Remain available, monitor as appropriate, respond to changes, and follow up on the activity and patient response.
D
Transfer responsibility for evaluating the patient's response to the delegatee.

Open ended

1 point

A trained assistive personnel member is asked to obtain routine vital signs for a stable patient. Later, the patient becomes short of breath and the measurements are concerning. Explain how the nurse should prepare for the delegation, what the delegatee must do, and which responsibilities remain with the nurse.

True or false

1 point

A handoff of a patient's care between licensed nurses is a form of delegation.

A
True
B
False

Choose one

1 point

A stable patient's routine vital signs are due. A trained assistive personnel member is available, and law and workplace policy permit the task. Which action is most appropriate?

A
Ask trained assistive personnel to obtain routine vital signs, and specify which readings or symptoms require prompt notification.
B
Ask assistive personnel to interpret the vital signs and decide whether to change the care plan.
C
Delegate the vital signs without checking the person's competence because the task is routine.
D
Avoid delegating routine vital signs even when the patient is stable and the task is permitted.

Written response

1 point

Complete the statement: After delegating an activity, the licensed nurse remains accountable for the patient's ____.

Choose one

1 point

When considering the right person for a delegated activity, which factors should the nurse verify?

A
The person who has the least assigned work, regardless of training.
B
Any team member who agrees to perform the activity.
C
A person with the required training, competence, and time to perform the activity safely.
D
A person whose role permits similar tasks, even if they lack competence for this specific activity.

Choose one

1 point

A nurse is delegating an activity that requires specific follow-up. Which approach best meets the right directions and communication?

A
Give a general instruction and let the delegatee decide what results matter.
B
Give patient-specific instructions about what to do, when to do it, what to report, and how to document; then confirm understanding and acceptance.
C
Provide instructions only if the delegatee asks questions.
D
Describe the task but omit reporting expectations so the delegatee can use judgment.

Choose one

1 point

After delegating a task, which nursing action best demonstrates active supervision?

A
Give the instruction and assume the activity is complete unless someone objects.
B
Ask the delegatee to report only if the activity could not be completed.
C
Check the documentation but do not assess the patient's response.
D
Remain available, monitor as appropriate, respond to changes, and follow up on the activity and patient response.