A nursing unit is unusually busy. A nurse considers delegating a task solely to save time, without checking whether the task is appropriate for the patient and team member. Is this a safe basis for delegation?
3 Delegation and Assignment Online Quiz Questions
Use this free practice quiz with 20 questions to review 3 Delegation and Assignment, test your knowledge, and prepare for your next test or exam.
Which nursing role typically performs nursing judgment and interprets findings reported by UAP?
A charge nurse distributes work that each team member is already authorized and competent to perform within their role. This distribution of work is an .
After accepting a delegated task, a team member must carry it out correctly, communicate concerns, and as required.
A team member is given a delegated task but finds the instructions unclear. What should the team member do before proceeding?
A team member accepts a delegated task and then asks a different colleague to perform it instead. Under the delegation guidance, is the team member permitted to pass the task on?
- A
True
- B
False
One RN transfers patient-care responsibility to another RN. Which description best fits this licensed-to-licensed transfer?
- A
The RN is delegating the care responsibility to the other RN.
- B
The RNs are conducting a handoff of patient-care responsibility.
- C
The RN is making an assignment to an unlicensed assistive person.
- D
The RN is delegating nursing judgment to the other RN.
A nurse is checking what activities a team member may perform because role boundaries can vary. Which factors may affect those boundaries? Select all that apply.
- A
The jurisdiction where care is provided
- B
The specific care setting
- C
The team member's education
- D
Applicable facility policy
- E
How busy the unit is
A patient has a new change in condition. Which action should the RN retain rather than delegate to a UAP?
- A
The RN assesses the patient and decides whether the change requires a revised plan of care.
- B
The UAP decides what the finding means and changes the plan of care.
- C
The UAP independently determines whether the patient's condition is unstable.
- D
The RN delegates the assessment so the UAP can make the clinical decision.
An RN needs routine vital signs for a stable patient. Which plan is most appropriate if local requirements and facility policy permit the task?
- A
Ask a competent UAP to obtain the routine measurements and report them promptly, with specific instructions about concerning values or symptoms.
- B
Ask a UAP to obtain measurements and decide independently whether abnormal results require a change in care.
- C
Delegate the task to any available team member without checking competence because the patient is stable.
- D
Ask the UAP to wait until the end of the shift to report the results.
While obtaining routine vital signs, a UAP notices that a patient has become short of breath. Which actions are appropriate? Select all that apply.
- A
The UAP promptly alerts the RN about the new symptom.
- B
The RN reassesses the patient and takes appropriate action.
- C
The RN interprets the findings rather than asking the UAP to diagnose the cause.
- D
The UAP independently changes the patient's plan of care.
- E
The task continues unchanged because vital signs were routine when it began.
A nurse distributes routine work that a team member is already authorized and competent to perform within that person’s role. What is this process called?
- A
Assignment: distributing work a team member is already authorized and competent to perform within their role
- B
Delegation: directing another person to perform a specific activity or responsibility
- C
Handoff: transferring patient-care responsibility from one licensed nurse to another
- D
Assigning work outside a team member’s authorized role
An RN is considering assigning or delegating an activity to an LPN/LVN. Which principle should guide the RN’s decision?
- A
An RN may transfer any nursing responsibility to an LPN/LVN if the LPN/LVN has previously performed it.
- B
An RN must not transfer a responsibility that the LPN/LVN is not legally authorized to perform.
- C
An LPN/LVN may decide independently which responsibilities to accept from an RN.
- D
An LPN/LVN’s authorized scope is the same in every jurisdiction and care setting.
A UAP collects a specified measurement and notices an unusual result. What is the appropriate division of responsibility?
- A
The UAP interprets the findings and changes the plan of care.
- B
The UAP decides whether the observations indicate a need for treatment.
- C
The UAP reports the observations, and the licensed nurse interprets their significance.
- D
The UAP documents the findings without notifying the licensed nurse.
A nurse delegates a task to a competent team member. Which approach best meets the right directions and communication?
- A
Give a general instruction and let the delegatee decide what information is important.
- B
State what to do, what and when to report, and how to document; confirm understanding.
- C
Give instructions only if the delegatee asks for clarification.
- D
Provide documentation guidance after the task is complete.
After a nurse delegates an appropriate task, which statement best describes the nurse’s continuing accountability?
- A
The nurse retains accountability for nursing decisions and the patient’s overall care.
- B
The delegatee assumes accountability for all nursing decisions once the task is accepted.
- C
The nurse is accountable only for giving the task to someone with the correct job title.
- D
The patient’s overall care becomes the delegatee’s responsibility as soon as the task begins.
What is a licensed-to-licensed transfer of patient-care responsibility generally called?
A person who accepts a delegated task may pass it to another team member if that person seems more available.
- A
True
- B
False
Which of the Five Rights of Delegation is addressed by confirming that a delegatee has current, demonstrated competence for the task and patient population?
An RN delegates a routine care task to a trained team member for a stable patient. What should the RN do during and after the task to provide appropriate supervision and evaluate the outcome?