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Delegation Rights/Process
Effective Delegation
Practicing Delegation
Delegate it!
100
Which of the following is not one of the five rights of delegation? A) right person B) right time C) right circumstance D) right direction
What is (B)- Right time
100

After a nurse has delegated a task to another staff member and the work is in process, which of the following would not be part of the supervisory role of the task's performance? A) periodically check in to see that the procedure is done according to the unit’s established procedure B) ask the staff member if the directions were clear enough and be willing to provide more C) if the staff member is having problems completing the task, assist the staff member D) assume that documentation has occurred

What is (D)- assume that the documentation has occured

100
Which of the following factors would not be so critical to consider when deciding if a particular task should be delegated? A) amount of technology required to do the task B) number of RNs on staff that day C) infection control and safety precautions D) outcome is unknown
What is (B)- number of RN's on staff that day
100

TRUE OR FALSE. Two of your patients are in need of a blood transfusion. You can delegate one of the transfusions to the LPN.

False.

200

This must be done by the RN prior to delegating a patients care.

What is assessment? 

200
A nurse who delegates a task is not responsible for the performance of the delegate, but is accountable for how the delegation was done. A) True B) False
What is (A)- true
200
A client has had a tracheostomy for 2 weeks after a motor vehicle accident. Which task could the RN safely delegate to the unlicensed assistive personnel (UAP)? A) Teach the client how to cough up secretions B) Change the tracheostomy ties C) Monitor if the client has SOB D) Perform routine tracheostomy dressing care
What is (B) Change the tracheostomy ties
200

A client admitted for a myocardial infarction is now stable. Appropriate activities to assign to unlicensed personnel would include all the following EXCEPT: A) Teaching about what foods are high in sodium B) Recording intake and output (I/O) C) Assisting with ambulation to the restroom D) Reporting to the nurse that the patient complained of chest pain

A) Teaching about what foods are high in sodium

300

List Tasks prohibited from Delegation

What is Assessment, plan and evaluation of care, education, administration of medication

300

Which tasks delegated to one of the nursing assistants by the new RN needs to be re-evaluated?

A. Apply hydrocortisone cream to eczema on skin after giving the patient a bath.

B. Assist the patient with administering a Fleet Enema.

C. Empty an ostomy bag.

D. Collect and record patient’s blood pressure, heart rate, temperature, oxygen saturation, respirations, and pain rating.

E. Assist a patient with ambulating.

A. Apply hydrocortisone cream to eczema on skin after giving the patient a bath.

B. Assist the patient with administering a Fleet Enema.

300

True or False: An RN delegates to the LPN to administer a scheduled tube feeding to a patient. The RN has now transferred full accountability to the LPN for the task getting done, and the RN is no longer accountable for the task.

What is False?
300

True or False: An RN delegates to the LPN to administer a scheduled tube feeding to a patient. The RN has now transferred full accountability to the LPN for the task getting done, and the RN is no longer accountable for the task.

False. LPN can administer the tube feeding but the RN is still accountable.

400
List the 4 steps in the Delegation Process:
What is 1) Assessment & Planning 2) Communication 3) Surveillance & Supervision 4) Evaluation & Feedback
400

Select all the task you could delegate to a nursing assistant as the RN:

A. Wound dressing change

B. IV flush

C. Collecting vital signs 

D. Weighing a patient 

E. Mouth care 

F. Suctioning a patient

G. Applying oxygen to a patient

H. Connecting a patient to their IV fluids

I. Assisting a patient with a bath 

J. Applying denture paste to dentures

C. Collecting vital signs

D. Weighing a patient

E. Mouth care

I. Assisting a patient with a bath

J. Applying denture past to dentures

400
Which intervention for a patient with a pulmonary embolus could be delegated to the LPN on your patient care team? A) Evaluating the patient's complaint of chest pain B) Monitoring lab values C) Assessing for symptoms of respiratory failure D) Auscultating the lungs for crackles
What is (D)- Auscultating the lungs for crackles Rationale: An LPN who has been trained to auscultate lungs sounds can gather data by routine assessment and observation, under supervision of an RN. Independently evaluating patients, assessing for symptoms of respiratory failure, and monitoring and interpreting laboratory values require additional education and skill, appropriate to the scope of practice of the RN.
400

The RN is planning the client assignments for the day. Which of the following is the most appropriate assignment for the nursing assistant? A) a client requiring colostomy irrigation B) a client receiving continuous tube feedings C) a client who requires urine specimen collections D) a client with difficulty swallowing foods and fluids

C) a client who requires urine specimen collections

500
These are the 5 Rights of Delegation:
What is Right task, Right circumstance, Right person, Right direction/ communication, Right supervision/ evaluation
500

An RN has a critical patient that needs constant monitoring. However, the RN also has other patients in need of care. Which tasks below could the RN delegate to the LPN to help continue the process of patient care? 

A) Admitting & assessing the new admission  

B)Completing the discharge teaching 

C) Updating & evaluating the patient's plan of care

D) Administering subcutaneous Heparin 

E) Obtaining a routine 12-lead EKG

F)Collecting a stool specimen

G)Flushing a central line w/ NS

D) Administering Subcutaneous Heparin

E) Obtaining a routine 12-lead EKG

F)Collecting a stool specimen

500

Which patients below are best assigned to the LPN? 

A. A 30-year-old male patient with active GI bleeding that requires multiple blood transfusions.

B. A 78-year-old female with osteoporosis who needs assistance performing range of motion exercises and ambulating with a walker. 

C. A 29-year-old male patient who is post-op day 6 from a colostomy placement that is on a clear liquid diet. 

D. A 55-year-old male patient who reports chest pain and has ST segment elevation on his EKG.


B. A 78-year-old female with osteoporosis who needs assistance performing range of motion exercises and ambulating with a walker. 

C. A 29-year-old male patient who is post-op day 6 from a colostomy placement that is on a clear liquid diet.

500

A patient with sleep apnea has a nursing diagnosis of Sleep Deprivation related to disrupted sleep cycle. Which action should you delegate to the nursing assistant (PCT)?

A. Discuss weight-loss strategies such as diet and exercise with the patient

B. Teach the patient how to set up the BiPAP machine before sleeping

C. Remind the patient to sleep on his side instead of his back

D. Administer modafinil (Provigil) to promote daytime wakefulness

What is C. Remind the patient to sleep on his side instead of his back