Which tasks could the nurse working on a cardiac unit delegate to an unlicensed assistive personnel UAP )?

Chapter 12 Murray Questions

1.

Which aspects are included in how nurses develop nursing judgment? Select all that apply.

1. Academic experience

2. Use of experience to help form an opinion

3. Analysis of information to help arrive at a decision

4. Leadership style

5. Level of administrative experience as opposed to being a staff nurse

Nursing judgment represents a clinical decision process based on analysis of information

supported by education and experience that are used to form an opinion. One's leadership style

and/or the level of administrative experience is not uniquely attached to the formation of nursing

judgment, as nursing judgment rests with the individual nurse rather than being ascribed to the

roles that are performed. Nurses exhibit nursing judgment independent of their leadership style

or the level of their administrative experience.

2.

Which examples represent improper use of delegation in the clinical setting by a registered nurse

[RN], licensed practical nurse [LPN], or unlicensed assistive personnel [UAP]? Select all that

apply.

1. UAP delegating a task to a LPN

2. RN delegating a task to a UAP or a LPN

3. LPN delegating a task to a RN

4. RN delegating a task to a RN

5. UAP delegating a task to a RN

In terms of delegation, a RN can delegate tasks to another RN, LPN, or UAP. LPNs may not

delegate to a RN but can delegate to a UAP. UAPs cannot delegate tasks.

3.

Which actions should not be delegated to a licensed vocational nurse [LPN] on a medical unit in

a hospital setting by a registered nurse [RN]? Select all that apply.

1. Initiating a blood transfusion

2. Inserting a urinary catheter

3. Administering chemotherapy infusion

4. Completing initial admission assessment

5. Performing post-operative dressing changes

Certain tasks cannot be delegated by an RN to a LVN, such as but not limited to initiation of a

blood transfusion, administration of chemotherapy infusions, and completion of an initial

admission assessment. The LVN can perform as a delegated task insertion of a urinary catheter

along with changing of a post-operative dressing.

4.

In this NCLEX guide, we’ll help you review and prepare for prioritization, delegation, and assignment in your nursing exams. For this nursing test bank, improve your prioritization, delegation, and patient assignment skills by exercising with these practice questions. We will also be teaching you test-taking tips and strategies so you can tackle these questions in the NCLEX with ease. The goal of these practice quizzes and reviewers is to help student nurses establish a foundation of knowledge and skills on prioritization, delegation, and assignment.

This section contains the practice questions to exercise your knowledge on nursing prioritization, delegation, and assignment. As with other quizzes, be sure to read and understand the question carefully. For prioritization, delegation, and assignment questions, read each choice carefully before deciding on your answer. Good luck and answer these questions at your own pace. You are here to learn.

Quizzes included in this guide are:

1. Nursing Prioritization, Delegation, Assignment for NCLEX | Quiz #1: 25 Questions
2. Nursing Prioritization, Delegation, Assignment for NCLEX | Quiz #2: 25 Questions
3. Nursing Prioritization, Delegation, Assignment for NCLEX | Quiz #3: 25 Questions
4. Nursing Prioritization, Delegation, Assignment for NCLEX | Quiz #4: 25 Questions

Want a full copy? If you want to print a copy of this quiz, please visit FULL TEXT: Nursing Prioritization, Delegation, and Assignment [100 Questions]

Quiz guidelines:

1. Comprehend each item. Read and understand each question before choosing the best answer. The exam has no time limit so that you can make sense of each item at your own pace.
2. Review your answers. Once you’re done with all the questions, you’ll be redirected to the Quiz Summary table, where you’ll be able to review which questions you’ve answered or may have skipped. Review your answers once more before pressing the Finish Quiz button.
3. Read the rationales. After you have reviewed your answers, click on the Finish Quiz button to record your answers and show your score. Click on the View Questions button to review the quiz and read through the rationales for each question.
4. Let us know your feedback! Comment us your thoughts, scores, ratings, and questions about the quiz in the comments section below.

1. Nursing Prioritization, Delegation, Assignment for NCLEX | Quiz #1: 25 Questions

Nursing Prioritization, Delegation, Assignment for NCLEX | Quiz #1: 25 Questions

Welcome to the first part of your nursing prioritization, delegation, and assignment quiz! Be sure to read the guidelines above before starting, and if you need to review the concepts, feel free to read the reviewer below to learn more about the concept.

1. Nursing Prioritization, Delegation, Assignment for NCLEX | Quiz #1: 25 Questions

Nursing Prioritization, Delegation and Assignment Reviewer for Nurses

This is your guide to help you answer NCLEX priority, delegation, and assignment style questions.

NCLEX Tips for Nursing Prioritization, Delegation, and Assignment questions:

Here are six tips and strategies to help you ace NCLEX questions about delegation, assignment, and prioritization.

1. Do not make decisions based on resolutions

Do not make decisions concerning the management of care issues based on resolutions you may have witnessed during your clinical experience in the hospital or clinic setting. As a student nurse, you are constantly reminded that NCLEX questions are to be solved and responded to in the context of “Ivory Tower Nursing.” That is, if you only had one patient at a time, loads of assistive personnel, countless supplies, and equipment. This is what people mean when they refer to “textbook nursing.” But when you’re in the real world without the time and resources, you adjust. Your clinical rotation in management may have been less than ideal but remember that in NCLEX, the answers to the questions are seen in nursing textbooks or journals. Always bear in mind, “Is this textbook nursing care?”

2. Never delegate the functions of assessment, evaluation and nursing judgment.

Throughout your nursing education, you learned that assessments, nursing diagnosis, establishing expected outcomes, evaluating care and any other tasks and aspects of care including but not limited to those that entail sterile technique, critical thinking, professional judgment, and professional knowledge are the responsibilities of the registered professional nurse. You cannot give these responsibilities to nonprofessional, unlicensed assistive nursing personnel, such as nursing assistants, patient care technicians, and personal care aides.

3. Identify tasks for delegation based on the client’s needs.

Delegate activities for stable patients because some of these needs are relatively predictable and more frequently encountered. These are somewhat routinized and without the need for high levels of professional judgment and skill. But if the patient is unstable, the needs are acute and become unpredictable, ever-changing, and rarely encountered based on the patient’s changing status. These needs should not be delegated.

4. Ensure the appropriate education, skills, and experience of personnel performing delegated tasks.

Delegate activities that involve standard, consistent, and unchanged systems and procedures. The care of a patient with chest tubes and chest drainage can be delegated to either another RN or a licensed practical nurse. Therefore, the authorizing RN must ensure that the nurse is qualified, skilled, and competent to perform this intricate task, observe the patient’s response to this treatment, and ensure that the equipment is operating suitably and accurately.

The care of a stable chronically ill patient who is comparatively stable and more anticipated than a seriously ill and unstable acute patient can be assigned to the licensed practical nurse, and assistance with the activities of daily living and basic hygiene and comfort care can be assigned and delegated to an unlicensed assistive staff member like a nursing assistant or a patient care technician. Activities that frequently occur in daily patient care can be delegated. Bathing, feeding, dressing, and transferring patients are examples.

Procedures that are complex or complicated should not be delegated, especially if the patient is highly unstable.

5. Remember priorities!

Recall and understand Maslow’s Hierarchy of Needs, the ABCs [Airway, Breathing, Circulation], and stable versus unstable. It is necessary to know and understand the priorities when deciding which patient the RN should attend to first. Remember that you can see only one patient or perform one activity when answering questions that require you to establish priorities.

Always keep in mind that improper and inappropriate assignments can lead to inadequate quality of care, unexpected care outcomes, the jeopardization of client safety, and even legal consequences. Right assignment of care to others, including nursing assistants, licensed practical nurses, and other registered nurses, is certainly one of the most significant daily decisions nurses make.

6. Additional Test Taking Tips and Strategies

1. Questions using keywords such as “best,” “essential,” “highest priority,” “primary,” “immediate,” “first,” or “initial response” are asking for your prioritizing skills.
2. Know the patient’s purpose of care, current clinical condition, and outcome of care in order to determine and plan priorities.
3. Identify the priority patient based on the following: patient’s age, day of admission/surgery, or the number of body systems involved.
4. Unlicensed assistive personnel [UAP] such as nurses’ aides, certified nursing assistants, attendants, health aides are not allowed to delegate. Only a registered nurse can delegate tasks. 
5. In some states, Licensed Practical Nurses [LPN] may delegate to a UAP depending on the state nursing practice.   
6. Ensure the appropriate knowledge, skills, and experience of personnel performing the delegated tasks.
7. Do not delegate teaching, assessment, planning, evaluating, and nursing judgment to an unlicensed nurse.
8. A client with an unstable and unpredictable condition cannot be delegated to a UAP’s or LPNs.
9. Delegate tasks that involve standard, simple procedures such as bathing, dressing, feeding, and transferring patients.
10. Student nurses, float nurses, personal assistants, and other personnel may require levels of guidance and supervision.

Nursing Prioritization

Prioritization is deciding which needs or problems require immediate action and which ones could be delayed until later because they are not urgent. In the NCLEX, you will encounter questions that require you to use the skill of prioritizing nursing actions. These nursing prioritization questions are often presented using the multiple-choice format or via ordered-response format. For a review, in an ordered-response question format, you’ll be asked to use the computer mouse to drag and drop your nursing actions in order or priority. Based on the information presented, determine what you’ll do first, second, third, and so forth. Directions are provided with the question. To help you answer nursing prioritization questions, remember the three principles commonly used:

1. Remember ABC’s [airway, breathing, and circulation].

Patients with obvious respiratory problems or interventions to provide airway management are given priority.

2. Maslow’s Hierarchy of Needs

Use Maslow’s hierarchy of needs as a guide to prioritize by determining the order of priority by addressing the physiological needs first.

There are five different levels of Maslow’s hierarchy of needs:

• Physiological Needs. The basic physiological needs have the highest priority and must be met first. Some examples of physiological needs include oxygen, food, fluid, nutrition, shelter, sleep, clothing, and reproduction.
• Safety Needs. Safety can be divided into physical and physiological. These include health, property, employment, security of the environment, and resources.
• Social Needs. These include love, family, friendship, and intimacy.
• Esteem. These include confidence, self-esteem, respect, and achievement.
• Self-actualization. These include creativity, morality, and problem-solving.

3. Using the Nursing Process

The nursing process is a systematic approach to assess and give care to patients. Assessment should always be done first before planning or providing interventions.

Delegation in Nursing

Delegation is the transference of responsibility and authority for an activity to other health care members who are competent to do so. The “delegate” assumes responsibility for the actual performance of the task and procedure. The nurse [delegator] maintains accountability for the decision to delegate and for the appropriateness of nursing care rendered to the patient. The role of a registered nurse also includes delegating care, assigning tasks, organizing and managing care, supervising care delivered by other health care providers while effectively managing time! The NCLEX includes questions related to this unique nursing role of delegation.

5 Rights of Delegation in Nursing

The following are the five rights of delegation in nursing:

• Right Person. The licensed nurse and the employer and the delegatee are responsible for ensuring that the delegatee possesses the appropriate skills and knowledge to perform the activity.
• Right Tasks. The activity falls within the delegatees’ job description or is included as part of the nursing practice settings established written policies and procedures. The facility needs to ensure the policies and procedures describe the expectations and limits of the activity and provide any necessary competency training.
• Right Direction and Communication.
  • Each delegation situation should be specific to the patient, the licensed nurse, and the delegatee.
  • The licensed nurse is expected to communicate specific instructions for the delegated activity to the delegatee; the delegatee should ask any clarifying questions as part of two-way communication. This communication includes any data that needs to be collected, the method for collecting the data, the time frame for reporting the results to the licensed nurse, and additional information pertinent to the situation.
  • The delegatee must understand the terms of the delegation and must agree to accept the delegated activity.
  • The licensed nurse should ensure that the delegatee understands that she or he cannot make any decisions or modifications in carrying out the activity without first consulting the licensed nurse.
• Right Circumstances. The health condition of the patient must be stable. If the patient’s condition changes, the delegatee must communicate this to the licensed nurse, and the licensed nurse must reassess the situation and the appropriateness of the delegation.
• Right Supervision and Evaluation.
  • The licensed nurse is responsible for monitoring the delegated activity, following up with the delegatee at the completion of the activity, and evaluating patient outcomes. The delegatee is responsible for communicating patient information to the licensed nurse during the delegation situation. The licensed nurse should be ready and available to intervene as necessary.
  • The licensed nurse should ensure appropriate documentation of the activity is completed.

Recommended Resources

Recommended books and resources for your NCLEX success:

Disclosure: Included below are affiliate links from Amazon at no additional cost from you. We may earn a small commission from your purchase. For more information, check out our privacy policy.

• Saunders Comprehensive Review for the NCLEX-RN [8th Edition]
  The most comprehensive and complete NCLEX exam review book with over 5,200 NCLEX-style questions that are thoroughly updated to reflect the most recent test plan.
• Saunders Q & A Review for the NCLEX-RN® Examination [8th Edition]
  This popular review offers more than 6,000 test questions, giving you all the Q&A practice you need to pass the NCLEX-RN examination! Each question enhances review by including a test-taking strategy and rationale for correct and incorrect answers.
• NCLEX-RN Prep Plus by Kaplan [24th Edition]
  Kaplan’s NCLEX-RN Prep Plus uses expert critical thinking strategies and targeted sample questions to help you put your expertise into practice and face the exam with confidence.
• Illustrated Study Guide for the NCLEX-RN Exam
  Using colorful illustrations and fun mnemonic cartoons, the Illustrated Study Guide for the NCLEX-RN® Exam, 10th Edition brings the concepts found on the NCLEX-RN to life!
• NCLEX RN Examination Prep Flashcards
  Easy to use flash cards developed by test prep books for test takers trying to achieve a passing score on the NCLEX RN test, these flashcards cover.
• Prioritization, Delegation, and Assignment: Practice Exercises for the NCLEX-RN Examination
  This book is the first and the most popular NCLEX-RN Exam review book focused exclusively on building management-of-care clinical judgment skills.
• Saunders Comprehensive Review for the NCLEX-PN Examination [8th Edition]
  The book includes a review of all nursing content areas, more than 4,500 NCLEX exam-style questions, detailed rationales, test-taking tips and strategies, and new Next-Generation NCLEX [NGN]-style questions.
• More NCLEX review books here.

Recommended Links

An investment in knowledge pays the best interest. Keep up the pace and continue learning with these practice quizzes:

• Nursing Test Bank: Free Practice Questions UPDATED!
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• NCLEX Questions Nursing Test Bank and Review UPDATED!
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Which nursing tasks can the RN delegate to an unlicensed assistive personnel UAP ]?

Which task could the nurse working on a cardiac unit delegate to an unlicensed assistive personnel?

Which tasks would the nurse assign to unlicensed assistive personnel UAP ]?

Which task may be safely delegated to unlicensed assistive personnel UAP ]?