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3.     A nurse manager is providing an inservice program about delegation to assistive personnel (AP) with staff nurses on the unit. Which of the following statements by a staff nurse indicates an understanding of the teaching?
A.    “The nurse relinquishes accountability for client outcomes when care is delegated to an AP.”
B.    “The AP can provide client education about how to perform basic self-care to the client.”
C.     “The nurse should consider the AP’s level of experience when making delegation decisions.”
D.    “The AP can re-delegate a task to another AP who has similar work experience.”

4.     A charge nurse is reviewing the list of tasks that have been delegated to the assistive personnel (AP) by the staff nurse. Which of the following tasks should the charge nurse reassign to a licensed nurse?
A.    Transporting a client who experienced a stroke 72 hr ago to the radiology department
B.    Providing a back rub to a client who has right-sided paralysis
C.     Removing and cleaning the cannula of a client who has a new tracheostomy
D.    Performing oral hygiene for a client who is 1 day postoperative following an amputation of the right arm

5.     A nurse in a long-term care facility is planning care for several clients. Which of the following activities should the nurse delegate to the licensed practical nurse (LPN)?
A.    Admission assessment of a new client
B.    Scheduling a diagnostic study for a client
C.     Evaluating changes to a client’s pressure ulcer
D.    Teaching a client insulin injection technique

6.     A nurse in an acute care setting is planning care for a group of clients at the beginning of the shift. Which of the following tasks should the nurse assign to the assistive personnel (AP)?
A.    Application of antibiotic ointment to the arm of a client who has dermatitis
B.    Obtaining medical history information from a stable client who is being admitted
C.     Monitoring vital signs of a client who had an appendectomy 12 hr ago
D.    Removal of the nasogastric tube of a client who has been receiving enteral feedings
7.     A charge nurse is making client care assignments. Which of the following tasks should the nurse delegate to assistive personnel (AP)? (Select all that apply.)
A.    Bathe a client who had an amputation 2 days ago.
B.    Assist a client to ambulate using a gait belt.
C.     Review a low-sodium diet for a client who has hypertension.
D.    Explain oral hygiene to a client receiving chemotherapy.
E.     Feed a client who had a stroke 3 months ago.

8.     A nurse on a medical-surgical unit is assigning tasks to an assistive personnel (AP). Which of the following tasks should the nurse delegate to the AP? (Select all that apply.)
A.    Demonstrate the technique to instill eye drops.
B.    Ambulate a client who has a cane.
C.     Irrigate a wound.
D.    Transfer a client to a stretcher.
E.     Record urinary output.

9.     A nurse is receiving change-of-shift report at the start of the shift. Which of the following statements by the nurse giving report indicates to the oncoming nurse that she should assume total care for the client, rather than assigning tasks to the assistive personnel (AP)?
A.    “The client’s family members have been present most of the day.”
B.    “The client’s blood pressure and pulse have been fluctuating throughout the day.”
C.     “The client discussed having prior thoughts of suicide.”
D.    “The client works in the hospital radiology department.”

10. A nurse is organizing care for a group of clients. Which of the following tasks should the nurse delegate to the assistive personnel (AP)?
A.    Assisting a client who is 12 hr postoperative following an appendectomy to use a bedpan
B.    Demonstrating use of a walker for a client who is ready for discharge
C.     Offering a pamphlet regarding advance directives to a newly admitted client
D.    Asking a client whether pain was relieved after administration of acetaminophen

11. A nurse on a medical-surgical unit is planning to delegate tasks to an adult volunteer. Which of the following tasks should the charge nurse avoid assigning to the volunteer?
A.    Delivering meal trays to clients in their rooms
B.    Assisting a client who has difficulty seeing the foods on the tray while eating
C.     Delivering a routine urine specimen to the laboratory
D.    Observing a postoperative client who is confused

12. A nurse is planning to assign tasks for a group of clients. Which of the following tasks should the nurse plan to assign to an assistive personnel (AP)? (Select all that apply.)
A.    Ambulate an older adult client who has hypertension.
B.    Provide discharge instructions for a client who has a new skin graft.
C.     Perform an admission assessment on a client.
D.    Check a blood product with another nurse prior to administration.
E.     Weigh a client who has heart failure.

13. A nurse on the postpartum unit is caring for a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP?
A.    Provide a sitz bath to a client who has a fourth-degree laceration and is 2 days postpartum.
B.    Observe an area of redness on the breast of a client who is 1 day postpartum.
C.     Monitor vital signs during admission of a client who has gestational hypertension.
D.    Change the perineal pad of a client who just transferred from labor and delivery.

14. An RN is making nursing staff assignments for his team consisting of himself, two licensed practical nurses (LPNs), and an assistive personnel (AP). Which of the following clients should he assume responsibility for?
A.    The client who requires frequent ambulation
B.    The client who is in protective isolation
C.     The client who is actively dying and requires IV pain medication
D.    The client who is 3 days postoperative and requires a dressing change

15. A nurse on a medical-surgical unit is providing care for a group of clients. The nurse should delegate collection of which of the following specimens to the assistive personnel (AP)?
A.    Wound drainage for culture
B.    Urine from an indwelling catheter
C.     Blood for PaCO2
D.    Random stool specimen

16. A nurse is delegating client care assignments for the shift. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?
A.    Perform wound irrigation for a client.
B.    Evaluate pain relief for a client following the administration of a pain medication.
C.     Measure and record intake and output for a client.
D.    Teach a client about low-sodium foods.

17. A nurse is assisting a newly licensed nurse with delegating tasks to an assistive personnel on the unit. Which of the following statements by the nurse explains the purpose of delegation?
A.    “Delegation provides appropriate resources for the client.”
B.    “Delegation permits a designated individual to meet a goal on your behalf.”
C.     “Delegation promotes discharge teaching activities for clients.”
D.    “Delegation decreases health care costs.”

18. A nurse is admitting a client who is arriving back to the unit from the PACU following hip arthroplasty. Which of the following tasks should the nurse assign to the assistive personnel (AP)?
A.    Obtain initial vital signs.
B.    Determine if the client is in need of pain medication.
C.     Record the amount of urine in the catheter drainage bag.
D.    Instruct the client on the use of the incentive spirometer.

19. A nurse is planning to assign care activities to the assistive personnel (AP) on her team. Which of the following activities can the nurse assign to the AP? (Select all that apply.)
A.    Accompany a client who has depression to occupational therapy.
B.    Assess a client who has hypomania for exhaustion.
C.     Check the position of a client in soft wrist restraints.
D.    Set limits with a client who has mania.
E.     Sit with a client who has alcohol use disorder and whose last drink was five days ago.

20. A nurse in the medical-surgical unit is assigning client care to a nurse who is floating from the PACU. The nurse should recognize that the float nurse is most qualified to care for which of the following clients?
A.    A client who is postoperative following a lobectomy and has a chest tube
B.    A client who is being discharged to a long-term care facility
C.     A client who needs teaching about insulin self-administration
D.    A client who needs teaching prior to initiating cardiac rehabilitation activities

21. A charge nurse is delegating tasks to nursing personnel on a 10-bed medical-surgical nursing unit. Which of the following assignments is an example of over delegation?
A.    Assigning two assistive personnel (AP) to ambulate all clients
B.    Assigning a new graduate nurse to perform a wet-to-dry dressing change
C.     Assigning the most efficient AP to perform glucometer monitoring for each client
D.    Assigning the most competent RN to perform a central line dressing change

22. At the beginning of the shift, an RN is preparing assignments for a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following tasks should the nurse assign to the LPN?
A.    Providing postmortem care for a client
B.    Measuring a client’s I&O
C.     Obtaining a client’s weight
D.    Inserting a nasogastric tube for a client

23. A nurse is caring for a group of clients. She plans to delegate obtaining morning vital signs to an assistive personnel (AP) on her team. Which of the following actions should the nurse plan to take?
A.    Verify the AP’s educational preparation prior to delegating the task.
B.    Determine the time frame the AP should report the results.
C.     Observe the AP as she obtains the vital signs of each client.
D.    Ask the AP to take the vital signs of the client returning from surgery first.

24. When planning delegation of tasks to assistive personnel (AP), a nurse considers the five rights of delegation. Which of the following should the nurse consider when using one of the five rights of delegation?
A.    The AP’s ability to prioritize
B.    The AP has the knowledge and skill to perform the task
C.     The AP’s rapport with clients
D.    The AP’s ability to complete the task without assistance

25. A volunteer assigned to the pediatric unit reports to the charge nurse for an assignment. Which of the following assignments is unsafe for the volunteer?
A.    Transporting a school-age client who is in traction to another department
B.    Playing a computer video game with an adolescent who has sickle cell disease
C.     Reading a book to a preschool client who has AIDS
D.    Rocking an infant who was admitted for croup