MANAGEMENT PRINCIPLES WEEK 3
EXAM QUESTIONS AND ANSWERS
GRADED A+ 2025/2026
The nurse in the emergency department (ED) has several tasks that can be delegated to
unlicensed assistive personnel (UAP). One of these tasks involves sitting with an older adult
client who has dementia. The client was found wandering out of doors, and law enforcement
transported him to the ED for a medical evaluation while they located his family, who are on
their way to pick up the client. To which employee should the nurse delegate this assignment? -
ANS Nursing assistant with a good safety record
The nurse needs to determine the right person to whom to delegate this task. If an assistant has
a good safety record, then the nurse knows the individual is capable of the task. An assistant
whose own father recently died might find sitting with this client emotionally draining if she has
not yet processed her own grief. An assistant who normally works with young children may not
have experience working with clients who have dementia. The nursing assistant who is
completing morning care does not have time to take on the assigned task.
The registered nurse is determining tasks to delegate to a licensed practical nurse (LPN) and
nursing assistant (NA). Which tasks should the nurse delegate to the nursing assistant? -
ANS Feeding a client with expressive aphasia after a stroke
Measuring output on a client with heart failure
When delegating to other staff, the registered nurse retains responsibility for ensuring that the
tasks are completed correctly and appropriately and are within the individual's scope of
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, practice. Measuring output and client feeding are within the nursing assistant's scope of
practice. Nasotracheal suctioning and bladder irrigation are within the licensed nurse's scope of
practice. Administering intravenous medication on an immediate post-operative client and
client teaching are within the registered nurse's scope of practice.
The director of nursing is reviewing the impact of increased delegation within the organization.
Which observations indicate that delegation is benefiting nurses? - ANS Applications to the
organization's open double quote"nurse as leader program have increased by 20%.
Requests from nurses to transfer units have decreased by 20%.
Client satisfaction with services as reflected on post discharge surveys has increased by 18%.
Safety errors have decreased by 8%.
An increase in applications for a nurse leadership program indicates nurses are experiencing
greater job satisfaction and taking an interest in the success of the organization. A decrease in
transfer requests indicates that nurses are experiencing greater satisfaction working on their
units. A reduction in safety errors indicates improvements in client care. All of these suggest
that delegation is benefiting nurses. A decrease in expenses may or may not relate to the
changes made in delegation. Client perceptions of services benefit the organization.
The nurse manager is planning to implement partnering in the medical-surgical care area.
Which actions should the manager perform to support this approach to delegation? -
ANS Schedule nurses and assistants to work the same shifts
Assign a designated group of nurses and assistants to attend a training session together
Partnering is an approach to delegation in which teams of workers, such as an RN, LPN, and
UAP, work together consistently. Scheduling the same staff to work the same shifts and sending
them to training sessions together supports partnering as a delegation strategy. Preparing a task
list is a unit-based approach to delegation. Assigning a nurse to an assistant for each shift
exemplifies the pairing approach to delegation. Nurses should always ask for help when
necessary.
The primary nurse is reviewing a list of tasks to delegate to a nursing assistant. Which tasks
should the nurse avoid delegating to this level of personnel? - ANS Discussing a care error
made by another nursing assistant
Suctioning a client recovering from radical neck surgery
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