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Chapter 20: Effective Delegation and Supervision Cherry: Contemporary Nursing:
Issues, Trends, and Management, 9th Edition
MULTIPLE CHOICE
1. The task of completing and signing the initial assessment on a newly admitted patient who is
about to undergo minimally invasive procedures on an outpatient basis can be delegated to
whom?
a. The registered nurse (RN)
b. The licensed practical/vocational nurse (LPN/LVN)
c. Unlicensed assistive personnel (UAP)
d. All levels of staff, because the information is about the past and cannot change
ANS: A
Only the RN can perform and sign the admission assessment, although some components
such as monitoring vital signs may be delegated.
DIF:Comprehension
2. An RN recently relocated to another region of the country and immediately assumed the role
of charge nurse. When determining the appropriate person to whom to delegate, the RN bases
decisions on what fact?
a. The role of the LPN/LVN is the same from state to state.
b. The LPN/LVN can be taught to perform all the duties of an RN if approved by the
employer and if additional on-the-job training is provided.
c. Review of the state‘s nurse practice act for LPN/LVNs is vital since it defines the role
and scope of practice of the LPN/LVN.
d. The Joint Commission has certified and established roles for the LPN/LVN.
ANS: C
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The scope of practice of the LPN/LVN varies significantly from state to state; RNs should
know the LPN/LVN nurse practice act in the state in which they practice and should
understand the legal scope of practice of the LPN/LVN.
DIF:Comprehension
3. Which task is most likely to be considered in a state‘s practice act as appropriate to delegate
to a LPN/LVN if the patient‘s condition is stable and competence in the task has been
established?
a. Administer an enema for an elective surgery patient.
b. Administer an antiarrhythmic medication IV while interpreting the patient‘s rhythm on
the cardiac monitor.
c. Develop a plan of care for a stable patient admitted for observation after a head injury.
d. Teach a patient how to instill eye drops for glaucoma.
ANS: A
The RN who is delegating must consider the following: (1) the delegate‘s current workload
and the complexity of the task, (2) whether the staff member is familiar with the patient
population and with the task to be performed, and (3) whether the RN is able to provide the
appropriate level of supervision. The delegation decision-making tree would also support
delegation of this task.
DIF:Analysis
4. A patient is admitted with hypotension, shortness of breath, flushing, and hives. All levels of
staff have been trained to assess vital signs. Given budget restrictions and proper delegation
rules, to which care provider would the RN delegate the task of obtaining the initial blood
pressure reading? a. RN
b. LPN/LVN
c. Unlicensed assistive personnel (UAP)
d. Since all are trained, the task can be delegated to anyone
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Chapter 20: Effective Delegation and Supervision Cherry: Contemporary Nursing:
Issues, Trends, and Management, 9th Edition
MULTIPLE CHOICE
1. The task of completing and signing the initial assessment on a newly admitted patient who is
about to undergo minimally invasive procedures on an outpatient basis can be delegated to
whom?
a. The registered nurse (RN)
b. The licensed practical/vocational nurse (LPN/LVN)
c. Unlicensed assistive personnel (UAP)
d. All levels of staff, because the information is about the past and cannot change
ANS: A
Only the RN can perform and sign the admission assessment, although some components
such as monitoring vital signs may be delegated.
DIF:Comprehension
2. An RN recently relocated to another region of the country and immediately assumed the role
of charge nurse. When determining the appropriate person to whom to delegate, the RN bases
decisions on what fact?
a. The role of the LPN/LVN is the same from state to state.
b. The LPN/LVN can be taught to perform all the duties of an RN if approved by the
employer and if additional on-the-job training is provided.
c. Review of the state‘s nurse practice act for LPN/LVNs is vital since it defines the role
and scope of practice of the LPN/LVN.
d. The Joint Commission has certified and established roles for the LPN/LVN.
ANS: C
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The scope of practice of the LPN/LVN varies significantly from state to state; RNs should
know the LPN/LVN nurse practice act in the state in which they practice and should
understand the legal scope of practice of the LPN/LVN.
DIF:Comprehension
3. Which task is most likely to be considered in a state‘s practice act as appropriate to delegate
to a LPN/LVN if the patient‘s condition is stable and competence in the task has been
established?
a. Administer an enema for an elective surgery patient.
b. Administer an antiarrhythmic medication IV while interpreting the patient‘s rhythm on
the cardiac monitor.
c. Develop a plan of care for a stable patient admitted for observation after a head injury.
d. Teach a patient how to instill eye drops for glaucoma.
ANS: A
The RN who is delegating must consider the following: (1) the delegate‘s current workload
and the complexity of the task, (2) whether the staff member is familiar with the patient
population and with the task to be performed, and (3) whether the RN is able to provide the
appropriate level of supervision. The delegation decision-making tree would also support
delegation of this task.
DIF:Analysis
4. A patient is admitted with hypotension, shortness of breath, flushing, and hives. All levels of
staff have been trained to assess vital signs. Given budget restrictions and proper delegation
rules, to which care provider would the RN delegate the task of obtaining the initial blood
pressure reading? a. RN
b. LPN/LVN
c. Unlicensed assistive personnel (UAP)
d. Since all are trained, the task can be delegated to anyone
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