PRIORITIZATION, DELEGATION AND
ASSIGNMENT CERTIFICATION EVALUATION
2026 EXAM SCRIPT FULLY SOLVED
QUESTIONS
◉The client has fluid volume deficit related to excessive fluid loss.
Which action related to fluid management should be delegated by
the RN to unlicensed assistive personnel (UAP)?
•Administering IV fluids as prescribed by the physician
•Providing straws and offering fluids between meals
•Developing a plan for added fluid intake over 24 hours
•Teaching family members to assist the client with fluid intake.
Answer: •Providing straws and offering fluids between meals
•UAPs can reinforce additional fluid intake when it is part of the care
plan. Administering IV fluids, developing plans, and teaching
families require additional education and skills that are within the
scope of practice of an RN.
,◉The unlicensed assistive personnel (UAP) reports to the nurse that
a client's urine output for the past 24 hours has been only 360 mL.
What is the nurse's *priority* action at this time?
•Place an 18-gauge IV in the nondominant arm
•Elevate the client's head of bed at least 45 degrees
•Instruct the UAP to provide the client with a pitcher of ice water
•Contact and notify the health care provider immediately. Answer:
•Contact and notify the health care provider immediately
•The minimum amount of urine per day needed to excrete toxic
waste products is 400 to 600 mL. This minimum volume is called the
obligatory urine output. If the 24-hour urine output falls below the
obligatory output amount, wastes are retained and can cause lethal
electrolyte imbalances, acidosis, and a toxic buildup of nitrogen. The
client may need additional fluids (IV or oral) after the cause of the
low urine output is determined. Elevating the head of the bed will
not help with urine output. Notifying the health care provider is the
first priority in this case.
◉The client described in question 3 is also at risk for poor perfusion
related to decreased plasma volume. Which assessment finding
supports this risk?
•Flattened neck veins when the client is in the supine position
, •Full and bounding pedal and post-tibial pulses
•Pitting edema located in the feet, ankles, and calves
•Shallow respirations with crackles on auscultation. Answer:
•Flattened neck veins when the client is in the supine position
•Normally, neck veins are distended when the client is in the supine
position. These veins flatten as the client moves to a sitting position.
The other three responses are characteristic of excess fluid volume.
◉The nursing care plan for an older client with dehydration
includes interventions for oral health. Which interventions are
within the scope of practice for an LPN/LVN being supervised by a
nurse? *Select all that apply.*
•Reminding the client to avoid commercial mouthwashes
•Encouraging mouth rinsing with warm saline
•Assess skin turgor by pinching the skin over the back of the hand
•Observing the lips, tongue, and mucous membranes
•Providing mouth care every 2 hours while the client is awake
•Seeking a dietary consult to increase fluids on meal trays. Answer:
•Reminding the client to avoid commercial mouthwashes
•Encouraging mouth rinsing with warm saline
•Observing the lips, tongue, and mucous membranes
•Providing mouth care every 2 hours while the client is awake
ASSIGNMENT CERTIFICATION EVALUATION
2026 EXAM SCRIPT FULLY SOLVED
QUESTIONS
◉The client has fluid volume deficit related to excessive fluid loss.
Which action related to fluid management should be delegated by
the RN to unlicensed assistive personnel (UAP)?
•Administering IV fluids as prescribed by the physician
•Providing straws and offering fluids between meals
•Developing a plan for added fluid intake over 24 hours
•Teaching family members to assist the client with fluid intake.
Answer: •Providing straws and offering fluids between meals
•UAPs can reinforce additional fluid intake when it is part of the care
plan. Administering IV fluids, developing plans, and teaching
families require additional education and skills that are within the
scope of practice of an RN.
,◉The unlicensed assistive personnel (UAP) reports to the nurse that
a client's urine output for the past 24 hours has been only 360 mL.
What is the nurse's *priority* action at this time?
•Place an 18-gauge IV in the nondominant arm
•Elevate the client's head of bed at least 45 degrees
•Instruct the UAP to provide the client with a pitcher of ice water
•Contact and notify the health care provider immediately. Answer:
•Contact and notify the health care provider immediately
•The minimum amount of urine per day needed to excrete toxic
waste products is 400 to 600 mL. This minimum volume is called the
obligatory urine output. If the 24-hour urine output falls below the
obligatory output amount, wastes are retained and can cause lethal
electrolyte imbalances, acidosis, and a toxic buildup of nitrogen. The
client may need additional fluids (IV or oral) after the cause of the
low urine output is determined. Elevating the head of the bed will
not help with urine output. Notifying the health care provider is the
first priority in this case.
◉The client described in question 3 is also at risk for poor perfusion
related to decreased plasma volume. Which assessment finding
supports this risk?
•Flattened neck veins when the client is in the supine position
, •Full and bounding pedal and post-tibial pulses
•Pitting edema located in the feet, ankles, and calves
•Shallow respirations with crackles on auscultation. Answer:
•Flattened neck veins when the client is in the supine position
•Normally, neck veins are distended when the client is in the supine
position. These veins flatten as the client moves to a sitting position.
The other three responses are characteristic of excess fluid volume.
◉The nursing care plan for an older client with dehydration
includes interventions for oral health. Which interventions are
within the scope of practice for an LPN/LVN being supervised by a
nurse? *Select all that apply.*
•Reminding the client to avoid commercial mouthwashes
•Encouraging mouth rinsing with warm saline
•Assess skin turgor by pinching the skin over the back of the hand
•Observing the lips, tongue, and mucous membranes
•Providing mouth care every 2 hours while the client is awake
•Seeking a dietary consult to increase fluids on meal trays. Answer:
•Reminding the client to avoid commercial mouthwashes
•Encouraging mouth rinsing with warm saline
•Observing the lips, tongue, and mucous membranes
•Providing mouth care every 2 hours while the client is awake
