NR 446 Delegation and Scope of Practice (RN, LPN, UAP) Mastery Quiz
2026 |Chamberlain College
1. Which task is most appropriate for a Registered Nurse (RN) to perform?
A. Performing an initial assessment on a newly admitted patient
B. Administering a routine oral medication to a stable patient
C. Assisting a patient with a bed bath and oral hygiene
D. Reinforcing teaching about a low-sodium diet
Answer: A
Rationale: The RN is responsible for initial assessments, clinical judgment, and nursing
diagnoses. Oral meds are within LPN scope, bed baths are for UAP, and reinforcing teaching
is for LPNs.
2. An RN is delegating tasks to a Licensed Practical Nurse (LPN). Which task is
appropriate for the LPN?
A. Evaluating the effectiveness of a patient’s new blood pressure medication
B. Developing a nursing care plan for a patient with complex wounds
C. Performing a comprehensive discharge assessment
D. Administering a subcutaneous insulin injection to a stable patient
Answer: D
Rationale: LPNs can administer medications via subcutaneous, intramuscular, and oral
routes for stable patients. Evaluation and care plan development require RN clinical
judgment.
,3. Which task should the RN delegate to an Unlicensed Assistive Personnel
(UAP)?
A. Checking a patient’s blood glucose level using a bedside monitor
B. Suctioning a patient’s newly created tracheostomy
C. Administering an enema to a patient scheduled for surgery
D. Monitoring a patient for side effects after receiving IV morphine
Answer: A
Rationale: UAPs can perform routine tasks like blood glucose monitoring if they are
trained and the patient is stable. Suctioning new trachs and monitoring for IV med side
effects require higher-level nursing care.
4. A patient with heart failure is being discharged. Which action is the RN’s
responsibility?
A. Reinforcing the importance of daily weights
B. Recording the patient’s final set of vital signs
C. Providing the initial education on the new medication regimen
D. Walking the patient to the car at the discharge exit
Answer: C
Rationale: Initial patient teaching and education are the sole responsibility of the RN.
Reinforcing teaching can be done by an LPN, while vitals and transport can be done by a
UAP.
5. Which patient should be assigned to the RN rather than the LPN?
A. A 50-year-old patient who just returned from a cardiac catheterization
B. A 40-year-old patient with a chronic pressure ulcer requiring a dressing change
C. A 65-year-old patient who is 3 days post-appendectomy and stable
D. A 72-year-old patient with diabetes who needs routine insulin shots
Answer: A
, Rationale: Patients who are fresh post-procedure or unstable require frequent assessment
and clinical judgment, which is the RN’s responsibility.
6. The RN is delegating to a UAP. Which of the ‘Five Rights of Delegation’ is
being followed when the nurse checks if the UAP has the correct training?
A. Right Task
B. Right Circumstance
C. Right Direction
D. Right Person
Answer: D
Rationale: The Right Person ensures that the person being delegated to has the
appropriate skills, training, and competency to perform the task.
7. Which action is within the LPN’s scope of practice?
A. Titrating an IV nitroglycerin drip based on blood pressure
B. Changing a sterile dressing on a stable patient’s surgical wound
C. Administering a dose of IV push furosemide
D. Determining the nursing diagnosis for a patient with pneumonia
Answer: B
Rationale: LPNs can perform sterile dressing changes on stable wounds. IV push
medications and titration of high-alert drips are usually restricted to RNs.
8. A UAP reports to the RN that a patient’s blood pressure is 88/50 mmHg. What
should the RN do first?
A. Ask the UAP to repeat the measurement in 15 minutes
B. Document the blood pressure in the patient’s electronic record
C. Personally assess the patient’s clinical status and vital signs
D. Call the healthcare provider to report the low blood pressure
Answer: C
2026 |Chamberlain College
1. Which task is most appropriate for a Registered Nurse (RN) to perform?
A. Performing an initial assessment on a newly admitted patient
B. Administering a routine oral medication to a stable patient
C. Assisting a patient with a bed bath and oral hygiene
D. Reinforcing teaching about a low-sodium diet
Answer: A
Rationale: The RN is responsible for initial assessments, clinical judgment, and nursing
diagnoses. Oral meds are within LPN scope, bed baths are for UAP, and reinforcing teaching
is for LPNs.
2. An RN is delegating tasks to a Licensed Practical Nurse (LPN). Which task is
appropriate for the LPN?
A. Evaluating the effectiveness of a patient’s new blood pressure medication
B. Developing a nursing care plan for a patient with complex wounds
C. Performing a comprehensive discharge assessment
D. Administering a subcutaneous insulin injection to a stable patient
Answer: D
Rationale: LPNs can administer medications via subcutaneous, intramuscular, and oral
routes for stable patients. Evaluation and care plan development require RN clinical
judgment.
,3. Which task should the RN delegate to an Unlicensed Assistive Personnel
(UAP)?
A. Checking a patient’s blood glucose level using a bedside monitor
B. Suctioning a patient’s newly created tracheostomy
C. Administering an enema to a patient scheduled for surgery
D. Monitoring a patient for side effects after receiving IV morphine
Answer: A
Rationale: UAPs can perform routine tasks like blood glucose monitoring if they are
trained and the patient is stable. Suctioning new trachs and monitoring for IV med side
effects require higher-level nursing care.
4. A patient with heart failure is being discharged. Which action is the RN’s
responsibility?
A. Reinforcing the importance of daily weights
B. Recording the patient’s final set of vital signs
C. Providing the initial education on the new medication regimen
D. Walking the patient to the car at the discharge exit
Answer: C
Rationale: Initial patient teaching and education are the sole responsibility of the RN.
Reinforcing teaching can be done by an LPN, while vitals and transport can be done by a
UAP.
5. Which patient should be assigned to the RN rather than the LPN?
A. A 50-year-old patient who just returned from a cardiac catheterization
B. A 40-year-old patient with a chronic pressure ulcer requiring a dressing change
C. A 65-year-old patient who is 3 days post-appendectomy and stable
D. A 72-year-old patient with diabetes who needs routine insulin shots
Answer: A
, Rationale: Patients who are fresh post-procedure or unstable require frequent assessment
and clinical judgment, which is the RN’s responsibility.
6. The RN is delegating to a UAP. Which of the ‘Five Rights of Delegation’ is
being followed when the nurse checks if the UAP has the correct training?
A. Right Task
B. Right Circumstance
C. Right Direction
D. Right Person
Answer: D
Rationale: The Right Person ensures that the person being delegated to has the
appropriate skills, training, and competency to perform the task.
7. Which action is within the LPN’s scope of practice?
A. Titrating an IV nitroglycerin drip based on blood pressure
B. Changing a sterile dressing on a stable patient’s surgical wound
C. Administering a dose of IV push furosemide
D. Determining the nursing diagnosis for a patient with pneumonia
Answer: B
Rationale: LPNs can perform sterile dressing changes on stable wounds. IV push
medications and titration of high-alert drips are usually restricted to RNs.
8. A UAP reports to the RN that a patient’s blood pressure is 88/50 mmHg. What
should the RN do first?
A. Ask the UAP to repeat the measurement in 15 minutes
B. Document the blood pressure in the patient’s electronic record
C. Personally assess the patient’s clinical status and vital signs
D. Call the healthcare provider to report the low blood pressure
Answer: C
