WASHINGTON STATE NURSE DELEGATION
PRACTICE FINAL EXAM - (60 QUESTIONS) UP-TO-
DATE ACTUAL EXAM QUESTIONS AND 100%
ACCURATE SOLUTIONS | VERIFIED ANSWERS -
INSTANT PDF DOWNLOAD
Examiner/Administrator: Washington State Department of Health (DOH) /
Nursing Care Quality Assurance Commission (NCQAC)
Candidate Name: ________________________________
Candidate ID: _________________________________
Date: ________________________________________
Testing Location: ______________________________
Time Allowed: 90 Minutes
Total Questions: 60 (This section contains Questions 1–30)
Instructions to Candidates:
You are required to answer all questions in this assessment. Each question is
multiple choice with one correct answer. Read each scenario carefully and
apply Washington State nurse delegation laws, scope of practice, and patient
safety principles. Allocate your time effectively to complete all 60 questions
within the allotted 90 minutes. No external materials are permitted unless
explicitly authorized. Ensure that your answers reflect safe, legal, and ethical
delegation practices in community-based care settings.
Core Competency Domains Assessed:
• Legal and Regulatory Framework for Nurse Delegation
• Roles and Responsibilities of Registered Nurses (RNs)
• Nursing Assistant–Delegated (NAC/D) Scope of Practice
• Client Safety and Risk Management
• Medication Administration and Documentation
• Diabetes Care and Insulin Delegation
• Infection Control and Clinical Judgment
, This simulated examination is an original educational resource designed to
reflect the format and rigor of the Washington State Nurse Delegation
certification assessment. It is not an official exam and is intended solely for
study and preparation purposes.
This examination evaluates a candidate’s competency in applying
Washington State nurse delegation laws and clinical judgment in community-
based settings. Emphasis is placed on safe delegation practices, proper
supervision, and adherence to regulatory requirements. Candidates must
demonstrate the ability to assess tasks, determine delegation appropriateness,
and ensure client safety through effective communication and documentation.
Q1. A registered nurse (RN) is considering delegating medication
administration to a nursing assistant-certified (NAC). The client has unstable
blood pressure and recent medication changes. What is the most appropriate
action?
A. Delegate the task since medication administration is allowed
B. Delegate with verbal instructions only
C. Refuse delegation due to client instability
D. Delegate but monitor weekly
Correct Answer: C. Refuse delegation due to client instability
Explanation: Delegation requires a stable and predictable client condition.
Unstable vital signs and recent medication changes increase risk, making
delegation inappropriate. Option A ignores safety criteria. Option B lacks
proper training and documentation. Option D underestimates required
supervision.
,Q2. Under Washington State law, which task is NOT delegable by an RN?
A. Oral medication administration
B. Insulin injection
C. Nursing judgment and assessment
D. Blood glucose testing
Correct Answer: C. Nursing judgment and assessment
Explanation: Critical thinking, assessment, and nursing judgment cannot be
delegated. Options A, B, and D are delegable under specific conditions and
training.
Q3. A nurse delegates insulin administration to a NAC. What must occur before
delegation?
A. NAC must have 6 months experience
B. RN must verify competency and provide training
C. Client must be hospitalized first
D. Family consent is sufficient
Correct Answer: B. RN must verify competency and provide training
Explanation: The RN must ensure competency through teaching and
validation. Experience alone (A) is insufficient. Hospitalization (C) is
irrelevant. Family consent (D) does not replace clinical requirements.
Q4. Which statement best describes RN accountability after delegation?
A. Responsibility transfers fully to NAC
B. RN is no longer liable
, C. RN retains accountability for outcomes
D. NAC supervises RN
Correct Answer: C. RN retains accountability for outcomes
Explanation: Delegation does not remove RN accountability. The RN
remains responsible for ensuring safe care. Options A and B are legally
incorrect. Option D reverses roles.
Q5. A NAC reports a client’s blood glucose of 45 mg/dL. What is the RN’s
priority?
A. Document the reading
B. Ignore if asymptomatic
C. Provide immediate intervention
D. Schedule follow-up
Correct Answer: C. Provide immediate intervention
Explanation: Hypoglycemia is a medical emergency requiring prompt
action. Documentation (A) follows care. Ignoring (B) is unsafe. Delaying (D)
risks harm.
Q6. What is required for delegation of insulin under Washington law?
A. Client must be diabetic
B. RN must reassess every 90 days
C. NAC must self-train
D. No documentation required
PRACTICE FINAL EXAM - (60 QUESTIONS) UP-TO-
DATE ACTUAL EXAM QUESTIONS AND 100%
ACCURATE SOLUTIONS | VERIFIED ANSWERS -
INSTANT PDF DOWNLOAD
Examiner/Administrator: Washington State Department of Health (DOH) /
Nursing Care Quality Assurance Commission (NCQAC)
Candidate Name: ________________________________
Candidate ID: _________________________________
Date: ________________________________________
Testing Location: ______________________________
Time Allowed: 90 Minutes
Total Questions: 60 (This section contains Questions 1–30)
Instructions to Candidates:
You are required to answer all questions in this assessment. Each question is
multiple choice with one correct answer. Read each scenario carefully and
apply Washington State nurse delegation laws, scope of practice, and patient
safety principles. Allocate your time effectively to complete all 60 questions
within the allotted 90 minutes. No external materials are permitted unless
explicitly authorized. Ensure that your answers reflect safe, legal, and ethical
delegation practices in community-based care settings.
Core Competency Domains Assessed:
• Legal and Regulatory Framework for Nurse Delegation
• Roles and Responsibilities of Registered Nurses (RNs)
• Nursing Assistant–Delegated (NAC/D) Scope of Practice
• Client Safety and Risk Management
• Medication Administration and Documentation
• Diabetes Care and Insulin Delegation
• Infection Control and Clinical Judgment
, This simulated examination is an original educational resource designed to
reflect the format and rigor of the Washington State Nurse Delegation
certification assessment. It is not an official exam and is intended solely for
study and preparation purposes.
This examination evaluates a candidate’s competency in applying
Washington State nurse delegation laws and clinical judgment in community-
based settings. Emphasis is placed on safe delegation practices, proper
supervision, and adherence to regulatory requirements. Candidates must
demonstrate the ability to assess tasks, determine delegation appropriateness,
and ensure client safety through effective communication and documentation.
Q1. A registered nurse (RN) is considering delegating medication
administration to a nursing assistant-certified (NAC). The client has unstable
blood pressure and recent medication changes. What is the most appropriate
action?
A. Delegate the task since medication administration is allowed
B. Delegate with verbal instructions only
C. Refuse delegation due to client instability
D. Delegate but monitor weekly
Correct Answer: C. Refuse delegation due to client instability
Explanation: Delegation requires a stable and predictable client condition.
Unstable vital signs and recent medication changes increase risk, making
delegation inappropriate. Option A ignores safety criteria. Option B lacks
proper training and documentation. Option D underestimates required
supervision.
,Q2. Under Washington State law, which task is NOT delegable by an RN?
A. Oral medication administration
B. Insulin injection
C. Nursing judgment and assessment
D. Blood glucose testing
Correct Answer: C. Nursing judgment and assessment
Explanation: Critical thinking, assessment, and nursing judgment cannot be
delegated. Options A, B, and D are delegable under specific conditions and
training.
Q3. A nurse delegates insulin administration to a NAC. What must occur before
delegation?
A. NAC must have 6 months experience
B. RN must verify competency and provide training
C. Client must be hospitalized first
D. Family consent is sufficient
Correct Answer: B. RN must verify competency and provide training
Explanation: The RN must ensure competency through teaching and
validation. Experience alone (A) is insufficient. Hospitalization (C) is
irrelevant. Family consent (D) does not replace clinical requirements.
Q4. Which statement best describes RN accountability after delegation?
A. Responsibility transfers fully to NAC
B. RN is no longer liable
, C. RN retains accountability for outcomes
D. NAC supervises RN
Correct Answer: C. RN retains accountability for outcomes
Explanation: Delegation does not remove RN accountability. The RN
remains responsible for ensuring safe care. Options A and B are legally
incorrect. Option D reverses roles.
Q5. A NAC reports a client’s blood glucose of 45 mg/dL. What is the RN’s
priority?
A. Document the reading
B. Ignore if asymptomatic
C. Provide immediate intervention
D. Schedule follow-up
Correct Answer: C. Provide immediate intervention
Explanation: Hypoglycemia is a medical emergency requiring prompt
action. Documentation (A) follows care. Ignoring (B) is unsafe. Delaying (D)
risks harm.
Q6. What is required for delegation of insulin under Washington law?
A. Client must be diabetic
B. RN must reassess every 90 days
C. NAC must self-train
D. No documentation required
