NUR 243 EXAM 3 | QUESTIONS AND
ANSWERS | 2026 UPDATE | WITH
COMPLETE SOLUTIONS - HONDROS.
Section 1: Delegation & Scope of Practice (Qs 1–12)
1. Which task is most appropriate for the RN to delegate to an unlicensed
assistive personnel (UAP)?
a) Assess a postoperative patient’s lung sounds
b) Teach a diabetic patient how to self-administer insulin
c) Obtain routine vital signs on a stable patient
d) Develop a plan of care for a new admission
Answer: c) Obtain routine vital signs on a stable patient
Rationale: UAPs can perform routine, stable tasks that do not require nursing
judgment. Assessment, teaching, and care planning require an RN’s clinical
reasoning and cannot be delegated.
2. The RN delegates ambulation of a patient with left-sided weakness to a
UAP. Which statement by the UAP requires immediate intervention?
a) “I’ll put the gait belt on snugly before we start.”
b) “I’ll walk on the patient’s weak side to support them.”
c) “The patient walked yesterday, so I can do it alone today.”
d) “I’ll report any dizziness to you right away.”
Answer: c) “The patient walked yesterday, so I can do it alone
today.”
Rationale: The UAP is making an independent decision based on old data.
The RN must reassess the patient’s current stability before each ambulation.
UAPs cannot decide to ambulate based on prior status.
3. The licensed practical/vocational nurse (LPN/LVN) can safely perform
which action under the supervision of an RN?
a) Administer IV push morphine to a new postoperative patient
,b) Complete the admission nursing history and physical assessment
c) Monitor a stable gastrostomy tube feeding and report residuals
d) Develop the initial plan of care for a patient with pneumonia
Answer: c) Monitor a stable gastrostomy tube feeding and report
residuals
Rationale: LPNs can monitor stable patients and follow standing protocols
(e.g., checking residuals). Initial assessments, care planning, and IV push
medications (in most states) require an RN.
4. The RN is making assignments for a medical-surgical unit. Which patient
should be assigned to the LPN?
a) Patient with new tracheostomy requiring frequent suctioning and
assessment
b) Patient 2 hours post-lobectomy with chest tube and oxygen desaturation
c) Patient with stable diabetes requiring routine insulin and a clean dressing
change
d) Patient with new onset chest pain receiving a titratable heparin drip
Answer: c) Patient with stable diabetes requiring routine insulin and
a clean dressing change
Rationale: Stable, predictable patients with standardized treatments can be
assigned to LPNs. Unstable patients (desaturation, new chest pain, new
tracheostomy) require RN assessment and intervention.
5. The RN delegates a task to a UAP, and the UAP feels unqualified. What is
the UAP’s best action?
a) Perform the task anyway to avoid conflict
b) Refuse the delegation and explain why to the RN
c) Ask the patient if the task is really necessary
d) Complete half the task and leave the rest for the next shift
Answer: b) Refuse the delegation and explain why to the RN
Rationale: The Five Rights of Delegation include the Right
Person (competence). A UAP has a duty to refuse any task they are not
competent to perform. Refusal with explanation is professional and safe.
, 6. The “Five Rights of Delegation” include all EXCEPT:
a) Right task
b) Right circumstance
c) Right supervisor
d) Right direction/communication
Answer: c) Right supervisor
Rationale: The Five Rights are: Right Task, Right Circumstance, Right Person,
Right Direction/Communication, Right Supervision/Evaluation. “Right
supervisor” is not a recognized right.
7. An RN is supervising a UAP who is consistently late with morning vital
signs. What is the most appropriate initial leadership action?
a) Immediately report the UAP to the nursing supervisor
b) Discuss expectations and identify barriers directly with the UAP
c) Assign the UAP only to afternoon shifts
d) Document the lateness in the UAP’s personnel file
Answer: b) Discuss expectations and identify barriers directly with
the UAP
Rationale: The first step in addressing a performance issue is direct,
respectful, private communication. Documentation and reassignment occur
only after coaching fails.
8. Which patient should the charge nurse assign to the most experienced
RN?
a) Patient requesting discharge education about warfarin
b) Patient receiving a blood transfusion with new onset dyspnea and hives
c) Patient needing a routine Foley catheter irrigation
d) Patient with chronic back pain requesting PRN oxycodone
Answer: b) Patient receiving a blood transfusion with new onset
dyspnea and hives
Rationale: Dyspnea + hives during transfusion = potential acute hemolytic
or allergic reaction. This requires rapid nursing judgment and intervention –
appropriate for the most experienced RN.
ANSWERS | 2026 UPDATE | WITH
COMPLETE SOLUTIONS - HONDROS.
Section 1: Delegation & Scope of Practice (Qs 1–12)
1. Which task is most appropriate for the RN to delegate to an unlicensed
assistive personnel (UAP)?
a) Assess a postoperative patient’s lung sounds
b) Teach a diabetic patient how to self-administer insulin
c) Obtain routine vital signs on a stable patient
d) Develop a plan of care for a new admission
Answer: c) Obtain routine vital signs on a stable patient
Rationale: UAPs can perform routine, stable tasks that do not require nursing
judgment. Assessment, teaching, and care planning require an RN’s clinical
reasoning and cannot be delegated.
2. The RN delegates ambulation of a patient with left-sided weakness to a
UAP. Which statement by the UAP requires immediate intervention?
a) “I’ll put the gait belt on snugly before we start.”
b) “I’ll walk on the patient’s weak side to support them.”
c) “The patient walked yesterday, so I can do it alone today.”
d) “I’ll report any dizziness to you right away.”
Answer: c) “The patient walked yesterday, so I can do it alone
today.”
Rationale: The UAP is making an independent decision based on old data.
The RN must reassess the patient’s current stability before each ambulation.
UAPs cannot decide to ambulate based on prior status.
3. The licensed practical/vocational nurse (LPN/LVN) can safely perform
which action under the supervision of an RN?
a) Administer IV push morphine to a new postoperative patient
,b) Complete the admission nursing history and physical assessment
c) Monitor a stable gastrostomy tube feeding and report residuals
d) Develop the initial plan of care for a patient with pneumonia
Answer: c) Monitor a stable gastrostomy tube feeding and report
residuals
Rationale: LPNs can monitor stable patients and follow standing protocols
(e.g., checking residuals). Initial assessments, care planning, and IV push
medications (in most states) require an RN.
4. The RN is making assignments for a medical-surgical unit. Which patient
should be assigned to the LPN?
a) Patient with new tracheostomy requiring frequent suctioning and
assessment
b) Patient 2 hours post-lobectomy with chest tube and oxygen desaturation
c) Patient with stable diabetes requiring routine insulin and a clean dressing
change
d) Patient with new onset chest pain receiving a titratable heparin drip
Answer: c) Patient with stable diabetes requiring routine insulin and
a clean dressing change
Rationale: Stable, predictable patients with standardized treatments can be
assigned to LPNs. Unstable patients (desaturation, new chest pain, new
tracheostomy) require RN assessment and intervention.
5. The RN delegates a task to a UAP, and the UAP feels unqualified. What is
the UAP’s best action?
a) Perform the task anyway to avoid conflict
b) Refuse the delegation and explain why to the RN
c) Ask the patient if the task is really necessary
d) Complete half the task and leave the rest for the next shift
Answer: b) Refuse the delegation and explain why to the RN
Rationale: The Five Rights of Delegation include the Right
Person (competence). A UAP has a duty to refuse any task they are not
competent to perform. Refusal with explanation is professional and safe.
, 6. The “Five Rights of Delegation” include all EXCEPT:
a) Right task
b) Right circumstance
c) Right supervisor
d) Right direction/communication
Answer: c) Right supervisor
Rationale: The Five Rights are: Right Task, Right Circumstance, Right Person,
Right Direction/Communication, Right Supervision/Evaluation. “Right
supervisor” is not a recognized right.
7. An RN is supervising a UAP who is consistently late with morning vital
signs. What is the most appropriate initial leadership action?
a) Immediately report the UAP to the nursing supervisor
b) Discuss expectations and identify barriers directly with the UAP
c) Assign the UAP only to afternoon shifts
d) Document the lateness in the UAP’s personnel file
Answer: b) Discuss expectations and identify barriers directly with
the UAP
Rationale: The first step in addressing a performance issue is direct,
respectful, private communication. Documentation and reassignment occur
only after coaching fails.
8. Which patient should the charge nurse assign to the most experienced
RN?
a) Patient requesting discharge education about warfarin
b) Patient receiving a blood transfusion with new onset dyspnea and hives
c) Patient needing a routine Foley catheter irrigation
d) Patient with chronic back pain requesting PRN oxycodone
Answer: b) Patient receiving a blood transfusion with new onset
dyspnea and hives
Rationale: Dyspnea + hives during transfusion = potential acute hemolytic
or allergic reaction. This requires rapid nursing judgment and intervention –
appropriate for the most experienced RN.
