KAPLAN NCLEX-RN PREP EXAM DELEGATION ACTUAL
EXAM 2026 Q&A
1. The charge nurse is preparing to delegate tasks to an
LPN/LVN on a medical-surgical unit. Which patient is most
appropriate for the LPN/LVN to care for?
A. A patient with acute myocarditis requiring frequent
cardiac assessments
B. A patient with stable pneumonia receiving oral antibiotics
C. A patient newly admitted with undiagnosed abdominal
pain
D. A patient experiencing an acute asthma exacerbation
Correct Answer: B
Explanation: The LPN/LVN can care for stable patients
with predictable outcomes. A patient with stable pneumonia
receiving oral antibiotics meets this criteria. Patients with
acute myocarditis (A), undiagnosed abdominal pain (C),
and acute asthma exacerbation (D) require RN-level
assessment and critical thinking.
2. Which task should the RN NOT delegate to unlicensed
assistive personnel (UAP)?
A. Feeding a patient with no swallowing difficulties
B. Collecting a sterile urine specimen
C. Assisting a patient with ambulation
D. Measuring vital signs on a stable patient
Correct Answer: B
Explanation: Collecting a sterile urine specimen requires
technical skill and knowledge of sterile technique that
, exceeds UAP scope. Feeding (A), ambulation assistance (C),
and vital sign measurement (D) are appropriate UAP tasks
for stable patients.
3. The RN is delegating care for four patients. Which patient
should be assigned to the RN floating from the postpartum
unit?
A. A patient with postpartum hemorrhage requiring
magnesium sulfate
B. A patient with a stable hip fracture scheduled for surgery
tomorrow
C. A patient with new-onset sepsis requiring vasoactive
medications
D. A patient with unstable angina requiring continuous
cardiac monitoring
Correct Answer: B
Explanation: The floating postpartum nurse should receive
a stable patient with predictable outcomes. A stable hip
fracture patient (B) is appropriate. Patients with
postpartum hemorrhage (A), sepsis (C), and unstable
angina (D) require specialized critical care skills.
4. Which action by the RN demonstrates appropriate
supervision of a delegated task?
A. Delegating wound care to an LPN and assuming it was
completed correctly
B. Asking the UAP to report back after completing patient
hygiene
C. Delegating medication administration to an LPN without
follow-up
, D. Assigning a complex care plan to a new graduate without
oversight
Correct Answer: B
Explanation: Appropriate supervision requires the RN to
ask for feedback after delegation. Asking the UAP to report
back (B) ensures task completion. Assuming completion
without verification (A, C) and assigning complex care
without oversight (D) violate supervision principles.
5. The Five Rights of Delegation include all of the following
EXCEPT:
A. Right task
B. Right circumstance
C. Right documentation
D. Right supervision/evaluation
Correct Answer: C
Explanation: The Five Rights are: Right task, Right
circumstance, Right person, Right
direction/communication, and Right
supervision/evaluation. Right documentation is important
but not one of the Five Rights.
6. Which patient assessment finding requires the RN to
intervene when an LPN is providing care?
A. LPN reports blood pressure of 110/70 in a stable patient
B. LPN performs initial assessment on a newly admitted
patient
C. LPN administers prescribed oral antibiotics to a stable
patient
, D. LPN documents vital signs accurately in the medical
record
Correct Answer: B
Explanation: Initial assessment of newly admitted patients
must be performed by the RN, not the LPN. The LPN can
perform secondary assessments but not initial assessments.
Options A, C, and D are within LPN scope.
7. The charge nurse needs to delegate tasks on a busy unit.
Which task is MOST appropriate to delegate to UAP?
A. Assessing pain level after medication administration
B. Providing discharge teaching to a patient
C. Collecting a clean-catch urine specimen
D. Evaluating the effectiveness of a care plan
Correct Answer: C
Explanation: Collecting a clean-catch urine specimen is a
routine task appropriate for UAP. Pain assessment (A),
discharge teaching (B), and care plan evaluation (D)
require RN-level assessment and critical thinking.
8. Which statement best describes the RN's accountability
when delegating tasks?
A. The RN is accountable only for tasks they perform
personally
B. The RN retains accountability for the overall nursing care
and outcome of delegated activities
C. The delegatee assumes complete accountability, and the
RN has no responsibility
D. Accountability is shared equally, and the RN has no
supervisory role
EXAM 2026 Q&A
1. The charge nurse is preparing to delegate tasks to an
LPN/LVN on a medical-surgical unit. Which patient is most
appropriate for the LPN/LVN to care for?
A. A patient with acute myocarditis requiring frequent
cardiac assessments
B. A patient with stable pneumonia receiving oral antibiotics
C. A patient newly admitted with undiagnosed abdominal
pain
D. A patient experiencing an acute asthma exacerbation
Correct Answer: B
Explanation: The LPN/LVN can care for stable patients
with predictable outcomes. A patient with stable pneumonia
receiving oral antibiotics meets this criteria. Patients with
acute myocarditis (A), undiagnosed abdominal pain (C),
and acute asthma exacerbation (D) require RN-level
assessment and critical thinking.
2. Which task should the RN NOT delegate to unlicensed
assistive personnel (UAP)?
A. Feeding a patient with no swallowing difficulties
B. Collecting a sterile urine specimen
C. Assisting a patient with ambulation
D. Measuring vital signs on a stable patient
Correct Answer: B
Explanation: Collecting a sterile urine specimen requires
technical skill and knowledge of sterile technique that
, exceeds UAP scope. Feeding (A), ambulation assistance (C),
and vital sign measurement (D) are appropriate UAP tasks
for stable patients.
3. The RN is delegating care for four patients. Which patient
should be assigned to the RN floating from the postpartum
unit?
A. A patient with postpartum hemorrhage requiring
magnesium sulfate
B. A patient with a stable hip fracture scheduled for surgery
tomorrow
C. A patient with new-onset sepsis requiring vasoactive
medications
D. A patient with unstable angina requiring continuous
cardiac monitoring
Correct Answer: B
Explanation: The floating postpartum nurse should receive
a stable patient with predictable outcomes. A stable hip
fracture patient (B) is appropriate. Patients with
postpartum hemorrhage (A), sepsis (C), and unstable
angina (D) require specialized critical care skills.
4. Which action by the RN demonstrates appropriate
supervision of a delegated task?
A. Delegating wound care to an LPN and assuming it was
completed correctly
B. Asking the UAP to report back after completing patient
hygiene
C. Delegating medication administration to an LPN without
follow-up
, D. Assigning a complex care plan to a new graduate without
oversight
Correct Answer: B
Explanation: Appropriate supervision requires the RN to
ask for feedback after delegation. Asking the UAP to report
back (B) ensures task completion. Assuming completion
without verification (A, C) and assigning complex care
without oversight (D) violate supervision principles.
5. The Five Rights of Delegation include all of the following
EXCEPT:
A. Right task
B. Right circumstance
C. Right documentation
D. Right supervision/evaluation
Correct Answer: C
Explanation: The Five Rights are: Right task, Right
circumstance, Right person, Right
direction/communication, and Right
supervision/evaluation. Right documentation is important
but not one of the Five Rights.
6. Which patient assessment finding requires the RN to
intervene when an LPN is providing care?
A. LPN reports blood pressure of 110/70 in a stable patient
B. LPN performs initial assessment on a newly admitted
patient
C. LPN administers prescribed oral antibiotics to a stable
patient
, D. LPN documents vital signs accurately in the medical
record
Correct Answer: B
Explanation: Initial assessment of newly admitted patients
must be performed by the RN, not the LPN. The LPN can
perform secondary assessments but not initial assessments.
Options A, C, and D are within LPN scope.
7. The charge nurse needs to delegate tasks on a busy unit.
Which task is MOST appropriate to delegate to UAP?
A. Assessing pain level after medication administration
B. Providing discharge teaching to a patient
C. Collecting a clean-catch urine specimen
D. Evaluating the effectiveness of a care plan
Correct Answer: C
Explanation: Collecting a clean-catch urine specimen is a
routine task appropriate for UAP. Pain assessment (A),
discharge teaching (B), and care plan evaluation (D)
require RN-level assessment and critical thinking.
8. Which statement best describes the RN's accountability
when delegating tasks?
A. The RN is accountable only for tasks they perform
personally
B. The RN retains accountability for the overall nursing care
and outcome of delegated activities
C. The delegatee assumes complete accountability, and the
RN has no responsibility
D. Accountability is shared equally, and the RN has no
supervisory role
