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NCLEX · Delegation and Supervision

The RN delegates tasks to the LPN and unlicensed assistive personnel (UAP). Which task is appropriate to delegate to the UAP?

Reviewed by Jordan Morley, Editorial Lead at 247SimpleTests. Written by the 247SimpleTests Editorial Team from the official source material cited on every question.

Correct answer

Measuring and recording vital signs on a stable client — this is within the UAP scope; UAPs perform basic care tasks on stable clients with predictable outcomes

  1. A Administering oral medications
  2. B Developing the care plan
  3. C Measuring and recording vital signs on a stable client — this is within the UAP scope; UAPs perform basic care tasks on stable clients with predictable outcomes
  4. D Assessing a new admission

Why this is the answer

DELEGATION TO UAP (Unlicensed Assistive Personnel — CNAs, aides): APPROPRIATE UAP TASKS (the '5 rights of delegation' and stable/predictable rule): Vital signs on STABLE clients; bathing, hygiene, grooming; feeding (non-dysphagic clients); ambulation and positioning; intake/output measurement; specimen collection; making beds; INAPPROPRIATE for UAP (require nursing judgment/license): Assessment (initial or ongoing clinical assessment); medication administration (most states); care planning; client teaching; evaluating client responses; tasks requiring clinical judgment;

The rule: UAPs perform standardized, routine tasks on STABLE clients with PREDICTABLE outcomes; they do NOT assess, teach, plan, evaluate, or administer medications.

Five rights of delegation: Right task, right circumstance, right person, right direction/communication, right supervision; the delegating nurse retains accountability; LPN/RN must ensure the UAP is competent for the delegated task and supervise appropriately.

Source: NCLEX-PN Safe Care — Delegation to UAP

Practice more questions

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About this topic: Delegation and Supervision

Delegation and supervision questions cover what an LPN/LVN may delegate to assistive personnel, what must stay with the nurse, and how to supervise and follow up on delegated tasks. This is one of 8 PN: Coordinated Care questions on delegation and supervision, each with a full explanation on a single study page.

New to this exam? Our NCLEX exam guide explains the format, scoring, and how to prepare.

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State-specific guides

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Study guide

Saunders Comprehensive Review for NCLEX-RN 9th Ed. (Elsevier)

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NCLEX-PN Prep Plus (Kaplan)

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Prioritization, Delegation & Assignment (Elsevier)

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