NCLEX · General

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

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 Assessing a new admission
  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 Developing the care plan

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

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