NCLEX · General

Which task can the LPN safely delegate to an unlicensed assistive personnel (UAP)?

Correct answer

Measuring and recording vital signs on a stable client — this is within the UAP scope; it is a data-gathering task for a stable patient, not assessment or judgment requiring nursing licensure

  1. A Administering oral medications
  2. B Assessing a newly admitted patient
  3. C Measuring and recording vital signs on a stable client — this is within the UAP scope; it is a data-gathering task for a stable patient, not assessment or judgment requiring nursing licensure
  4. D Inserting a urinary catheter

Why this is the answer

LPN DELEGATION TO UAP: THE DELEGATION FRAMEWORK: The LPN may delegate TASKS (not nursing judgment) to UAPs within the UAP's competency, in the appropriate setting, with proper supervision. APPROPRIATE TO DELEGATE: Vital signs on stable patients; height/weight; routine ADL assistance (bathing, dressing, hygiene); bed making; transport (stable patients); simple specimen collection; I&O measurement; non-invasive hygiene procedures; SHOULD NOT DELEGATE: Initial assessments; unstable patients; invasive procedures; medication administration; tasks requiring nursing judgment or clinical decision-making; CATHETER INSERTION: LPN can perform catheter insertion in most states; UAP generally cannot; ORAL MEDICATIONS: LPN tasks; not delegatable to UAP; REMEMBER THE 5 RIGHTS OF DELEGATION: Right task; right circumstances; right person; right direction/communication; right supervision; LPN SUPERVISION RESPONSIBILITY: Even after delegating, the LPN remains responsible for the outcome — monitor the UAP's performance and patient response.
Source: NCLEX-PN Safe Care — Delegation, LPN to UAP Appropriate Tasks