NCLEX · Delegation and Assignment

The RN is delegating tasks to a UAP (Unlicensed Assistive Personnel). Which task is appropriate to delegate?

Correct answer

Taking routine vital signs on a stable postoperative client

  1. A Teaching a client about a new medication
  2. B Initial assessment of a newly admitted client
  3. C Taking routine vital signs on a stable postoperative client
  4. D Evaluating the effectiveness of pain medication

Why this is the answer

Delegation to UAPs (CNAs, patient care techs) follows the 'Five Rights of Delegation' from the NCSBN: right task, right circumstances, right person, right direction/communication, right supervision. UAPs can perform routine, repetitive tasks for stable clients — bathing, feeding, ambulating, vital signs on stable clients, ADL assistance, simple measurements, transport. UAPs cannot perform tasks that require nursing judgment: assessment, teaching, evaluation of effectiveness, interpretation of data, medication administration (in most states), or care of unstable clients. The RN remains accountable for the outcomes even when tasks are delegated. Initial assessment and teaching require nursing judgment and are RN tasks. Evaluating medication effectiveness requires interpreting whether the pain is controlled, which is nursing judgment. Routine vital signs on a stable client is the appropriate delegation.
Source: NCLEX-RN Test Plan, Delegation — Five Rights

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About this topic: Delegation and Assignment

Delegation and assignment questions cover the five rights of delegation, what can be delegated to LPNs and assistive personnel, what cannot, and how to supervise and evaluate delegated care. This is one of 8 RN: Safe and Effective Care Environment questions on delegation and assignment, each with a full explanation on a single study page.

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