NCLEX CRUSADE ACADEMY TEST - 9 DELEGATION STRATEGY PRT 1

1. Delegation involves transferring: Accountability. Legal responsibility. Authority to perform a task. RN license.

2. The RN retains: Task execution only. Legal accountability for outcome. No responsibility. UAP supervision only.

3. If any of the 5 Rights are violated, delegation is: Flexible. Optional. Unsafe. Allowed with caution.

4. Right Circumstance evaluates: Scope only. Patient stability and environment. Communication clarity. Documentation.

5. Delegation is appropriate only when patient is: Unstable. Acute. Stable and predictable. Newly admitted.

6. If patient becomes unstable, the RN must: Continue delegation. Retain care. Notify UAP only. Document only.

7. LPNs may perform: Initial assessment. IV push meds. Focused assessments. Complex unstable care.

8. UAP can perform: Teaching. Initial assessment. Stable ADLs. Medication administration.

9. UAP cannot perform (EAT): Feeding. Evaluation, Assessment, Teaching. Hygiene. Ambulation.

10. UAP may record output but cannot: Measure. Write numbers. Analyze why abnormal. Report findings.

11. Vague instruction 'Check patient' violates: Right Task. Right Direction. Right Person. Right Supervision.

12. Monitoring requires: Documentation. Assessment and judgment (RN only). Recording numbers. Hygiene.

13. A UAP may ambulate which patient?. Post-cardiac cath immediate. Knee replacement 3 days post-op stable. ICU unstable. Active bleed risk.

14. Blanket order 'All patients vitals' violates: Right Task. Right Circumstance. Right Supervision. Right Person.

15. UAP cannot feed patient with: Stable chronic condition. Aspiration risk. Routine diet. Stable vitals.

16. Prevent aspiration requires: UAP only. RN judgment. No supervision. Blanket assignment.

17. If unsure whether to delegate, the rule states: Delegate anyway. Ask UAP. If clinical judgment required, RN keeps task. Ignore.

18. LPN reports to: UAP. RN. Patient. Family.

19. UAP reports to: Physician. Charge nurse only. LPN or RN. OPO.

20. The first checklist question before delegating is: Is task documented?. Is patient stable?. Is UAP available?. Is it shift change?.