The charge nurse reviews assignments for float and assistive staff. Which assignments require follow-up? Highlight the assignments that exceed demonstrated competency or require ongoing RN judgment.
Highlight in Table
Choose your responses, then check the answer.
Explanation
An unfamiliar titrated infusion, initial teaching by assistive personnel, and independent reassessment after an acute change require follow-up. Assignment decisions must match competence while the RN keeps assessment, teaching, and evaluation responsibilities.
Quick answer Highlight the float assignment to titrate an unfamiliar infusion, initial teaching delegated to assistive personnel, and reassessment delegated after an acute change. Each requires competency or RN judgment not established in the record.
Why this is correct Delegation begins with the client condition, task, delegatee competence, communication, and supervision. Routine stable tasks may be assigned when allowed, but the RN remains accountable for nursing assessment, teaching, clinical decisions, and evaluation.[2]
Easy analogy or mental picture Think of matching keys to locks: a worker may use only the key supported by role and verified skill, while the RN keeps the master decisions. The image explains fit and oversight; actual scope still follows jurisdiction and facility policy.
NCLEX decision rule When staff are floated or tasks are delegated, think fit before speed; check stability, legal scope, validated competence, and the RN work that cannot be transferred.
Why the other choices are wrong Routine hygiene, stable glucose checks, familiar medication administration within scope, and ambulation after assessment can be appropriate. The unsafe rows are not wrong merely because staff are unfamiliar with the unit; they fail the competency or judgment check.
References
[1]
NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing
[2]
NCSBN: DelegationNational Council of State Boards of Nursing