# Drag each task to the team member who can most appropriately perform it on this shift.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=394871&lang=en  
> language: en  
> subject: Assignment/Delegation/Supervision  
> category: MOC

## Question

Drag each task to the team member who can most appropriately perform it on this shift.

**1.** Perform the initial assessment of new chest pressure and diaphoresis

Select a category
RN
UAP
LPN/VN

**2.** Evaluate new confusion and a falling oxygen saturation

Select a category
RN
UAP
LPN/VN

**3.** Provide initial discharge teaching for a new insulin regimen

Select a category
RN
UAP
LPN/VN

**4.** Administer scheduled oral medications to a stable client

Select a category
RN
UAP
LPN/VN

**5.** Change the sterile dressing on a stable healing wound

Select a category
RN
UAP
LPN/VN

**6.** Reinforce previously taught heart-failure daily-weight instructions

Select a category
RN
UAP
LPN/VN

**7.** Measure routine vital signs and intake and output for a stable client

Select a category
RN
UAP
LPN/VN

**8.** Assist a previously assessed stable client with ambulation and bathing

Select a category
RN
UAP
LPN/VN

## Explanation

The RN performs initial or unstable assessments, clinical judgment, and initial teaching. A competent LPN/VN may provide predictable care, administer routine medications, change a stable wound dressing, and reinforce established teaching when policy permits. A competent UAP may collect routine data and assist a stable client with previously assessed activities of daily living.

## In-depth explanation

Quick answer
Unstable assessment and initial teaching stay with the RN; predictable licensed care may go to the LPN/VN; routine stable data and ADLs may go to the UAP.

Why this is correct
Delegation depends on the client, task, circumstances, delegatee competence, communication, and supervision. A job title alone does not authorize every task, and the RN cannot delegate away responsibility for nursing judgment.

NCLEX decision rule
Ask whether the client is stable, the outcome is predictable, judgment is limited, and policy plus demonstrated competence support the assignment.References
1NCSBN Delegation Guidance
2NCSBN National Guidelines for Nursing Delegation

## Clinical scenario

Policy-bounded delegation
The RN knows each team member's competence. The jurisdiction and facility policy allow the LPN/VN activities listed below. The RN retains accountability for assessment, clinical judgment, delegation, supervision, and evaluation.

## Key concepts

- **Assignment** — The distribution of work already within the authorized scope and usual role of the team member.
- **Delegation** — The transfer of authority to perform a selected task while the delegating nurse retains accountability for the decision and oversight.
- **Predictable Outcome** — An expected response with low likelihood of rapid change, reducing the clinical judgment required during the task.

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