# The nurse is caring for four clients. Which task is appropriate to delegate to unlicensed assistive personnel?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397248&lang=en  
> language: en  
> subject: Assignment/Delegation/Supervision  
> category: MOC

## Question

The nurse is caring for four clients. Which task is appropriate to delegate to unlicensed assistive personnel?

## Option

1. Assess a client with sudden shortness of breath after using the bathroom.
2. Teach a client proper technique for using a new metered-dose inhaler.
3. Evaluate a client's new chest pain after ambulating to the hallway.
4. Obtain a routine blood pressure for a stable client before breakfast. **✔ Correct answer**

**Correct answer: 4**

## Explanation

Obtaining routine vital signs for a stable client is an appropriate delegated task. Assessment, evaluation, and teaching require licensed nursing judgment. A new symptom such as chest pain or shortness of breath must be assessed by the nurse.

## In-depth explanation

Clinical Judgment
Use the client cues, timing, labs, and safety risks to select the response that best fits Delegation of routine vital signs.

Memory Tip
Match the strongest cue cluster to the safest nursing judgment.

KR vs US
NCLEX items reward cue-based priority thinking rather than isolated recall.

## Clinical scenario

Clinical Practice Guide
For Delegation of routine vital signs, compare the complete cue pattern with the client's current stability, ordered data, and expected nursing scope.

Caution
Do not choose an action from one isolated cue when the full scenario changes priority or safety.

## Key concepts

- **Delegation** — Assigning a task to another team member while retaining accountability for care.
- **Stable Client** — A client whose condition is predictable and not currently changing.
- **Nursing Judgment** — Clinical decision-making based on assessment and client cues.

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