# 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.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=497289&lang=en  
> language: en  
> subject: Assignment/Delegation/Supervision  
> category: MOC

## Question

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.

| Assignment review | Planned care activity |
| --- | --- |
| Float RN | Administer familiar scheduled oral medications to stable clients |
| Float RN | Titrate an unfamiliar vasoactive infusion without validated competency |
| Assistive personnel | Provide initial discharge teaching about new insulin use |
| Assistive personnel | Obtain routine glucose reading for a stable client |
| LPN/VN | Reinforce previously taught ostomy care within documented scope |
| Float RN | Care for stable clients whose needs match verified experience |
| Assistive personnel | Ambulate a stable client after the RN assessment |
| Float RN | Accept a stable postoperative client with experienced unit support |
| Assistive personnel | Independently reassess breathing after an acute status change |

## 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.

## In-depth explanation

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.

Memory hook
Condition, task, competence, direction, supervision.

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

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