# For each proposed assignment or delegation decision, identify whether it is appropriate for the RN or needs correction.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=547048&lang=en  
> language: en  
> subject: Assignment/Delegation/Supervision  
> category: MOC

## Question

For each proposed assignment or delegation decision, identify whether it is appropriate for the RN or needs correction.

|  | Appropriate RN decision | Needs correction |
| --- | --- | --- |
| After assessing a stable client, ask the trained UAP to assist with ambulation using defined stop-and-report parameters. |  |  |
| Assign a routine dressing change for a stable predictable client to the LPN/VN when allowed by scope and verified competence. |  |  |
| Ask the UAP to perform the initial assessment of a client with new chest pressure and decide whether to call rapid response. |  |  |
| Give clear directions, confirm understanding, remain available, and evaluate the result after delegated care. |  |  |
| Tell the UAP to decide independently whether a prescribed blood-pressure medication should be held. |  |  |
| Transfer all clinical judgment for a rapidly deteriorating client to the LPN/VN and leave the unit without handoff. |  |  |

## Explanation

Delegation is a clinical decision, not just workload distribution. The RN evaluates client stability, task predictability, potential harm, required judgment, team-member competence, and available supervision. Routine care for a stable predictable client may be assigned within the individual's legal scope and demonstrated competence. Initial assessment, interpretation of a new acute change, care planning, and evaluation require RN judgment. The RN gives clear directions and parameters, remains available, follows up, and intervenes when results are unexpected. Scope varies by jurisdiction, so local law and policy still apply.

## In-depth explanation

Correct Answer
Appropriate delegation uses stable predictable situations, verified competence, clear communication, supervision, and RN evaluation.

Why It Fits
Tasks involving initial assessment or unstable clinical judgment cannot be transferred merely because another team member is available.

Clinical Picture
The delegatee is responsible for performing the task correctly, while the RN remains accountable for the delegation decision and evaluation.

Memory Link
Stable task, clear direction, known skill, available RN, completed follow-up.

NCLEX Rule
Match the right task and circumstance with the right person, direction, supervision, and evaluation under applicable scope rules.

Why the Alternatives Fail
Delegating assessment, independent medication decisions, or unstable-client judgment without follow-up exceeds a safe delegation process.

Sources
1NCSBN National Guidelines for Nursing Delegation
2NCSBN 2026 NCLEX-RN Test Plan

## Clinical scenario

Medical-surgical unit
The RN coordinates care with a licensed practical or vocational nurse and an experienced unlicensed assistive person. Local law and facility policy permit routine predictable tasks within demonstrated competence. The RN retains accountability for nursing judgment, supervision, and evaluation.

## Key concepts

- **Delegation** — Transfer of responsibility for performing a selected task while the licensed nurse retains accountability for the delegation decision.
- **Assignment** — Distribution of work that is already within the team member's authorized role and scope.
- **Supervision** — Ongoing direction, monitoring, support, and evaluation appropriate to the client, task, and delegatee.

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