# Drag each task to the team member assignment the charge nurse should make for this shift.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=568365&lang=en  
> language: en  
> subject: Assignment/Delegation/Supervision  
> category: MOC

## Question

Drag each task to the team member assignment the charge nurse should make for this shift.

**1.** Perform initial assessment of a newly admitted client with uncontrolled diabetes and develop a plan of care

Select a category
RN
UAP
LPN/VN

**2.** Reassess a client whose blood pressure dropped from 138/86 to 98/60 mm Hg after a blood transfusion

Select a category
RN
UAP
LPN/VN

**3.** Evaluate a client's response to pain medication and adjust the care plan accordingly

Select a category
RN
UAP
LPN/VN

**4.** Reinforce teaching for a stable client with a new colostomy about pouch emptying and skin care

Select a category
RN
UAP
LPN/VN

**5.** Administer oral metformin to a stable client with type 2 diabetes as ordered

Select a category
RN
UAP
LPN/VN

**6.** Obtain vital signs for a stable client who received a blood transfusion 2 hours ago and report any changes

Select a category
RN
UAP
LPN/VN

## Explanation

The RN retains initial and unstable assessments, interpretation, clinical judgment, care planning, and initial teaching. An LPN/VN may care for stable clients and perform authorized medications, sterile procedures, and reinforcement under law and policy. A trained UAP may perform routine, predictable activities that do not require nursing assessment or judgment. The RN remains accountable for the delegation decision, directions, supervision, and evaluation.

## In-depth explanation

Quick answer
The correct assignments reflect the legal and regulatory scope of each team member. The RN performs the initial assessment of the newly admitted client with uncontrolled diabetes because it requires clinical judgment and care planning. The LPN/VN reinforces teaching for the stable client with a new colostomy because reinforcement of teaching is within LPN/VN scope under RN supervision. The UAP obtains vital signs for the stable client who had a blood transfusion 2 hours ago because it is a routine, predictable task with clear parameters.

Why this is correct
Delegation decisions are based on the stability of the client, the complexity of the task, and the scope of practice of each team member. The RN must assess and plan care for unstable or newly admitted clients. The LPN/VN can perform tasks for stable clients that do not require independent nursing judgment. The UAP can perform routine tasks with predictable outcomes under supervision.

Clinical picture
In a medical-surgical unit, the charge nurse must assign tasks based on client acuity and team member competencies. The newly admitted client with uncontrolled diabetes requires immediate RN assessment to establish a baseline and initiate appropriate interventions. The stable client with a new colostomy needs reinforcement of previously taught information, which is within LPN/VN scope. The stable client post-transfusion requires routine vital sign monitoring, which can be delegated to UAP with clear reporting parameters.

Memory hook
Remember the five rights of delegation: right task, right circumstance, right person, right direction/communication, and right supervision/evaluation. RNs retain tasks requiring assessment, planning, and evaluation. LPN/VNs can perform tasks for stable clients with predictable outcomes. UAPs perform routine, non-invasive tasks.

NCLEX decision rule
Do not delegate tasks that require nursing judgment, assessment, or evaluation to UAP. LPN/VN may perform tasks for stable clients as authorized by state law and facility policy. The RN is accountable for the delegation decision and must supervise and evaluate the care provided.

Why the alternatives are wrong
Assigning the initial assessment to the LPN/VN would be inappropriate because the client is newly admitted and unstable, requiring RN-level assessment and care planning. Assigning reinforcement of teaching to the UAP would be inappropriate because teaching reinforcement requires nursing knowledge and is not within UAP scope. Assigning vital signs to the LPN/VN would be acceptable but not the best use of LPN/VN skills when a UAP can perform this routine task, allowing the LPN/VN to focus on other stable client care.

Sources
1NCSBN 2026 NCLEX-RN Test Plan
2NCSBN: Delegation
3NCSBN National Guidelines for Nursing Delegation

## Clinical scenario

The medical-surgical team includes one RN, one LPN/VN, and one experienced UAP. All clients described as stable have predictable outcomes. State law, facility policy, demonstrated competence, communication, and RN supervision apply.

## Key concepts

- **Delegation** — The process by which a nurse transfers the authority to perform a selected nursing task to a competent individual while retaining accountability for the outcome.
- **Scope of practice** — The legal boundaries of practice for a healthcare provider, defined by state law and regulations, which determine what tasks may be performed.
- **Stable client** — A client whose condition is predictable and not changing rapidly, allowing for delegation of routine tasks to appropriate personnel.

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