# An RN is assigning routine care for stable clients on a medical-surgical unit. For each group, select all tasks appropriate to delegate to trained unlicensed assistive personnel (UAP).

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=620065&lang=en  
> language: en  
> subject: Advocacy  
> category: MOC

## Question

An RN is assigning routine care for stable clients on a medical-surgical unit. For each group, select all tasks appropriate to delegate to trained unlicensed assistive personnel (UAP).

Routine care tasks

Ambulate a stable client after the RN has assessed mobility and provided instructions

Measure and record intake and output for a stable client

Evaluate whether an analgesic relieved postoperative pain

Provide initial teaching about self-injecting insulin

Additional tasks

Assist a stable client with bathing and grooming

Collect a routine clean-catch urine specimen after instructions are provided

Assess a client who reports new chest pain

Decide whether a confused client requires restraints

## Explanation

UAP may perform predictable routine tasks for stable clients, such as ambulation after RN assessment, intake and output measurement, bathing assistance, and collection of a routine specimen. The RN retains assessment, evaluation, clinical judgment, and teaching. New chest pain requires RN assessment, effectiveness of analgesia must be evaluated by the nurse, insulin self-administration teaching cannot be delegated, and restraint decisions require nursing judgment.

## In-depth explanation

Quick answer
UAP may perform predictable routine tasks for stable clients, such as ambulation after RN assessment, intake and output measurement, bathing assistance, and collection of a routine specimen. The RN retains assessment, evaluation, clinical judgment, and teaching. New chest pain requires RN assessment, effectiveness of analgesia must be evaluated by the nurse, insulin self-administration teaching cannot be delegated, and restraint decisions require nursing judgment.
Key cues
Use only the findings, timing, and orders stated in the scenario.
Clinical reasoning
Apply the requested nursing decision to this client rather than relying on a broad disease label.
Why the alternatives do not fit
The remaining responses are contradicted by the scenario, mistimed, outside scope, or unsafe.
Priority and safety
Address immediate threats first and reassess after intervention.
Takeaway
Choose only actions supported at this exact point in care.
**Sources**
- AHRQ TeamSTEPPS

## Clinical scenario

An RN is assigning routine care for stable clients on a medical-surgical unit. For each group, select all tasks appropriate to delegate to trained unlicensed assistive personnel (UAP).

## Key concepts

- **delegation** — delegation is a key clinical concept for assessing and managing delegation and assignment safety.
- **unlicensed assistive personnel** — unlicensed assistive personnel is a key clinical concept for assessing and managing delegation and assignment safety.
- **nursing judgment** — nursing judgment is a key clinical concept for assessing and managing delegation and assignment safety.

## Related questions

- [A client with limited English proficiency is preparing to sign consent for a high-risk pro…](https://mymerci.kr/pages/nclex_q.php?qn_id=525980&lang=en)
- [Review the nurse's escalating safety concern and determine the strongest advocacy response…](https://mymerci.kr/pages/nclex_q.php?qn_id=563775&lang=en)
- [A 70-year-old client is in the preoperative holding area for a scheduled knee arthroplasty…](https://mymerci.kr/pages/nclex_q.php?qn_id=617413&lang=en)

## Read in another language

- [en](https://mymerci.kr/pages/nclex_q.php?qn_id=620065&lang=en)
- [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=620065&lang=ko)
- [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=620065&lang=ja)
- [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=620065&lang=zh-tw)
- [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=620065&lang=vi)

---

More free questions: [NCLEX-RN Practice](https://mymerci.kr/pages/nclex_bank.php?lang=en)

_For study reference only. Always follow current clinical guidelines and your institution’s protocols._