LPN Delegation and Supervision for UAP 2

Question 1

A UAP reports that a patient's blood pressure is 88/50 mmHg. What is the LPN's priority action?

Accepted Answer

Reassess the patient immediately and notify the RN

Answer

Instruct the UAP to recheck in 30 minutes

Answer

Document the finding and continue monitoring

Answer

Ask the UAP to encourage the patient to drink fluids

Question 2

Which task is within the UAP's scope when caring for a post-operative patient?

Accepted Answer

Ambulating the patient per the established care plan

Answer

Assessing the surgical wound for signs of infection

Answer

Removing staples from the incision site

Answer

Adjusting the patient-controlled analgesia (PCA) pump

Question 3

Before delegating a task to a UAP, the LPN must first ensure which of the following?

Accepted Answer

The task is within the UAP's documented competency and training

Answer

The UAP has performed the task at least once before

Answer

The RN has given verbal permission for every task

Answer

The patient has signed a consent form for UAP assistance

Question 4

A UAP tells the LPN that a patient refuses to eat breakfast. What should the LPN do next?

Accepted Answer

Assess the patient to determine the reason for refusal

Answer

Instruct the UAP to document the refusal and move on

Answer

Ask the UAP to try again in one hour

Answer

Immediately notify the physician of the refusal

Question 5

Which statement best describes the LPN's accountability when delegating to a UAP?

Accepted Answer

The LPN retains accountability for the appropriateness of the delegation

Answer

The UAP assumes full responsibility once the task is delegated

Answer

Responsibility transfers entirely to the RN who oversees both

Answer

Neither the LPN nor UAP is accountable if the task is routine

Question 6

A UAP is asked to perform oral care on an unconscious patient. What must the LPN verify first?

Accepted Answer

That the UAP is trained in aspiration precautions for unconscious patients

Answer

That the patient's family has consented to UAP care

Answer

That the RN has assessed the patient within the last hour

Answer

That the oral care is documented in the care plan

Question 7

During supervision, the LPN observes a UAP performing a task incorrectly. What is the appropriate immediate action?

Accepted Answer

Intervene immediately to prevent patient harm and correct the technique

Answer

File an incident report and address the issue at shift end

Answer

Allow the UAP to finish and then provide feedback privately

Answer

Report the UAP to the charge nurse without intervening