LPN Delegation and Supervision for UAP 5

Question 1

A UAP caring for multiple patients asks the LPN which task to do first. The LPN should base prioritization on:

Accepted Answer

Each patient's clinical acuity and time-sensitive needs

Answer

The order in which patient call lights were activated

Answer

The UAP's personal preference and familiarity with each patient

Answer

Which room is closest to the nursing station

Question 2

Which statement reflects the correct relationship between the LPN and the UAP regarding delegation?

Accepted Answer

The LPN is responsible for tasks delegated and must supervise appropriately

Answer

The UAP can refuse any task delegated by the LPN without consequence

Answer

The LPN directs the UAP's work but cannot discipline them

Answer

The UAP is independently responsible for all tasks once assigned

Question 3

When a UAP states they are uncomfortable performing a delegated task, the LPN should:

Accepted Answer

Explore the reason for discomfort and provide support or reassign as appropriate

Answer

Insist the UAP complete the task since it is within their scope

Answer

Report the UAP to the charge nurse for insubordination

Answer

Document the refusal and assign the task to another UAP

Question 4

What distinguishes a task that is 'routine' and delegable from one that requires nursing judgment?

Accepted Answer

Routine tasks have predictable outcomes and do not require assessment or evaluation

Answer

Routine tasks are those the UAP has done many times before

Answer

Any task done at the bedside is considered routine

Answer

Routine tasks are defined solely by facility policy, not nursing standards

Question 5

A UAP reports that a patient who was alert is now confused and difficult to arouse. The LPN should:

Accepted Answer

Immediately assess the patient and notify the supervising RN

Answer

Ask the UAP to stay with the patient and check back in 15 minutes

Answer

Assume the patient may be sleeping and continue other assignments

Answer

Instruct the UAP to document the finding in the chart

Question 6

Which action by a UAP requires the LPN to re-evaluate the appropriateness of the delegation?

Accepted Answer

The UAP consistently makes errors when performing the delegated task

Answer

The UAP asks the LPN a clarifying question before starting the task

Answer

The UAP reports completing the task without the LPN's follow-up check

Answer

The UAP takes slightly longer than expected to complete the task

Question 7

The LPN wants to delegate repositioning a patient with severe osteoporosis to a UAP. What is essential before doing so?

Accepted Answer

Providing specific repositioning instructions and precautions for that patient

Answer

Confirming the patient has no fall risk according to the chart

Answer

Obtaining a physician's order to allow UAP repositioning

Answer

Ensuring the patient's family is present during the repositioning