NCLEX Prioritization, Delegation, And Assignment Practice Test

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A nurse is assigning care for four patients. Which assignment is appropriate to delegate to a UAP?
Correct Answer:
Assist with activities of daily living for a stable patient and report changes.
Explanation:
UAPs are appropriate for tasks that are routine, nonclinical, and safe for a stable patient, as long as any changes are reported to the nurse. Assisting with activities of daily living fits this scope because it involves basic personal care (bathing, dressing, feeding, mobility) and does not require clinical decision-making. The nurse still monitors the patient and would intervene if there are changes in condition, ensuring safety and continuity of care. Administering IV antibiotics goes beyond the UAP’s scope because it involves medication administration, IV access, monitoring for infusion reactions, and making nursing judgments about continuing or modifying therapy. Assessing a new wound requires clinical assessment, measurement of wound size and drainage, evaluation for infection, and interpretation of findings to guide treatment—tasks that require nursing expertise. Providing discharge education is health teaching that involves understanding the patient’s plan, interpreting instructions, and ensuring comprehension, which is a nursing responsibility rather than a task for a UAP. So, the assignment that aligns with a UAP’s scope is helping with daily living activities for a stable patient and reporting any changes to the nurse.

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