NCLEX-RN practice › Management of Care
NCLEX delegation question: tasks for assistive personnel (SATA)
Management of Care · Select all that apply · Clinical judgment step: Generate solutions
Client record
Clients
| Room | Client | Needs this shift |
|---|---|---|
| 510 | Stable, heart failure | Daily weight, intake and output |
| 511 | New tracheostomy, day 1 | Suctioning, first dressing change |
| 512 | Stable, stroke 2 weeks ago, passed swallow screen | Feeding assistance with lunch |
| 513 | Admitted 1 hour ago, chest pain | Admission assessment |
| 514 | Stable, post-op day 3 | Ambulation in the hallway |
| 515 | Discharge today, new insulin | Insulin teaching |
The RN is working with an assistive personnel (AP) on a medical unit. Which tasks are appropriate for the RN to delegate to the AP? Select all that apply.
- A. Weigh the client in Room 510 and record intake and output
- B. Help the client in Room 512 eat lunch
- C. Walk the client in Room 514 in the hallway
- D. Suction and change the dressing for the client in Room 511
- E. Complete the admission assessment for the client in Room 513
- F. Teach the client in Room 515 how to give insulin
Show the answer and rationales
Answer: A, B, C
Delegate standard, unchanging tasks for stable clients. Keep assessment, teaching, evaluation and care of unstable clients with the RN.
- A. Correct. Routine measurement on a stable client is within AP scope.
- B. Correct. Feeding a stable client who passed a swallow screen, with aspiration precautions, can be delegated.
- C. Correct. Ambulating a stable post-op client is within AP scope.
- D. Incorrect. A new tracheostomy is unstable and requires RN assessment.
- E. Incorrect. Assessment cannot be delegated.
- F. Incorrect. Teaching is an RN responsibility.
Scoring: select all that apply items on the Next Generation NCLEX use plus/minus scoring. You gain a point for each correct option you choose and lose a point for each incorrect one, with a minimum of zero. This item is worth 3 points.
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