Delegation on NCLEX

The Five Rights of Delegation

1. Right Task

2. Right Circumstances

3. Right Person

4. Right Direction/communication

5. Right Supervision/Evaluation

We have to take HESI at the end of March. Our instructors have told us to forget what we know from working. NCLEX is based on a textbook world- there is always enough staff, you always have a doctor's order, etc. Assessment and teaching are never delegated. Stable patients, routine tasks with predictable outcomes are the ones that are delegated.

I am currently a LPN, getting ready to graduate with an ADN. We just took our first HESI. There were a lot of questions regarding "you are the charge nurse what patient would you give a new grad RN or LPN" etc then they list different patients with various illness. I had problams with these questions because as a LPN I have taken all those patients. I was wondering if there is a web site that help determine what nurse should get what. Does anyone have any suggestions. Thanks

GingerSue and VA rebelnurse have given some good pointers. As an RN, you can delegate patients who are stable and have predictable outcomes to LPNs. Remember, the NCLEX exams are used in every state, and so the questions have to be applicable for every state. You won't see questions on the NCLEX exams about something that is not allowed to be done in some states. For example, some states don't allow LPNs to insert IVs or push IV drugs, so you won't see those types of questions on the PN exam. Some states, such as CA, don't allow PNs to assess; they "gather data" instead. Yes, in the real world it is different and nurses are doing all kinds of things. But think how things would be done if a "regulatory agency" was around, because that is what the NCSBN is.