
The Five Rights of Delegation, a joint NCSBN and American Nurses Association framework, are the right task, right circumstance, right person, right direction and communication, and right supervision and evaluation. Run them in order on a question, and the first right that fails tells you the answer.
The Five Rights of Delegation come from NCSBN and the American Nurses Association. They are the framework behind every delegation question on the exam.
Most students can list them. Fewer can use them. Here is how to use them.
Can this task be delegated at all?
Some tasks can never be delegated:
Tasks that can be delegated are routine, repetitive, and have predictable results.
Test yourself: if the task needs someone to think and decide, it stays with the RN.
Is this the right situation for delegating?
The same task can be safe for one client and unsafe for another.
Taking vital signs:
The client’s condition decides, not the task name.
Key words that mean “do not delegate”: unstable, newly admitted, just returned, first time, changed condition, deteriorating.
Is this person allowed and able to do it?
Two parts:
Allowed — is it in their scope? A UAP cannot give medications. An LPN cannot do the first assessment.
Able — has this specific person been trained and shown competent? A new UAP who has never done something is not the right person, even if the task is within a UAP’s scope.
The exam sometimes says “a UAP who has been trained in…” That phrase matters. It tells you the person is able.
Did you give clear instructions?
Clear delegation includes:
Bad: “Keep an eye on room 12.” Good: “Take Mr. Lee’s blood pressure every hour. Tell me right away if the top number goes below 100.”
Wrong answers in this category often show vague instructions or an assumption that the person knows what to do.
Did you follow up?
Delegating does not mean handing off responsibility. The RN is still accountable.
You must:
A very common wrong answer: delegating and never checking back.
Run the five rights in order. The first one that fails tells you the answer.
Question: The nurse asks the UAP to check the blood pressure of a client who has just returned from surgery. What is wrong with this?
Failed at right 2. That is your answer.
Question: The nurse tells the UAP, “Watch the client in room 4 today.” What should the nurse have done differently?
Failed at right 4.
Delegating assessment. Fails right 1. The most common.
Delegating care of an unstable client. Fails right 2.
Vague instructions. Fails right 4.
Delegating and walking away. Fails right 5.
If you see any of these in an option, it is wrong.
This shows up often, so learn it clearly:
The RN who delegates stays accountable for the outcome.
You do not transfer responsibility. You transfer a task.
So if the UAP does the task wrong, the RN is answerable for whether it should have been delegated, whether directions were clear, and whether supervision happened.
Wrong answer to avoid: “The UAP is responsible because they performed the task.”
Ask five questions in order:
The first “no” is your answer.
Sources
The Five Rights of Delegation are a joint NCSBN and American Nurses Association framework. Delegation rules vary by state Nurse Practice Act.
Common follow-up questions on Prioritization, Delegation & Management of Care.
Assessment, teaching, evaluating results, making the care plan, and any nursing judgment stay with the RN. Tasks that can be delegated are routine, repetitive, and have predictable results. If a task needs someone to think and decide, it stays with the RN.
The same task can be safe for one client and unsafe for another, so the client's condition decides, not the task name. Taking vital signs is fine to delegate for a stable client on day 3 after surgery but stays with the RN for a client who just returned from surgery or whose blood pressure has been dropping. Key words that mean do not delegate include unstable, newly admitted, just returned, first time, changed condition, and deteriorating.
Two parts: whether it is in their scope and whether that specific person is trained and has shown competence. A UAP cannot give medications and an LPN cannot do the first assessment, and even a task within scope is wrong if the person has never been trained in it. When the exam says a UAP has been trained in something, that phrase tells you the person is able.
Clear delegation states exactly what to do, when to do it, what to report back and when, and any limits to watch for. Saying keep an eye on room 12 is too vague; a good instruction is to take a specific client's blood pressure every hour and report right away if the top number goes below 100. Wrong answers in this category show vague instructions or assume the person knows what to do.
The RN who delegates stays accountable for the outcome; you transfer a task, not responsibility. If the UAP does the task wrong, the RN is answerable for whether it should have been delegated, whether directions were clear, and whether supervision happened. A wrong answer to avoid is that the UAP is responsible because they performed the task.
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