Which task is appropriate to delegate to a certified nursing assistant (CNA)?

• A. One-on-one client observation for safety
• B. Administer intravenous medications
• C. Perform sterile dressing changes without supervision
• D. Starting intravenous access

Answer: (A)

Delegation and scope of practice guide what a CNA can safely handle. Certified nursing assistants are trained for routine, noninvasive patient care and ongoing safety observation. They watch for changes, ensure a patient’s environment is safe, and report concerns to the nurse promptly. This one-on-one observation for safety fits within a CNA’s duties because it supports patient safety without involving invasive procedures or medication administration. The other tasks involve invasive skills or administration of medications that require a licensed nurse and appropriate supervision: giving intravenous medications, starting IV access, and performing sterile dressing changes without supervision all demand nursing assessment, sterile technique, and licensure.