I use my 2015 MBP with an external 4K monitor every day and it works like a charm. No delay, no fans going off, etc.
When I had a MBP 2015 I rarely had the fan come because it only had and and used an integrated GPU.
With a 2018 MBP the fan frequently kicks on because it switches to the Radeon high perf GPU when doing things like connecting to an external monitor.
Not a sound.