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EVOLVE HESI LEADERSHIP AND
MANAGEMENT EXAM 2026 |
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES | RATED
A+ | NEW!!
Which component of delegation is defined as the ability to perform
duties in a specific role?
1 Authority
2 Supervision
3 Responsibility
4 Accountability - ANSWER- 1
Authority is the ability to perform duties in a specific role.
Supervision is the provision of guidance and oversight of a delegated
task. Responsibility refers to reliability, dependability, and
obligation to accomplish work. Accountability involves determining
whether the actions are appropriate and providing a detailed
explanation of what has occurred.
The healthcare team is caring for a client with neutropenia. Which task
is delegated to unlicensed assistive personnel?
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1 Administering antibiotics
2 Assisting with personal hygiene
3 Monitoring for signs and symptoms of infection
4 Teaching the client and caregivers about how to avoid infection -
ANSWER- 2
Unlicensed assistive personnel assisting with the client's personal
hygiene.
The licensed practical nurse administers antibiotics. Monitoring for
signs and symptoms is performed by the licensed practical nurse.
The registered nurse teaches the client and caregivers how to avoid
infection.
A client's serum potassium level has increased to 5.8 mEq/L (5.8
mmol/L). What action should the nurse implement first?
1 Call the laboratory to repeat the test.
2 Take vital signs and notify the healthcare provider.
3 Inform the cardiac arrest team to place them on alert.
4 Take an electrocardiogram and have lidocaine available. - ANSWER-
2
Vital signs monitor cardiorespiratory status; hyperkalemia causes
cardiac dysrhythmias. The healthcare provider should be notified
because medical intervention may be necessary.
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A repeat laboratory test will take time and probably reaffirm the
original results; the client needs immediate attention. The cardiac
arrest team is always on alert and will respond when called for a
cardiac arrest. Taking an electrocardiogram and having lidocaine
available are insufficient interventions.
The nurse has accepted a position as a navigator. What should the nurse
expect to learn during training for this role? Select all that apply.
1 Approaches to reduce the cost of health care
2 Learning ways to work through the health systems
3 Strategies to teach clients about disease, including prevention and
treatment
4 Assessing barriers that clients have encountered while attempting to
receive care
5 Helping clients cope with delays in receiving treatment until barriers
are overcome - ANSWER- 2, 3, 4, 5
Navigators are responsible for overcoming health system barriers,
providing health education about diseases from prevention to
treatment, addressing barriers to care, and providing psychosocial
support. These are the areas the nurse should expect to focus on
when being trained in the role.
Learning approaches to reduce the cost of health care would be
appropriate for a case manager to learn.
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What aspect of total client care needs to be taken into consideration if
used on a 24-bed care area?
1 Cost of nurses
2 Training needs
3 Documentation
4 Time commitment - ANSWER- 1 Cost of nurses
Since total client care is provided by a registered nurse (RN) it can
be very expensive and not realistic to use a highly skilled and
extremely knowledgeable professional nurse to provide all the care
required in a unit of 24 clients.
There are no particular issues with training, documentation, or time
commitment with total client care.
For which situations would total client care be an appropriate delivery
system? Select all that apply.
1 Client scheduled for lithotripsy for renal calculi
2 Client with an endotracheal tube for pulmonary sepsis
3 Client recovering from cardiovascular bypass graft surgery
4 Client recovering from the placement of a cerebrospinal fluid shunt
5 Client transferring to a rehabilitation unit after total hip replacement
surgery - ANSWER- 2, 3, 4
EVOLVE HESI LEADERSHIP AND
MANAGEMENT EXAM 2026 |
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES | RATED
A+ | NEW!!
Which component of delegation is defined as the ability to perform
duties in a specific role?
1 Authority
2 Supervision
3 Responsibility
4 Accountability - ANSWER- 1
Authority is the ability to perform duties in a specific role.
Supervision is the provision of guidance and oversight of a delegated
task. Responsibility refers to reliability, dependability, and
obligation to accomplish work. Accountability involves determining
whether the actions are appropriate and providing a detailed
explanation of what has occurred.
The healthcare team is caring for a client with neutropenia. Which task
is delegated to unlicensed assistive personnel?
,2|P a g e
1 Administering antibiotics
2 Assisting with personal hygiene
3 Monitoring for signs and symptoms of infection
4 Teaching the client and caregivers about how to avoid infection -
ANSWER- 2
Unlicensed assistive personnel assisting with the client's personal
hygiene.
The licensed practical nurse administers antibiotics. Monitoring for
signs and symptoms is performed by the licensed practical nurse.
The registered nurse teaches the client and caregivers how to avoid
infection.
A client's serum potassium level has increased to 5.8 mEq/L (5.8
mmol/L). What action should the nurse implement first?
1 Call the laboratory to repeat the test.
2 Take vital signs and notify the healthcare provider.
3 Inform the cardiac arrest team to place them on alert.
4 Take an electrocardiogram and have lidocaine available. - ANSWER-
2
Vital signs monitor cardiorespiratory status; hyperkalemia causes
cardiac dysrhythmias. The healthcare provider should be notified
because medical intervention may be necessary.
,3|P a g e
A repeat laboratory test will take time and probably reaffirm the
original results; the client needs immediate attention. The cardiac
arrest team is always on alert and will respond when called for a
cardiac arrest. Taking an electrocardiogram and having lidocaine
available are insufficient interventions.
The nurse has accepted a position as a navigator. What should the nurse
expect to learn during training for this role? Select all that apply.
1 Approaches to reduce the cost of health care
2 Learning ways to work through the health systems
3 Strategies to teach clients about disease, including prevention and
treatment
4 Assessing barriers that clients have encountered while attempting to
receive care
5 Helping clients cope with delays in receiving treatment until barriers
are overcome - ANSWER- 2, 3, 4, 5
Navigators are responsible for overcoming health system barriers,
providing health education about diseases from prevention to
treatment, addressing barriers to care, and providing psychosocial
support. These are the areas the nurse should expect to focus on
when being trained in the role.
Learning approaches to reduce the cost of health care would be
appropriate for a case manager to learn.
, 4|P a g e
What aspect of total client care needs to be taken into consideration if
used on a 24-bed care area?
1 Cost of nurses
2 Training needs
3 Documentation
4 Time commitment - ANSWER- 1 Cost of nurses
Since total client care is provided by a registered nurse (RN) it can
be very expensive and not realistic to use a highly skilled and
extremely knowledgeable professional nurse to provide all the care
required in a unit of 24 clients.
There are no particular issues with training, documentation, or time
commitment with total client care.
For which situations would total client care be an appropriate delivery
system? Select all that apply.
1 Client scheduled for lithotripsy for renal calculi
2 Client with an endotracheal tube for pulmonary sepsis
3 Client recovering from cardiovascular bypass graft surgery
4 Client recovering from the placement of a cerebrospinal fluid shunt
5 Client transferring to a rehabilitation unit after total hip replacement
surgery - ANSWER- 2, 3, 4
