HESI LEADERSHIP & MANAGEMENT EXAM 2
2026 EXAM-STYLE QUESTIONS AND MODEL
RESPONSES
◉ The registered nurse is evaluating the statements made by a
student nurse after teaching about the delegation communication
template. Which statement made by the student nurse indicates a
need for correction?
1 "The delegation communication template should identify the
priorities."
2 "The delegation communication template should specify the
deviations."
3 "The delegation communication template should identify the
appropriate resources."
4 "The delegation communication template should include only the
work that is to be delegated.". Answer: 4 "The delegation
communication template should include only the work that is to be
delegated."
The delegation communication template should emphasize the work
that is not to be delegated. T
,he delegation communication template should identify the priorities
such as what is to be done first. The delegation communication
template should specify deviations such as when to take an
immediate action. The delegation communication template should
identify the appropriate resources including the individual
consultants.
◉ The registered nurse is assessing the conditions of four different
clients. Which client's care should the registered nurse delegate to
an unlicensed assistive personnel (UAP)?
1 Client A - brain injury; acute care
2 Client B - diarrhea; sub-acute care
3 Client C - uncontrolled DM; chronic care
4 Client D - HTN; acute care. Answer: 2 Client B - diarrhea; sub-acute
care
Client B is delegated to the UAP since they are assigned to perform
hygienic tasks and diarrhea is a sub-acute condition.
Brain injury is a serious condition and care cannot be performed by
the UAP. Uncontrolled diabetes is a chronic condition, so client C is
not delegated to UAP. Hypertension is an acute condition, and client
D is not delegated to the UAP.
,◉ Which element creates an integrative process that fosters effective
delegation decisions by the registered nurse?
1 Ability
2 Liability
3 Stability
4 Ethnicity. Answer: 3 Stability
Stability is the element that creates an integrative process that
fosters effective delegation decisions.
Ability is the factor that needs to be assessed to determine the level
the leaders determine.
Liability is the person's responsibility and accountability for
individual actions.
Ethnicity does not play a role in the process of delegation.
◉ The nurse is teaching breathing exercises to a client who
underwent surgery. Which member of the healthcare team is most
suitable for reinforcement of teaching in the client?
, 1 Certified technician
2 Case manager
3 Cross-trained technician
4 Licensed vocational nurse (LVN). Answer: 4 Licensed vocational
nurse (LVN)
The licensed practical nurses (LPN) are most suitable to be
delegated the task of reinforcement teaching.
A certified technician is an unlicensed member who can only record
the vital signs or provide basic hygiene to the client. A case manager
can provide primary education to the client. These personnel can
delegate the task of reinforcement teaching to the assistive nursing
personnel. Cross-trained technicians may perform respiratory
therapy, draw blood samples, and monitor electrocardiography.
◉ The charge nurse is assigning client care to oncoming staff. The
new nurse on the unit expresses an inability to care for the assigned
client and is requesting to be reassigned. What should the delegator
do in this situation?
1 Provide little guidance to the delegatee
2 Evaluate the ability and willingness of the delegate.
3 Understand the delegatee's motivation in the situation.
2026 EXAM-STYLE QUESTIONS AND MODEL
RESPONSES
◉ The registered nurse is evaluating the statements made by a
student nurse after teaching about the delegation communication
template. Which statement made by the student nurse indicates a
need for correction?
1 "The delegation communication template should identify the
priorities."
2 "The delegation communication template should specify the
deviations."
3 "The delegation communication template should identify the
appropriate resources."
4 "The delegation communication template should include only the
work that is to be delegated.". Answer: 4 "The delegation
communication template should include only the work that is to be
delegated."
The delegation communication template should emphasize the work
that is not to be delegated. T
,he delegation communication template should identify the priorities
such as what is to be done first. The delegation communication
template should specify deviations such as when to take an
immediate action. The delegation communication template should
identify the appropriate resources including the individual
consultants.
◉ The registered nurse is assessing the conditions of four different
clients. Which client's care should the registered nurse delegate to
an unlicensed assistive personnel (UAP)?
1 Client A - brain injury; acute care
2 Client B - diarrhea; sub-acute care
3 Client C - uncontrolled DM; chronic care
4 Client D - HTN; acute care. Answer: 2 Client B - diarrhea; sub-acute
care
Client B is delegated to the UAP since they are assigned to perform
hygienic tasks and diarrhea is a sub-acute condition.
Brain injury is a serious condition and care cannot be performed by
the UAP. Uncontrolled diabetes is a chronic condition, so client C is
not delegated to UAP. Hypertension is an acute condition, and client
D is not delegated to the UAP.
,◉ Which element creates an integrative process that fosters effective
delegation decisions by the registered nurse?
1 Ability
2 Liability
3 Stability
4 Ethnicity. Answer: 3 Stability
Stability is the element that creates an integrative process that
fosters effective delegation decisions.
Ability is the factor that needs to be assessed to determine the level
the leaders determine.
Liability is the person's responsibility and accountability for
individual actions.
Ethnicity does not play a role in the process of delegation.
◉ The nurse is teaching breathing exercises to a client who
underwent surgery. Which member of the healthcare team is most
suitable for reinforcement of teaching in the client?
, 1 Certified technician
2 Case manager
3 Cross-trained technician
4 Licensed vocational nurse (LVN). Answer: 4 Licensed vocational
nurse (LVN)
The licensed practical nurses (LPN) are most suitable to be
delegated the task of reinforcement teaching.
A certified technician is an unlicensed member who can only record
the vital signs or provide basic hygiene to the client. A case manager
can provide primary education to the client. These personnel can
delegate the task of reinforcement teaching to the assistive nursing
personnel. Cross-trained technicians may perform respiratory
therapy, draw blood samples, and monitor electrocardiography.
◉ The charge nurse is assigning client care to oncoming staff. The
new nurse on the unit expresses an inability to care for the assigned
client and is requesting to be reassigned. What should the delegator
do in this situation?
1 Provide little guidance to the delegatee
2 Evaluate the ability and willingness of the delegate.
3 Understand the delegatee's motivation in the situation.
