HESI PN LEADERSHIP EXIT EXAM NEWEST
2026/2027 | 100 Real Exam-Based Questions with
Verified Answers | 100% Accuracy | Practical Nursing
Leadership Prep | Graded A+ | Pass Guaranteed
Part One: Foundations of PN Leadership & Delegation
25 Questions
Q1: A practical nurse is reviewing the scope of practice for the nursing assistant (NAP)
on the unit. Which task is appropriate to delegate to the NAP? A. Evaluating a patient's
response to pain medication administered 30 minutes ago B. Assisting an ambulatory
patient with a shower and documenting the activity [CORRECT] C. Teaching a newly
diagnosed diabetic patient how to administer insulin D. Interpreting blood glucose
results and notifying the provider of abnormal values
Correct Answer: B
Rationale: Bathing and ambulation assistance fall within the NAP's training and scope.
Option A requires nursing judgment (evaluation), which is an RN/LPN function. Option
C involves patient education, which exceeds NAP scope. Option D requires clinical
interpretation and provider communication, which is a licensed nurse responsibility.
The NAP can perform basic hygiene and mobility tasks under supervision.
Q2: The charge nurse asks the LPN to delegate morning vital signs for a group of stable
patients to the NAP. Before delegating, what is the LPN's first responsibility? A. Assume
the NAP has been trained and proceed with the assignment B. Assess the NAP's
competency, the patient's condition, and the task's predictability [CORRECT] C. Delegate
,the task and plan to review the results at the end of the shift D. Perform the vital signs
personally to avoid any potential errors
Correct Answer: B
Rationale: The five rights of delegation include right task, right circumstance, right
person, right direction/communication, and right supervision. The LPN must first
assess whether the NAP is competent, the patient is stable, and the task is predictable.
Option A skips critical assessment. Option C lacks appropriate supervision. Option D
defeats the purpose of delegation and is inefficient.
Q3: Which statement best describes the LPN's role in the nursing hierarchy regarding
delegation? A. The LPN may delegate any task that an RN can delegate B. The LPN
delegates to NAPs and receives delegation from RNs within scope boundaries
[CORRECT] C. The LPN is not permitted to delegate any tasks to unlicensed personnel D.
The LPN functions independently and does not require RN oversight for any patient
care
Correct Answer: B
Rationale: The LPN occupies a middle position—delegating appropriate tasks to NAPs
while accepting delegation from RNs for tasks within the LPN scope. Option A is
incorrect because RNs can delegate nursing assessments and teaching, which LPNs
cannot. Option C is false; LPNs can delegate appropriate tasks. Option D violates the
team nursing model and scope regulations.
Q4: A nursing assistant approaches the LPN and states, "I don't feel comfortable turning
the patient with the hip fracture because I'm afraid I'll hurt them." What is the LPN's
best response? A. "You need to do it anyway; it's part of your job description." B. "Let me
reassess the patient's needs and provide guidance or reassign the task." [CORRECT] C.
"I'll do it myself from now on so you don't have to worry." D. "Ask another NAP to do it;
I'm too busy right now."
Correct Answer: B
,Rationale: When a delegatee expresses discomfort, the delegator must reassess the
situation, provide additional training/guidance, or reassign the task. Option A ignores
safety concerns. Option C eliminates delegation entirely rather than addressing the root
issue. Option D passes responsibility without proper evaluation or supervision.
Q5: During morning report, the RN delegates wound irrigation and dressing change for
a postoperative patient to the LPN. The LPN recognizes that wound irrigation requiring
sterile technique is within LPN scope in their state. What should the LPN do next? A.
Refuse the delegation because wound care always requires an RN B. Accept the
delegation, perform the procedure, and report findings to the RN [CORRECT] C.
Delegate the wound irrigation to the NAP and supervise from the doorway D. Perform
the dressing change but skip the irrigation to save time
Correct Answer: B
Rationale: Sterile wound irrigation and dressing changes are typically within LPN
scope when the patient is stable and the outcome is predictable. The LPN should accept
appropriate delegation, perform the task, and communicate findings. Option A
incorrectly generalizes that wound care requires an RN. Option C violates scope by
delegating a skilled nursing task to a NAP. Option D is unsafe and incomplete care.
Q6: Which of the following leadership styles is most appropriate when orienting a new
nursing assistant who has never worked in acute care? A. Laissez-faire, allowing the
NAP to learn independently through trial and error B. Autocratic, making all decisions
without input to establish authority C. Democratic, involving the NAP in decision-
making from day one D. Transformational with high direction and supervision,
gradually increasing autonomy [CORRECT]
Correct Answer: D
Rationale: Situational leadership theory suggests new employees need high direction
and support (coaching style), with autonomy increasing as competence grows. Option A
, is unsafe for an inexperienced worker. Option B creates fear and disengagement. Option
C is premature before the NAP has foundational knowledge and skills.
Q7: An LPN is working with a nursing assistant who consistently completes tasks slowly
but accurately. The LPN needs to address this performance issue. Which approach
demonstrates effective leadership? A. Document the slow performance for the charge
nurse to handle later B. Speak privately with the NAP, identify barriers, and develop a
performance improvement plan [CORRECT] C. Reassign all the NAP's tasks to other staff
to avoid confrontation D. Criticize the NAP in front of the team to motivate faster work
Correct Answer: B
Rationale: Effective leaders address performance issues directly, privately, and
constructively with a focus on solutions. Option A delays intervention and avoids
leadership responsibility. Option C enables poor performance and burdens others.
Option D violates professional standards, destroys trust, and may constitute
harassment.
Q8: The LPN is supervising two NAPs and notices one NAP spending excessive time on
personal phone calls. Patient call lights are going unanswered. What is the LPN's
priority action? A. Ignore it because addressing it might create conflict B. Redirect the
NAP to patient care immediately and discuss expectations later in private [CORRECT] C.
Report the NAP to human resources for termination D. Take over answering call lights
and let the NAP continue the phone calls
Correct Answer: B
Rationale: Patient safety is the immediate priority—redirect the NAP to patient care
now, then have a private coaching conversation afterward. Option A neglects patient
needs and leadership duty. Option C is premature; progressive discipline starts with
coaching. Option D enables the behavior and compromises the LPN's own
responsibilities.
2026/2027 | 100 Real Exam-Based Questions with
Verified Answers | 100% Accuracy | Practical Nursing
Leadership Prep | Graded A+ | Pass Guaranteed
Part One: Foundations of PN Leadership & Delegation
25 Questions
Q1: A practical nurse is reviewing the scope of practice for the nursing assistant (NAP)
on the unit. Which task is appropriate to delegate to the NAP? A. Evaluating a patient's
response to pain medication administered 30 minutes ago B. Assisting an ambulatory
patient with a shower and documenting the activity [CORRECT] C. Teaching a newly
diagnosed diabetic patient how to administer insulin D. Interpreting blood glucose
results and notifying the provider of abnormal values
Correct Answer: B
Rationale: Bathing and ambulation assistance fall within the NAP's training and scope.
Option A requires nursing judgment (evaluation), which is an RN/LPN function. Option
C involves patient education, which exceeds NAP scope. Option D requires clinical
interpretation and provider communication, which is a licensed nurse responsibility.
The NAP can perform basic hygiene and mobility tasks under supervision.
Q2: The charge nurse asks the LPN to delegate morning vital signs for a group of stable
patients to the NAP. Before delegating, what is the LPN's first responsibility? A. Assume
the NAP has been trained and proceed with the assignment B. Assess the NAP's
competency, the patient's condition, and the task's predictability [CORRECT] C. Delegate
,the task and plan to review the results at the end of the shift D. Perform the vital signs
personally to avoid any potential errors
Correct Answer: B
Rationale: The five rights of delegation include right task, right circumstance, right
person, right direction/communication, and right supervision. The LPN must first
assess whether the NAP is competent, the patient is stable, and the task is predictable.
Option A skips critical assessment. Option C lacks appropriate supervision. Option D
defeats the purpose of delegation and is inefficient.
Q3: Which statement best describes the LPN's role in the nursing hierarchy regarding
delegation? A. The LPN may delegate any task that an RN can delegate B. The LPN
delegates to NAPs and receives delegation from RNs within scope boundaries
[CORRECT] C. The LPN is not permitted to delegate any tasks to unlicensed personnel D.
The LPN functions independently and does not require RN oversight for any patient
care
Correct Answer: B
Rationale: The LPN occupies a middle position—delegating appropriate tasks to NAPs
while accepting delegation from RNs for tasks within the LPN scope. Option A is
incorrect because RNs can delegate nursing assessments and teaching, which LPNs
cannot. Option C is false; LPNs can delegate appropriate tasks. Option D violates the
team nursing model and scope regulations.
Q4: A nursing assistant approaches the LPN and states, "I don't feel comfortable turning
the patient with the hip fracture because I'm afraid I'll hurt them." What is the LPN's
best response? A. "You need to do it anyway; it's part of your job description." B. "Let me
reassess the patient's needs and provide guidance or reassign the task." [CORRECT] C.
"I'll do it myself from now on so you don't have to worry." D. "Ask another NAP to do it;
I'm too busy right now."
Correct Answer: B
,Rationale: When a delegatee expresses discomfort, the delegator must reassess the
situation, provide additional training/guidance, or reassign the task. Option A ignores
safety concerns. Option C eliminates delegation entirely rather than addressing the root
issue. Option D passes responsibility without proper evaluation or supervision.
Q5: During morning report, the RN delegates wound irrigation and dressing change for
a postoperative patient to the LPN. The LPN recognizes that wound irrigation requiring
sterile technique is within LPN scope in their state. What should the LPN do next? A.
Refuse the delegation because wound care always requires an RN B. Accept the
delegation, perform the procedure, and report findings to the RN [CORRECT] C.
Delegate the wound irrigation to the NAP and supervise from the doorway D. Perform
the dressing change but skip the irrigation to save time
Correct Answer: B
Rationale: Sterile wound irrigation and dressing changes are typically within LPN
scope when the patient is stable and the outcome is predictable. The LPN should accept
appropriate delegation, perform the task, and communicate findings. Option A
incorrectly generalizes that wound care requires an RN. Option C violates scope by
delegating a skilled nursing task to a NAP. Option D is unsafe and incomplete care.
Q6: Which of the following leadership styles is most appropriate when orienting a new
nursing assistant who has never worked in acute care? A. Laissez-faire, allowing the
NAP to learn independently through trial and error B. Autocratic, making all decisions
without input to establish authority C. Democratic, involving the NAP in decision-
making from day one D. Transformational with high direction and supervision,
gradually increasing autonomy [CORRECT]
Correct Answer: D
Rationale: Situational leadership theory suggests new employees need high direction
and support (coaching style), with autonomy increasing as competence grows. Option A
, is unsafe for an inexperienced worker. Option B creates fear and disengagement. Option
C is premature before the NAP has foundational knowledge and skills.
Q7: An LPN is working with a nursing assistant who consistently completes tasks slowly
but accurately. The LPN needs to address this performance issue. Which approach
demonstrates effective leadership? A. Document the slow performance for the charge
nurse to handle later B. Speak privately with the NAP, identify barriers, and develop a
performance improvement plan [CORRECT] C. Reassign all the NAP's tasks to other staff
to avoid confrontation D. Criticize the NAP in front of the team to motivate faster work
Correct Answer: B
Rationale: Effective leaders address performance issues directly, privately, and
constructively with a focus on solutions. Option A delays intervention and avoids
leadership responsibility. Option C enables poor performance and burdens others.
Option D violates professional standards, destroys trust, and may constitute
harassment.
Q8: The LPN is supervising two NAPs and notices one NAP spending excessive time on
personal phone calls. Patient call lights are going unanswered. What is the LPN's
priority action? A. Ignore it because addressing it might create conflict B. Redirect the
NAP to patient care immediately and discuss expectations later in private [CORRECT] C.
Report the NAP to human resources for termination D. Take over answering call lights
and let the NAP continue the phone calls
Correct Answer: B
Rationale: Patient safety is the immediate priority—redirect the NAP to patient care
now, then have a private coaching conversation afterward. Option A neglects patient
needs and leadership duty. Option C is premature; progressive discipline starts with
coaching. Option D enables the behavior and compromises the LPN's own
responsibilities.
