HESI LEadErSHIp & ManagEMEnt ExaMInatIon (LatESt 2026
EdItIon)|| QuEStIonS and anSwErS wItH ratIonaLES/gradEd
a+/2026 updatE/100% CorrECt /InStant downLoad
Section 1: Delegation and Staff Supervision (20 Questions)
1. A registered nurse (RN) is assigning tasks to a licensed practical nurse (LPN)
on a medical-surgical unit. Which task is appropriate to delegate?
A) Performing the initial admission assessment on a new patient
B) Creating the nursing care plan for a patient with diabetes
C) Administering a routine oral antibiotic to a stable patient
D) Discharging a patient after providing discharge teaching
Answer: C) Administering a routine oral antibiotic to a stable patient
ratIonaLE: LPNs can administer medications to stable patients with predictable
outcomes. Initial assessments, care planning, and discharge teaching require
RN-level education and judgment.
2. A UAP reports that a patient's respiratory rate is 28 breaths per minute. The
patient is resting quietly. The RN should first:
, A) Ask the UAP to recount the respiratory rate
B) Assess the patient personally
C) Document the rate as normal
D) Instruct the UAP to apply oxygen
Answer: B) Assess the patient personally
ratIonaLE: An elevated respiratory rate (tachypnea) may indicate respiratory
distress or other complications. The RN must assess the patient directly;
assessment cannot be delegated.
3. The five rights of delegation include all of the following EXCEPT:
A) Right task
B) Right patient
C) Right circumstances
D) Right supervision
Answer: B) Right patient
ratIonaLE: The five rights of delegation are: right task, right circumstances,
right person, right direction/communication, and right supervision. "Right
patient" is part of the five rights of medication administration, not delegation.
4. A charge nurse is making assignments for the shift. Which patient should be
assigned to an RN rather than an LPN?
A) A patient with stable hypertension requiring a routine beta-blocker
B) A patient with a urinary tract infection receiving oral antibiotics
EdItIon)|| QuEStIonS and anSwErS wItH ratIonaLES/gradEd
a+/2026 updatE/100% CorrECt /InStant downLoad
Section 1: Delegation and Staff Supervision (20 Questions)
1. A registered nurse (RN) is assigning tasks to a licensed practical nurse (LPN)
on a medical-surgical unit. Which task is appropriate to delegate?
A) Performing the initial admission assessment on a new patient
B) Creating the nursing care plan for a patient with diabetes
C) Administering a routine oral antibiotic to a stable patient
D) Discharging a patient after providing discharge teaching
Answer: C) Administering a routine oral antibiotic to a stable patient
ratIonaLE: LPNs can administer medications to stable patients with predictable
outcomes. Initial assessments, care planning, and discharge teaching require
RN-level education and judgment.
2. A UAP reports that a patient's respiratory rate is 28 breaths per minute. The
patient is resting quietly. The RN should first:
, A) Ask the UAP to recount the respiratory rate
B) Assess the patient personally
C) Document the rate as normal
D) Instruct the UAP to apply oxygen
Answer: B) Assess the patient personally
ratIonaLE: An elevated respiratory rate (tachypnea) may indicate respiratory
distress or other complications. The RN must assess the patient directly;
assessment cannot be delegated.
3. The five rights of delegation include all of the following EXCEPT:
A) Right task
B) Right patient
C) Right circumstances
D) Right supervision
Answer: B) Right patient
ratIonaLE: The five rights of delegation are: right task, right circumstances,
right person, right direction/communication, and right supervision. "Right
patient" is part of the five rights of medication administration, not delegation.
4. A charge nurse is making assignments for the shift. Which patient should be
assigned to an RN rather than an LPN?
A) A patient with stable hypertension requiring a routine beta-blocker
B) A patient with a urinary tract infection receiving oral antibiotics
