Evolve HESI Leadership and Management Exam Actual Testbank
| Complete Questions Correct Answers with Rationales – Pass
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Section 1: Delegation, Assignment & Supervision
Q1. A charge nurse is reviewing the plan of care for four patients. Which task is most
appropriate to delegate to a licensed practical nurse (LPN)?
A. Performing the initial admission assessment on a patient admitted with chest pain
B. Administering an oral antibiotic to a stable patient with a urinary tract infection
C. Teaching a newly diagnosed diabetic patient how to draw up insulin
D. Developing the discharge plan for a patient going home on warfarin
Rationale: The best answer is B. Administering oral medications to a stable patient falls
within LPN scope of practice; initial assessments, patient teaching, and discharge
planning require RN-level judgment.
Correct Answer: B
Q2. The nurse manager is orienting a new RN to the unit. Which statement by the new
RN indicates understanding of the right circumstance when delegating?
A. "I can delegate any task I don’t have time to complete myself."
B. "I need to consider the patient’s condition and complexity before delegating a task."
,C. "The right circumstance means I only delegate when the unit is fully staffed."
D. "Circumstance doesn’t matter as long as the UAP has been trained."
Rationale: The best answer is B. The right circumstance means evaluating whether the
patient is stable enough and the situation appropriate before delegating; it is not about
the nurse’s convenience or staffing numbers alone.
Correct Answer: B
Q3. A UAP has been on the unit for three months. The charge nurse needs to delegate
morning vital signs. Which action reflects the right person?
A. Assigning vital signs to the UAP who has demonstrated competency and whose
scope allows it
B. Asking the UAP to perform the task because the RN is too busy
C. Delegating the task to any available staff member regardless of training
D. Assigning the task to the newest UAP to test their skills
Rationale: The best answer is A. The right person means matching the task to someone
who has the proper training, demonstrated competency, and legal scope to perform it
safely.
Correct Answer: A
Q4. An RN delegates a bed bath to a UAP. Which statement by the RN demonstrates
right direction and communication?
A. "Please give the patient in room 4 a bath sometime this morning."
,B. "Give Mr. Jones a complete bed bath, report any skin redness or complaints of pain,
and let me know when you are finished."
C. "The patient needs a bath. You know what to do."
D. "Ask the LPN if you have questions about the bath."
Rationale: The best answer is B. Right direction and communication means giving clear,
specific instructions, defining expected outcomes, and establishing what should be
reported back.
Correct Answer: B
Q5. After delegating ambulation of a post-op patient to a UAP, what is the RN’s
responsibility regarding right supervision?
A. Document that the UAP completed the task without following up
B. Monitor the patient’s response, check in with the UAP, and evaluate outcomes
C. Supervise only if the UAP has less than one year of experience
D. Ask the charge nurse to supervise so the RN can attend to other tasks
Rationale: The best answer is B. Right supervision means the delegating nurse
maintains appropriate oversight, monitors the patient’s condition, and evaluates
whether the task was completed safely and effectively.
Correct Answer: B
Q6. Which task should the RN retain and not delegate to an LPN?
A. Administering a scheduled enema to a patient with constipation
, B. Performing a focused reassessment on a stable post-op patient
C. Conducting the initial head-to-toe assessment on a patient admitted from the
emergency department
D. Collecting a urine specimen from a patient with a Foley catheter
Rationale: The best answer is C. Initial comprehensive assessments require RN-level
data collection, analysis, and care planning; LPNs can perform focused reassessments
on stable patients but not initial admissions.
Correct Answer: C
Q7. A patient with heart failure has been stable for 48 hours with no changes in
condition. Which task is appropriate for the LPN to perform?
A. Analyzing the patient’s trend of daily weights and adjusting the fluid restriction
B. Monitoring and documenting the patient’s response to a new dose of IV digoxin
C. Administering the patient’s routine oral medications and reporting any concerns
D. Developing a teaching plan for the patient’s low-sodium diet
Rationale: The best answer is C. LPNs can administer routine oral medications to stable
patients; analyzing trends, evaluating responses to new medications, and developing
teaching plans remain RN responsibilities.
Correct Answer: C
Q8. Which task is appropriate for the RN to delegate to a UAP?
A. Instructing a patient on how to use an incentive spirometer after surgery
| Complete Questions Correct Answers with Rationales – Pass
Guaranteed - A+ Graded
Section 1: Delegation, Assignment & Supervision
Q1. A charge nurse is reviewing the plan of care for four patients. Which task is most
appropriate to delegate to a licensed practical nurse (LPN)?
A. Performing the initial admission assessment on a patient admitted with chest pain
B. Administering an oral antibiotic to a stable patient with a urinary tract infection
C. Teaching a newly diagnosed diabetic patient how to draw up insulin
D. Developing the discharge plan for a patient going home on warfarin
Rationale: The best answer is B. Administering oral medications to a stable patient falls
within LPN scope of practice; initial assessments, patient teaching, and discharge
planning require RN-level judgment.
Correct Answer: B
Q2. The nurse manager is orienting a new RN to the unit. Which statement by the new
RN indicates understanding of the right circumstance when delegating?
A. "I can delegate any task I don’t have time to complete myself."
B. "I need to consider the patient’s condition and complexity before delegating a task."
,C. "The right circumstance means I only delegate when the unit is fully staffed."
D. "Circumstance doesn’t matter as long as the UAP has been trained."
Rationale: The best answer is B. The right circumstance means evaluating whether the
patient is stable enough and the situation appropriate before delegating; it is not about
the nurse’s convenience or staffing numbers alone.
Correct Answer: B
Q3. A UAP has been on the unit for three months. The charge nurse needs to delegate
morning vital signs. Which action reflects the right person?
A. Assigning vital signs to the UAP who has demonstrated competency and whose
scope allows it
B. Asking the UAP to perform the task because the RN is too busy
C. Delegating the task to any available staff member regardless of training
D. Assigning the task to the newest UAP to test their skills
Rationale: The best answer is A. The right person means matching the task to someone
who has the proper training, demonstrated competency, and legal scope to perform it
safely.
Correct Answer: A
Q4. An RN delegates a bed bath to a UAP. Which statement by the RN demonstrates
right direction and communication?
A. "Please give the patient in room 4 a bath sometime this morning."
,B. "Give Mr. Jones a complete bed bath, report any skin redness or complaints of pain,
and let me know when you are finished."
C. "The patient needs a bath. You know what to do."
D. "Ask the LPN if you have questions about the bath."
Rationale: The best answer is B. Right direction and communication means giving clear,
specific instructions, defining expected outcomes, and establishing what should be
reported back.
Correct Answer: B
Q5. After delegating ambulation of a post-op patient to a UAP, what is the RN’s
responsibility regarding right supervision?
A. Document that the UAP completed the task without following up
B. Monitor the patient’s response, check in with the UAP, and evaluate outcomes
C. Supervise only if the UAP has less than one year of experience
D. Ask the charge nurse to supervise so the RN can attend to other tasks
Rationale: The best answer is B. Right supervision means the delegating nurse
maintains appropriate oversight, monitors the patient’s condition, and evaluates
whether the task was completed safely and effectively.
Correct Answer: B
Q6. Which task should the RN retain and not delegate to an LPN?
A. Administering a scheduled enema to a patient with constipation
, B. Performing a focused reassessment on a stable post-op patient
C. Conducting the initial head-to-toe assessment on a patient admitted from the
emergency department
D. Collecting a urine specimen from a patient with a Foley catheter
Rationale: The best answer is C. Initial comprehensive assessments require RN-level
data collection, analysis, and care planning; LPNs can perform focused reassessments
on stable patients but not initial admissions.
Correct Answer: C
Q7. A patient with heart failure has been stable for 48 hours with no changes in
condition. Which task is appropriate for the LPN to perform?
A. Analyzing the patient’s trend of daily weights and adjusting the fluid restriction
B. Monitoring and documenting the patient’s response to a new dose of IV digoxin
C. Administering the patient’s routine oral medications and reporting any concerns
D. Developing a teaching plan for the patient’s low-sodium diet
Rationale: The best answer is C. LPNs can administer routine oral medications to stable
patients; analyzing trends, evaluating responses to new medications, and developing
teaching plans remain RN responsibilities.
Correct Answer: C
Q8. Which task is appropriate for the RN to delegate to a UAP?
A. Instructing a patient on how to use an incentive spirometer after surgery
