HESI Leadership & Management Exam
Newest With Complete Questions And
Correct Detailed Answers| Brand New
Version!
1. A charge nurse must decide which task to delegate to a
UAP. Which is most appropriate?
A. Administering oral antibiotics
B. Performing sterile wound care
C. Assisting a patient with ambulation
D. Teaching a patient about diet restrictions
Answer: C. Assisting a patient with ambulation
Rationale: UAPs are trained to perform routine, non-invasive
tasks like ambulation, hygiene, and vital signs for stable patients.
Activities such as medication administration, sterile procedures,
and patient teaching are outside their scope of practice and must
be performed by licensed nursing staff.
2. A nurse manager notices medication errors have increased
on the unit. What is the best action?
A. Punish nurses who made errors
B. Require nurses to work longer shifts
C. Review error trends and provide staff education
D. Avoid documenting errors to protect staff
,Answer: C. Review error trends and provide staff education
Rationale: Errors often stem from systemic issues or knowledge
deficits rather than individual incompetence. A "just culture"
approach focuses on identifying root causes rather than blame.
Reviewing trends to provide targeted education is the most
effective strategy to prevent future errors.
3. A new nurse asks what accountability means in delegation.
Which response by the manager is correct?
A. Accountability is transferred to the UAP
B. The nurse keeps accountability for delegated tasks
C. Accountability belongs to the patient
D. Accountability only applies to physicians
Answer: B. The nurse keeps accountability for delegated tasks
Rationale: Accountability in delegation means the delegating
nurse retains ultimate responsibility for the task's outcome and
patient safety, even after the task is delegated to another team
member.
4. A charge nurse is assigning patients. Which client should
go to an experienced RN?
A. A stable child needing routine immunizations
B. A client with unstable vital signs post-surgery
C. A patient requesting dietary teaching
D. A patient needing assistance with bathing
Answer: B. A client with unstable vital signs post-surgery
Rationale: Unstable, complex, or high-acuity clients require the
clinical judgment and critical thinking skills of an experienced RN.
,Stable tasks like teaching, routine care, or ambulation can be
delegated to other staff.
5. Which of the following best describes functional nursing?
A) Care is organized by patient assignments across the unit.
B) Care is delivered by specialty teams (e.g., med-surg, ICU).
C) Each nurse performs all aspects of care for a specific
patient.
D) Care is delegated to unlicensed assistive personnel (UAP).
Answer: B
Rationale: Functional nursing divides tasks among staff based on
function (e.g., medication administration, wound care) rather than
patient assignments.
6. According to the Five Rights of Delegation, the “Right
Person” requires the delegatee to have?
A) The highest level of education on the unit.
B) The appropriate licensure, competence, and experience for
the task.
C) Availability at the exact moment the task is needed.
D) A personal relationship with the RN delegating.
Answer: B
Rationale: The “Right Person” ensures the delegatee possesses
the legal authority, skill set, and experience needed for the
delegated task.
7. Which task is considered “RN-only” and should never be
delegated to an LPN?
, A) Administration of a scheduled oral medication.
B) Initial patient assessment for a newly admitted, unstable
patient.
C) Insertion of a Foley catheter.
D) Monitoring a client’s ongoing vital signs.
Answer: B
Rationale: The initial assessment of an unstable, newly admitted
patient requires the comprehensive knowledge and clinical
judgment of a registered nurse to identify potential complications
and begin a care plan.
8. The nurse delegates vital-sign measurement to a UAP.
Which finding requires immediate nurse follow-up?
a) BP 120/78 mm Hg
b) BP 88/50 mm Hg and HR 110 bpm
c) Temp 98.6°F (37°C)
d) Respirations 16 breaths/min
Answer: B
Rationale: Hypotension with tachycardia may indicate shock or
bleeding and requires prompt nurse assessment.
9. Which client should the nurse assess first?
a) Client with pain 3/10 after surgery
b) Client reporting dizziness when standing
c) Client with sudden shortness of breath after chest tube
removal
d) Client requesting pain medication
Newest With Complete Questions And
Correct Detailed Answers| Brand New
Version!
1. A charge nurse must decide which task to delegate to a
UAP. Which is most appropriate?
A. Administering oral antibiotics
B. Performing sterile wound care
C. Assisting a patient with ambulation
D. Teaching a patient about diet restrictions
Answer: C. Assisting a patient with ambulation
Rationale: UAPs are trained to perform routine, non-invasive
tasks like ambulation, hygiene, and vital signs for stable patients.
Activities such as medication administration, sterile procedures,
and patient teaching are outside their scope of practice and must
be performed by licensed nursing staff.
2. A nurse manager notices medication errors have increased
on the unit. What is the best action?
A. Punish nurses who made errors
B. Require nurses to work longer shifts
C. Review error trends and provide staff education
D. Avoid documenting errors to protect staff
,Answer: C. Review error trends and provide staff education
Rationale: Errors often stem from systemic issues or knowledge
deficits rather than individual incompetence. A "just culture"
approach focuses on identifying root causes rather than blame.
Reviewing trends to provide targeted education is the most
effective strategy to prevent future errors.
3. A new nurse asks what accountability means in delegation.
Which response by the manager is correct?
A. Accountability is transferred to the UAP
B. The nurse keeps accountability for delegated tasks
C. Accountability belongs to the patient
D. Accountability only applies to physicians
Answer: B. The nurse keeps accountability for delegated tasks
Rationale: Accountability in delegation means the delegating
nurse retains ultimate responsibility for the task's outcome and
patient safety, even after the task is delegated to another team
member.
4. A charge nurse is assigning patients. Which client should
go to an experienced RN?
A. A stable child needing routine immunizations
B. A client with unstable vital signs post-surgery
C. A patient requesting dietary teaching
D. A patient needing assistance with bathing
Answer: B. A client with unstable vital signs post-surgery
Rationale: Unstable, complex, or high-acuity clients require the
clinical judgment and critical thinking skills of an experienced RN.
,Stable tasks like teaching, routine care, or ambulation can be
delegated to other staff.
5. Which of the following best describes functional nursing?
A) Care is organized by patient assignments across the unit.
B) Care is delivered by specialty teams (e.g., med-surg, ICU).
C) Each nurse performs all aspects of care for a specific
patient.
D) Care is delegated to unlicensed assistive personnel (UAP).
Answer: B
Rationale: Functional nursing divides tasks among staff based on
function (e.g., medication administration, wound care) rather than
patient assignments.
6. According to the Five Rights of Delegation, the “Right
Person” requires the delegatee to have?
A) The highest level of education on the unit.
B) The appropriate licensure, competence, and experience for
the task.
C) Availability at the exact moment the task is needed.
D) A personal relationship with the RN delegating.
Answer: B
Rationale: The “Right Person” ensures the delegatee possesses
the legal authority, skill set, and experience needed for the
delegated task.
7. Which task is considered “RN-only” and should never be
delegated to an LPN?
, A) Administration of a scheduled oral medication.
B) Initial patient assessment for a newly admitted, unstable
patient.
C) Insertion of a Foley catheter.
D) Monitoring a client’s ongoing vital signs.
Answer: B
Rationale: The initial assessment of an unstable, newly admitted
patient requires the comprehensive knowledge and clinical
judgment of a registered nurse to identify potential complications
and begin a care plan.
8. The nurse delegates vital-sign measurement to a UAP.
Which finding requires immediate nurse follow-up?
a) BP 120/78 mm Hg
b) BP 88/50 mm Hg and HR 110 bpm
c) Temp 98.6°F (37°C)
d) Respirations 16 breaths/min
Answer: B
Rationale: Hypotension with tachycardia may indicate shock or
bleeding and requires prompt nurse assessment.
9. Which client should the nurse assess first?
a) Client with pain 3/10 after surgery
b) Client reporting dizziness when standing
c) Client with sudden shortness of breath after chest tube
removal
d) Client requesting pain medication
