HESI PN Leadership Exit Exam
ACTUAL EXAM 2026/2027 | HESI
PN Leadership Exit | Verified Q&A |
Pass Guaranteed - A+ Graded
Section 1 – Delegation & Supervision (Questions 1–15)
Q1: An LPN is working on a long-term care unit with an RN supervisor. Which task is appropriate for the
LPN to delegate to a UAP?
A. Assess a new admission's skin condition
B. Measure vital signs on a stable patient [CORRECT]
C. Administer tube feeding via PEG tube
D. Irrigate a Foley catheter
Correct Answer: B
Rationale: Measuring vital signs on a stable patient is a routine, predictable task with a standard,
unchanging procedure that does not require nursing judgment, making it appropriate to delegate to a
UAP under the Five Rights of Delegation.
Q2: An RN is supervising an LPN on a medical-surgical unit. Which task is appropriate for the RN to
delegate to the LPN?
A. Develop a nursing care plan for a newly admitted patient
B. Perform initial assessment and documentation for a new admission
C. Administer oral medications to a stable patient with heart failure [CORRECT]
D. Administer IV push medications through a central line
Correct Answer: C
Rationale: Administering oral medications to a stable patient is within the LPN scope of practice in most
states, provided the patient is stable and the medications are not high-alert or require complex titration.
Q3: A UAP reports to the LPN that a patient with a stage 2 pressure injury has developed increased
drainage from the wound. What is the LPN's priority action?
,A. Instruct the UAP to apply a new dressing
B. Assess the wound and notify the RN [CORRECT]
C. Document the finding in the patient's chart
D. Delegate wound irrigation to the UAP
Correct Answer: B
Rationale: A change in wound drainage requires nursing assessment to determine if infection or
deterioration is occurring; the LPN must assess and notify the supervising RN, as this exceeds the UAP's
scope and requires clinical judgment.
Q4: Which task can an LPN safely delegate to a UAP in a long-term care facility?
A. Evaluate the effectiveness of a patient's pain medication
B. Reposition a patient with a stage 1 pressure injury every 2 hours [CORRECT]
C. Perform sterile dressing changes on a postoperative wound
D. Insert a urinary catheter
Correct Answer: B
Rationale: Repositioning a patient at scheduled intervals is a routine, predictable task that follows an
established care plan and does not require nursing assessment or judgment, making it appropriate for
UAP delegation.
Q5: An LPN is supervising a UAP who is assisting with patient hygiene. The LPN observes the UAP using
the same washcloth for perineal care and then for the patient's face. What is the LPN's appropriate
intervention?
A. Complete the bath independently without addressing the UAP
B. Correct the UAP immediately and provide re-education on proper technique [CORRECT]
C. Document the incident in the patient's chart
D. Report the UAP to the nurse manager for disciplinary action
Correct Answer: B
Rationale: The LPN has a supervisory responsibility to provide immediate correction and on-the-spot
education when observing unsafe practice, preventing infection and reinforcing proper technique
through constructive feedback.
Q6: Which of the following tasks is outside the scope of LPN practice in most states?
A. Administering oral medications to a stable patient
B. Performing tracheostomy suctioning on a stable patient with a permanent trach
, C. Administering IV push medications through a peripheral IV [CORRECT]
D. Collecting a urine specimen from an indwelling catheter
Correct Answer: C
Rationale: IV push medication administration is outside the LPN scope of practice in most states
because it requires advanced assessment skills, knowledge of pharmacokinetics, and the ability to
manage immediate adverse reactions, which are RN-level competencies.
Q7: An LPN is working with a UAP who has just completed training. Which task should the LPN NOT
delegate to this newly trained UAP?
A. Ambulating a stable patient with a walker
B. Feeding a patient who is at risk for aspiration [CORRECT]
C. Recording intake and output for a patient with a Foley catheter
D. Assisting with range-of-motion exercises
Correct Answer: B
Rationale: Feeding a patient at risk for aspiration requires continuous observation for choking,
knowledge of aspiration precautions, and the ability to intervene immediately, which requires nursing
judgment beyond a newly trained UAP's competency level.
Q8: The Five Rights of Delegation include the right task, right circumstance, right person, right
direction/communication, and:
A. Right documentation
B. Right supervision/evaluation [CORRECT]
C. Right time
D. Right place
Correct Answer: B
Rationale: The Five Rights of Delegation established by the National Council of State Boards of Nursing
(NCSBN) include right supervision/evaluation, requiring the delegating nurse to monitor performance,
intervene as needed, and evaluate outcomes to ensure safe patient care.
Q9: An RN delegates the task of obtaining a blood glucose reading to an LPN. The LPN discovers the
reading is 45 mg/dL. What is the LPN's priority action?
A. Document the result and continue with the schedule
B. Notify the RN immediately and implement the hypoglycemia protocol [CORRECT]
ACTUAL EXAM 2026/2027 | HESI
PN Leadership Exit | Verified Q&A |
Pass Guaranteed - A+ Graded
Section 1 – Delegation & Supervision (Questions 1–15)
Q1: An LPN is working on a long-term care unit with an RN supervisor. Which task is appropriate for the
LPN to delegate to a UAP?
A. Assess a new admission's skin condition
B. Measure vital signs on a stable patient [CORRECT]
C. Administer tube feeding via PEG tube
D. Irrigate a Foley catheter
Correct Answer: B
Rationale: Measuring vital signs on a stable patient is a routine, predictable task with a standard,
unchanging procedure that does not require nursing judgment, making it appropriate to delegate to a
UAP under the Five Rights of Delegation.
Q2: An RN is supervising an LPN on a medical-surgical unit. Which task is appropriate for the RN to
delegate to the LPN?
A. Develop a nursing care plan for a newly admitted patient
B. Perform initial assessment and documentation for a new admission
C. Administer oral medications to a stable patient with heart failure [CORRECT]
D. Administer IV push medications through a central line
Correct Answer: C
Rationale: Administering oral medications to a stable patient is within the LPN scope of practice in most
states, provided the patient is stable and the medications are not high-alert or require complex titration.
Q3: A UAP reports to the LPN that a patient with a stage 2 pressure injury has developed increased
drainage from the wound. What is the LPN's priority action?
,A. Instruct the UAP to apply a new dressing
B. Assess the wound and notify the RN [CORRECT]
C. Document the finding in the patient's chart
D. Delegate wound irrigation to the UAP
Correct Answer: B
Rationale: A change in wound drainage requires nursing assessment to determine if infection or
deterioration is occurring; the LPN must assess and notify the supervising RN, as this exceeds the UAP's
scope and requires clinical judgment.
Q4: Which task can an LPN safely delegate to a UAP in a long-term care facility?
A. Evaluate the effectiveness of a patient's pain medication
B. Reposition a patient with a stage 1 pressure injury every 2 hours [CORRECT]
C. Perform sterile dressing changes on a postoperative wound
D. Insert a urinary catheter
Correct Answer: B
Rationale: Repositioning a patient at scheduled intervals is a routine, predictable task that follows an
established care plan and does not require nursing assessment or judgment, making it appropriate for
UAP delegation.
Q5: An LPN is supervising a UAP who is assisting with patient hygiene. The LPN observes the UAP using
the same washcloth for perineal care and then for the patient's face. What is the LPN's appropriate
intervention?
A. Complete the bath independently without addressing the UAP
B. Correct the UAP immediately and provide re-education on proper technique [CORRECT]
C. Document the incident in the patient's chart
D. Report the UAP to the nurse manager for disciplinary action
Correct Answer: B
Rationale: The LPN has a supervisory responsibility to provide immediate correction and on-the-spot
education when observing unsafe practice, preventing infection and reinforcing proper technique
through constructive feedback.
Q6: Which of the following tasks is outside the scope of LPN practice in most states?
A. Administering oral medications to a stable patient
B. Performing tracheostomy suctioning on a stable patient with a permanent trach
, C. Administering IV push medications through a peripheral IV [CORRECT]
D. Collecting a urine specimen from an indwelling catheter
Correct Answer: C
Rationale: IV push medication administration is outside the LPN scope of practice in most states
because it requires advanced assessment skills, knowledge of pharmacokinetics, and the ability to
manage immediate adverse reactions, which are RN-level competencies.
Q7: An LPN is working with a UAP who has just completed training. Which task should the LPN NOT
delegate to this newly trained UAP?
A. Ambulating a stable patient with a walker
B. Feeding a patient who is at risk for aspiration [CORRECT]
C. Recording intake and output for a patient with a Foley catheter
D. Assisting with range-of-motion exercises
Correct Answer: B
Rationale: Feeding a patient at risk for aspiration requires continuous observation for choking,
knowledge of aspiration precautions, and the ability to intervene immediately, which requires nursing
judgment beyond a newly trained UAP's competency level.
Q8: The Five Rights of Delegation include the right task, right circumstance, right person, right
direction/communication, and:
A. Right documentation
B. Right supervision/evaluation [CORRECT]
C. Right time
D. Right place
Correct Answer: B
Rationale: The Five Rights of Delegation established by the National Council of State Boards of Nursing
(NCSBN) include right supervision/evaluation, requiring the delegating nurse to monitor performance,
intervene as needed, and evaluate outcomes to ensure safe patient care.
Q9: An RN delegates the task of obtaining a blood glucose reading to an LPN. The LPN discovers the
reading is 45 mg/dL. What is the LPN's priority action?
A. Document the result and continue with the schedule
B. Notify the RN immediately and implement the hypoglycemia protocol [CORRECT]
