HESI RN LEADERSHIP- MANAGEMENT EXIT EXAM 2026-
2027 LATEST UPDATED VERSION QUESTIONS AND
ANSWERS
Who acts as a delegator in the absence of the registered nurse?
1 Charge nurse
2 Patient care associate
3 Licensed practical nurse
4 Unlicensed nursing personnel - answer>>1 Charge nurse
The charge nurses act as a delegator on the basis of knowledge and experience in clinical settings. In the absence
of a registered nurse, the charge nurse usually delegates the tasks.
A patient care associate assists and monitors vital signs. Licensed practical nurses and unlicensed nursing
personnel are considered delegatees due to insufficient experience and training.
The registered nurse (RN) delegates the collection of respiratory rate data to a licensed practical nurse (LPN) for a
client who is experiencing severe dehydration and whose condition is unstable. The LPN reports the data to the
RN. The RN rechecks the data and finds that the report no longer reflects the client's current condition. Which
characteristic of communication has interfered with the delegation process?
1 Information decay
2 Information salience
3 Confidence in abilities
4 Synergy between team members - answer>>1 Information decay
Information decay can occur in a rapidly changing situation when reported information is no longer relevant to a
client's condition.
,Information salience describes the different ways individuals from different backgrounds might assess the quality,
meaning, and clarity of certain information. Trust is developed when there is confidence in the abilities and
capabilities of the team members. Healthy relationships among members of the health care team promote
synergy between the team members.
The registered nurse (RN) and unlicensed assistive personnel (UAP) have been working together for two years.
Which statement made by the RN would be appropriate after delegating a task to the UAP?
1 "Let me tell you how to do this task."
2 "You know what to do and when to report."
3 "Please tell me how you are going to perform this procedure."
4 "It is important that you check the client's temperature every hour." - answer>>2 "You know what to do and
when to report."
According to Hersey's model of situational leadership, the delegator should act according to the situation. When
there is an established relationship between the delegator and the delegatee, little guidance needs to be provided
to the delegatee.
When the relationship is new and a new task is delegated, an explanation is required about how to perform the
task. When the delegatee is newly assigned, then the delegator checks the ability of the delegatee by asking how
to perform the procedure. When the relationship between the delegatee and delegator is new, and it is for a
limited period, then the delegator just informs the delegatee what is to be done.
The registered nurse (RN) is caring for a client with renal calculi. Which healthcare professional is most suitable to
be delegated the task of administering urinary alkalinizer by mouth to the client?
1 Certified technician
2 Patient care associate
3 Licensed practical nurse
4 Unlicensed assistive personnel - answer>>3 Licensed practical nurse
Administering oral medications such as urinary alkalinizer can be safely delegated to a licensed practical nurse
(LPN) or licensed vocational nurse (LVN) as per guidelines.
,Certified technician is a licensed assistive personnel whose scope of practice is limited for administering
medications. The scope of practice of the patient care associate and unlicensed assistive personnel is limited to
performing basic care, feeding, and hygiene.
Which client's care is least likely to be delegated to unlicensed nursing personnel (UNP)?
1 Client A - paraplegia, home care
2 Client B - femur fracture in cast, extended care
3 Client C - Alzheimer's, long-term care
4 Client D - accidental poisoning, emergency care - answer>>4 Client D - accidental poisoning, emergency care
UNP can safely care for clients in stable condition because these cases will not require critical nursing assessment
and decision-making. In an emergency setting, the client with accidental poisoning should be kept under constant
monitoring and any small detail of fluctuation should be noted. Therefore, client D cannot be safely delegated to
UNP. Clients undergoing home care, extended care, or long-term care do not require exhaustive monitoring and
do not have life-threatening conditions, so they can be safely delegated to UNP.
The emergency department (ED) nurse is providing care to a burn trauma client. Which is the priority for the nurse
to monitor for after removing the client's clothing?
1 Bradypnea
2 Bradycardia
3 Hypotension
4 Hypothermia - answer>>4 Hypothermia
After the removal of the burn client's clothing, the priority for the nurse is to monitor for hypothermia because
burn trauma clients lose their ability to maintain body temperature due to the loss of skin which acts as an
insulator. While the nurse will monitor for bradypnea, bradycardia, and hypotension, hypothermia is the priority.
Which nursing action allows for a thorough assessment of a trauma client to prioritize the client's care?
, 1 Avoiding manipulation of the client's limbs
2 Asking a family member about any client drug allergies
3 Cutting fabric that is stuck to the client's skin with scissors
4 Auscultating heart and lung sounds through the client's clothing - answer>>3 Cutting fabric that is stuck to the
client's skin with scissors
The nurse should remove all clothing to allow for a thorough assessment of the trauma client in order to
accurately prioritize care. Cutting fabric that is stuck to the client's skin with scissors is the appropriate action by
the nurse.
It is necessary to avoid manipulation of the client's limbs during the trauma assessment. While it is important to
ask a family member about any client drug allergies, this is done after the initial assessment of the client. Clothing
is always removed to allow for an accurate trauma assessment.
The nurse is teaching a client how to teach the supraglottic method of swallowing. Arrange the prioritizing order of
statements by the nurse for teaching the client.
1. "Swallow twice."
2. "Hold your breath."
3. "Clear your throat."
4. "Take a deep breath."
5. "Place yourself in an upright position."
6. "Place a half to 1 teaspoon of food into your mouth." - answer>>1."Place yourself in an upright position."
2."Clear your throat."
3."Take a deep breath."
4."Place a half to 1 teaspoon of food into your mouth."
5."Hold your breath."
6."Swallow twice."
The order of steps to be followed in instructing the client in the supraglottic method of swallowing is first to place
the client in an upright position, secondly to tell the client to clear the throat, and then to take a deep breath. The
fourth step is for the client to place a half or one teaspoon of food into the mouth. The client should hold his or
2027 LATEST UPDATED VERSION QUESTIONS AND
ANSWERS
Who acts as a delegator in the absence of the registered nurse?
1 Charge nurse
2 Patient care associate
3 Licensed practical nurse
4 Unlicensed nursing personnel - answer>>1 Charge nurse
The charge nurses act as a delegator on the basis of knowledge and experience in clinical settings. In the absence
of a registered nurse, the charge nurse usually delegates the tasks.
A patient care associate assists and monitors vital signs. Licensed practical nurses and unlicensed nursing
personnel are considered delegatees due to insufficient experience and training.
The registered nurse (RN) delegates the collection of respiratory rate data to a licensed practical nurse (LPN) for a
client who is experiencing severe dehydration and whose condition is unstable. The LPN reports the data to the
RN. The RN rechecks the data and finds that the report no longer reflects the client's current condition. Which
characteristic of communication has interfered with the delegation process?
1 Information decay
2 Information salience
3 Confidence in abilities
4 Synergy between team members - answer>>1 Information decay
Information decay can occur in a rapidly changing situation when reported information is no longer relevant to a
client's condition.
,Information salience describes the different ways individuals from different backgrounds might assess the quality,
meaning, and clarity of certain information. Trust is developed when there is confidence in the abilities and
capabilities of the team members. Healthy relationships among members of the health care team promote
synergy between the team members.
The registered nurse (RN) and unlicensed assistive personnel (UAP) have been working together for two years.
Which statement made by the RN would be appropriate after delegating a task to the UAP?
1 "Let me tell you how to do this task."
2 "You know what to do and when to report."
3 "Please tell me how you are going to perform this procedure."
4 "It is important that you check the client's temperature every hour." - answer>>2 "You know what to do and
when to report."
According to Hersey's model of situational leadership, the delegator should act according to the situation. When
there is an established relationship between the delegator and the delegatee, little guidance needs to be provided
to the delegatee.
When the relationship is new and a new task is delegated, an explanation is required about how to perform the
task. When the delegatee is newly assigned, then the delegator checks the ability of the delegatee by asking how
to perform the procedure. When the relationship between the delegatee and delegator is new, and it is for a
limited period, then the delegator just informs the delegatee what is to be done.
The registered nurse (RN) is caring for a client with renal calculi. Which healthcare professional is most suitable to
be delegated the task of administering urinary alkalinizer by mouth to the client?
1 Certified technician
2 Patient care associate
3 Licensed practical nurse
4 Unlicensed assistive personnel - answer>>3 Licensed practical nurse
Administering oral medications such as urinary alkalinizer can be safely delegated to a licensed practical nurse
(LPN) or licensed vocational nurse (LVN) as per guidelines.
,Certified technician is a licensed assistive personnel whose scope of practice is limited for administering
medications. The scope of practice of the patient care associate and unlicensed assistive personnel is limited to
performing basic care, feeding, and hygiene.
Which client's care is least likely to be delegated to unlicensed nursing personnel (UNP)?
1 Client A - paraplegia, home care
2 Client B - femur fracture in cast, extended care
3 Client C - Alzheimer's, long-term care
4 Client D - accidental poisoning, emergency care - answer>>4 Client D - accidental poisoning, emergency care
UNP can safely care for clients in stable condition because these cases will not require critical nursing assessment
and decision-making. In an emergency setting, the client with accidental poisoning should be kept under constant
monitoring and any small detail of fluctuation should be noted. Therefore, client D cannot be safely delegated to
UNP. Clients undergoing home care, extended care, or long-term care do not require exhaustive monitoring and
do not have life-threatening conditions, so they can be safely delegated to UNP.
The emergency department (ED) nurse is providing care to a burn trauma client. Which is the priority for the nurse
to monitor for after removing the client's clothing?
1 Bradypnea
2 Bradycardia
3 Hypotension
4 Hypothermia - answer>>4 Hypothermia
After the removal of the burn client's clothing, the priority for the nurse is to monitor for hypothermia because
burn trauma clients lose their ability to maintain body temperature due to the loss of skin which acts as an
insulator. While the nurse will monitor for bradypnea, bradycardia, and hypotension, hypothermia is the priority.
Which nursing action allows for a thorough assessment of a trauma client to prioritize the client's care?
, 1 Avoiding manipulation of the client's limbs
2 Asking a family member about any client drug allergies
3 Cutting fabric that is stuck to the client's skin with scissors
4 Auscultating heart and lung sounds through the client's clothing - answer>>3 Cutting fabric that is stuck to the
client's skin with scissors
The nurse should remove all clothing to allow for a thorough assessment of the trauma client in order to
accurately prioritize care. Cutting fabric that is stuck to the client's skin with scissors is the appropriate action by
the nurse.
It is necessary to avoid manipulation of the client's limbs during the trauma assessment. While it is important to
ask a family member about any client drug allergies, this is done after the initial assessment of the client. Clothing
is always removed to allow for an accurate trauma assessment.
The nurse is teaching a client how to teach the supraglottic method of swallowing. Arrange the prioritizing order of
statements by the nurse for teaching the client.
1. "Swallow twice."
2. "Hold your breath."
3. "Clear your throat."
4. "Take a deep breath."
5. "Place yourself in an upright position."
6. "Place a half to 1 teaspoon of food into your mouth." - answer>>1."Place yourself in an upright position."
2."Clear your throat."
3."Take a deep breath."
4."Place a half to 1 teaspoon of food into your mouth."
5."Hold your breath."
6."Swallow twice."
The order of steps to be followed in instructing the client in the supraglottic method of swallowing is first to place
the client in an upright position, secondly to tell the client to clear the throat, and then to take a deep breath. The
fourth step is for the client to place a half or one teaspoon of food into the mouth. The client should hold his or
