HESI RN Leadership Exam (20 Versions, 1200+ Verified Q & A, Latest-2021) / RN HESI Leadership
HESI LEADERSHIP / MANAGEMENT
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Year-2021
HESI LEADERSHIP / MANAGEMENT
1. Which member of the health care team is accountable for initial assessment and ongoing evaluation of
client care?
Correct 1
Registered nurse
2
Licensed practical nurse
3
Primary health care provider
4
Unlicensed nursing personnel
The registered nurse is accountable for the initial assessment and ongoing evaluation of the client. A
licensed practical nurse is not accountable for initial assessment and ongoing evaluation of the client. The
primary health care provider is accountable for diagnosing the problem and reviewing the client responses.
An unlicensed nursing personnel performs the tasks delegated by the registered nurse or other delegators.
2. Which team member is most accountable when delegating a task to the healthcare team?
1
Certified technician
Correct 2
Registered nurse (RN)
3
Licensed practical nurse (LPN)
4
Unlicensed assistive personnel (UAP)
The registered nurse (RN) on the healthcare team is most accountable when delegating a task to the team.
The certified technician on the healthcare team is responsible for the assigned task. Similarly, the LPN and
UAP are also responsible for the assigned task.
3. Which healthcare professional would the nurse know is held accountable for the tasks performed by the
patient care associate (PCA)?
Correct 1
Registered nurse (RN)
2
Licensed vocational nurse (LVN)
3
Unlicensed assistive personnel (UAP)
4
Unlicensed nursing practitioner (UNP)
The delegator is held accountable for tasks performed by the delegatee. In this situation, the delegator is the
RN; therefore, the RN is held accountable for the tasks performed by the PCAs. The RN is also accountable
for delegation to LVNs, UAPs, and UNPs as delegatees.
4. The registered nurse is evaluating the statements made by a student nurse after teaching ways to make
appropriate delegation decisions. Which statement made by the student nurse indicates a need for
correction?
1
"The delegatee should report the findings back to the delegator."
2
"The delegatee should understand the assigned task completely."
3
"The delegator should trust the delegatee to accomplish the task."
Correct 4
"The delegator should recheck and redo the work of the delegatee."
Time management is an important part of an appropriate delegation process. If the delegator rechecks and
redoes the work of the delegatee, it increases the time to accomplish the task and results in inappropriate
delegation. Reporting the findings back to the delegator helps the delegator to understand the progress of
the task. The delegatee should understand the task completely to perform as desired by the delegator.
Trusting the delegatee reduces time to do the task and build a healthy working environment.
5. Who would the registered nurse state is accountable for establishing systems to communicate
competency requirements related to delegation?
1
Registered nurse (RN)
Correct 2
Chief nursing officer (CNO)
3
Licensed practical nurse (LPN)
4
Unlicensed assistive personnel (UAP)
CNOs are accountable for establishing systems to communicate competency related to delegation. The
registered nurse delegates the task to LPN and UAP. In delegation, the RN implements in clinical practice
to improve the safety and quality of client care. LPNs provide direct care to the client. UAP provide direct
care to the client under the supervision of the registered nurse who retains accountability for client care
outcomes.
6. 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."
Correct 2
"You know what to do and when to report."
Incorrect 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."
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.
7. The registered nurse is organizing a community health care program for administering tetanus
vaccinations. Which member of the health care team is most suitable for being delegated the task of
administering vaccinations?
1
Nursing aide
2
Certified technician
3
Patient care associate
Correct 4
Licensed practical nurse
Tetanus vaccination is administered through the intramuscular route. The licensed practical nurse can
administer oral, topical, and intramuscular medications, except for intravenous. The nursing aide, certified
technician, and patient care associate are unlicensed assistive personnel whose scope of practice is limited
for administering medications.
8. A client who sustained a leg fracture is prescribed intramuscular analgesic medication. Which healthcare
professional can be safely delegated this task?
1
Registered nurse (RN)
2
Patient care associate (PCA)
Correct 3
Licensed practical nurse (LPN)
4
Unlicensed nursing practitioner (UNP)
An LPN is authorized to administer oral and intramuscular drugs. An RN is a delegator, who can administer
intravenous drugs. PCAs and UNPs are unlicensed personnel who can perform tasks such as positioning the
client and maintaining the hygiene of the client.
9. Which task can be delegated to the licensed vocational nurse (LVN)? Select all that apply.
1
Analyzing vital signs
2
Maintaining oral hygiene
3
Administering intravenous drugs
Correct 4
Administering oral hypoglycemic agents
Correct 5
Administering intramuscular medications
Licensed vocational nurses and licensed practical nurses are authorized to administer drugs through oral
and intramuscular routes. Analyzing vital signs should be performed by the registered nurse. Hygiene
maintenance can be delegated to unlicensed nursing practitioners (UNP). Administering intravenous drugs
should be done by the registered nurse.
10. A nurse manager transfers the task of caring for a client who has undergone appendectomy to a
registered nurse (RN). Which element of the healthcare system is the RN practicing?
1
Delegation
2
Leadership
3
Supervision
Correct 4
Assignment
Both accountability and responsibility are transferred from one person to the other in assignment. When a
nurse manager delegates the task of client care to an RN, responsibility is transferred to the RN. The nurse
manager shares accountability with the RN in delegation. The nurse manager, as leader, manages the
healthcare team and delegates tasks to members of the healthcare team. In supervision, the nurse manager
oversees the RN in completing the task.
11. Which employee should be competent in critical thinking, leadership, communication, and time
management skills? Select all that apply.
Correct 1
Charge nurse
2
Student nurse
Correct 3
Registered nurse
4
Unlicensed personnel
5
Licensed practical nurse
The charge nurse and registered nurse should each have a sophisticated level of competency in critical
thinking, leadership, communication, time management, clinical practice, and organization. These skills are
helpful for the charge nurse or the registered nurse to serve as a delegator. The student nurse, unlicensed
personnel, and licensed practical nurse do not delegate, because they are less skilled than the charge nurse.
12. Which healthcare team member is responsible for the coordination and assignments of client care?
Correct 1
Charge nurse
Incorrect 2
Nurse manager
3
Chief nursing officer
4
Patient care associate
A charge nurse coordinates care and assignments and will ultimately be the only person who is familiar
with all the needs of any individual client. A nurse manager is responsible for managing the staffing and
delegation aspects of the healthcare team. The chief nursing officer is responsible for establishing the
systems for assessment and checking the requirements for competent work of the team members. A patient
care associate is responsible for providing basic care to the client.
13. What is the main motto of the Hersey’s 2006 model?
1
Information decay
2
Information salience
Correct 3
Situational leadership
4
Individual accountability
Hersey’s 2006 model provides a solid foundation for delegation decisions. The main motto of this model is
situational leadership. The core competencies of a situational leader are the ability to diagnose the
performance, competence, and commitment of others; to be flexible; and to partner for performance.
Anthony and Vidal describe characteristics of communication that interfere with the delegation process,
such as information decay. They also describe information salience, or the quality, meaning, and clarity of
the information. Ana mentioned individual accountability, the expectation of accountability and
responsibility in 2011, specifically referencing delegation.
14. Which characteristic should the nurse use during the nursing process as a guide for delegation?
1
Leadership
Correct 2
Critical analysis
3
Psychomotor task
4
Time management