HESI RN Leadership Exam
VERSION 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.
- 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.
- 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.
- 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." Leadership HESI RN Test Bank (3000+ Questions and Answers) - Brand New Q&As Latest 2023 1 / 4
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.
- 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.
- 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. 2 / 4
- 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.
- 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)
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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.
- 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.
- 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.
- Which employee should be competent in critical thinking, leadership, communication, and time
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management skills? Select all that apply.Correct 1 Charge nurse 2 Student nurse Correct 3 Registered nurse 4 Unlicensed personnel