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Leadership & Management HESI Questions And Correct Detailed Answers (Verified Answers) Already Graded A+
Nursing Assignment & Delegation Study Guide
- Question: A nurse employed at a hospital is asked by a nurse manager to review the
organizational chart. The nurse reviews the chart so that he will:
Correct Answer: Be familiar with the organization's line of authority.
- Question: A nurse is planning the client assignments for the shift. Which of the following
clients should the nurse assign to the nursing assistant?
Correct Answer: A client who needs frequent ambulation with a walker.
- Question: A nurse has delegated several nursing tasks to staff members. The nurse's
primary responsibility after the delegation of the tasks is to:
Correct Answer: Follow up with each staff member regarding the performance of the task and the outcomes related to the implementation of the task.
- Question: A RN who has a LPN and a nursing assistant on the nursing team is planning
client assignments for the day. Which client should the RN assign to the LPN?
Correct Answer: A patient receiving oxygen who requires frequent pulse oximetry
monitoring and respiratory treatments.
- Question: The nurse is preparing client assignments for the day. Which client should the
nurse assign to a nursing assistant?
Correct Answer: An unconscious patient who requires oral care.
- Question: A RN is watching as a new LPN administers an IM injection in a client's deltoid
muscle. The RN determines that the LPN is performing the procedure correctly if the LPN:
Correct Answer: Administers the injection 2 inches below the acromion process.
- Question: A RN is supervising a nursing assistant ambulating a client with right-sided
weakness. The RN would conclude that the nursing assistant is performing the procedure
incorrectly after observing that the nursing assistant:
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Correct Answer: Stands behind the client.
- Question: A nurse is preparing the client assignments for the day. One of the nurses on
the team has just learned that she is pregnant. Which client does the nurse refrain from assigning to the pregnant team member?
Correct Answer: A client with a solid sealed cervical radiation implant.
- Question: A client scheduled for surgery tells the nurse that he signed an informed
consent for the surgical procedure but was never told about the risks of the surgery. The
nurse serves as the client's advocate by:
Correct Answer: Calling the surgeon and asking that the risks be explained to the client.
- Question: RN is planning assignments for 5 clients on the nursing unit. The team
includes a LPN and a nursing assistant. Which clients should the nurse assign to the LPN?
• Option 1: A client w/ a colostomy who requires reinforcement regarding the
procedure for irrigation
• Option 2: A pt w/ DM who requires the administration or regular insulin in
accordance w/ a sliding dosage scale every 4 hrs
Correct Answer: Option 1 (Reinforcement of teaching is within LPN scope).
- Question: A nurse leader in a med-surg unit overhears the nursing staff openly
discussing a client and stating that the client is "uncooperative and a real pain to care for."
The nurse leader would most appropriately manage this issue by:
Correct Answer: Discouraging the judgmental comments.
- Question: A nurse educator describes the standards of care formulated by the
American Nurses Association to a group of new nursing graduates hired by the hospital.Which of the following are accurate descriptions of these standards of care?
Correct Answer:
- Define professional practice
- Have some similarity to policies & procedures
- Are authoritative statements that describe a common or acceptable level of client
care or performance
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- Question: The nurse educator, discussing care maps, asks the graduate nurse whether
- Question: The unit secretary says to the nurse "I read in Mr. Gage's medical record that
she understands how a care map is used. Which response indicates understanding?Correct Answer: Care map outlines the day-to-day expected outcomes of care and the outcomes anticipated at discharge.
he has gonorrhea." How should the nurse respond to the secretary?
Correct Answer: We cannot discuss a client's medical condition.
- Question: During the program, a crew from a local television station arrives to film the
proceedings because the station is publicizing a series on hospital services. The nurse
conducting the program should:
Correct Answer: Explain to the television crew that videotaping is not allowed.
- Question: A nurse manager discusses staff empowerment with the nursing team. The
nurse manager explains that staff empowerment:
Correct Answer: Fosters the growth of others so that they are less dependent on the leader.
- Question: Which notes in a client's record indicated an unexpected outcome and the
need for follow-up?
Correct Answer: Pt w/ a central venous catheter has a temp of 100.6.
- Question: An ED nurse is performing an assessment of a client who has sustained
circumferential burns of both legs. What should the nurse assess first?
Correct Answer: Peripheral pulses.
19. Question: A nurse, newly employed by a home health agency, is told that the
organization's decision-making process is centralized. The nurse determines that this
means that the authority to make decisions is vested in:
Correct Answer: A few individuals, such as the board of directors.
- Question: A client with cancer is transported to the radiology department for a bone
scan to determine whether the cancer has metastasized to bone. While the client is in the radiology department the client's wife arrives and asks what test is being performed. The
nurse should tell the wife:
Correct Answer: She will have to discuss the prescribed test with the client.
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- Question: After initial rounds, which client will the RN plan to care for first?
Correct Answer: A pt who is scheduled for surgery at 1 pm.
- Question: RN is uncomfortable with writing prescriptions and explains this to the DR,
but the DR tells the nurse that she will be reported if she does not write the prescriptions.How should the nurse manage this conflict?
Correct Answer: Discussing the situation w/ the nurse manager.
23. Question: Which of the following is considered a negligent act?
Correct Answer: Using clean gloves to change a gastrostomy tube dressing (Context
dependent: implies sterile was required).
24. Question: Which situation demonstrates the principle of beneficence?
Correct Answer: RN administers an immunization to a child even though it may cause discomfort.
- Question: A float nurse to ICU is angry with the assignment. What is the best action?
Correct Answer: Ask the nurse manager of the ICU to discuss the assignment.
26. Question: Which clients should be assigned to a nursing assistant?
• Option 1: Pt who requires transport to the radiology department
• Option 2: Pt w/ a foley catheter for whom a 24 hr urine collection is in progress
Correct Answer: Option 1 (Transport is a standard NA task).
27. Question: What should the change of shift report include?
Correct Answer:
• Needs and priorities of care • Current diagnosis • Results of lab studies conducted that day • Pt response to tx implemented that day
- Question: A patient with DM is having a hard time drawing the insulin into syringe
because he can't see the markings on the syringe. Who should the nurse refer him to?
