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HESI LEADERSHIP / MANAGEMENT
Latest 20 Versions / 20 Sets Exam
1200 + Verified Questions and Answers
Best Document for Exam Preparation
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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
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