HESI LEADERSHIP AND
MANAGEMENT EXAM 2026
QUESTIONS AND ANSWERS
WITH RATIONALES/GRADED
A+/2026 UPDATE/100% CORRECT
/INSTANT DOWNLOAD
Section 1: Delegation and Supervision (Questions 1–15)
1. A registered nurse (RN) is delegating tasks to a licensed practical nurse (LPN) and
an unlicensed assistive personnel (UAP). Which task is most appropriate for the RN to
delegate to the LPN?
A. Bathing a stable patient with mobility limitations
B. Administering a routine oral medication to a stable patient
C. Performing the initial admission assessment
D. Teaching a diabetic patient about insulin injection techniques
Rationale: LPNs can administer oral and some parenteral medications to stable
patients. UAPs can bathe patients (A). Initial assessments and teaching are RN
responsibilities (C, D).
2. Which patient assignment demonstrates appropriate delegation by the charge
nurse?
A. UAP assigned to monitor a patient’s continuous IV heparin drip rate
B. LPN assigned to collect a clean-catch urine specimen from a stable patient
C. RN assigned to feed a patient with no swallowing difficulties
D. LPN assigned to develop a patient’s plan of care
, Rationale: LPNs can collect specimens. UAPs cannot monitor IV drips (A). Feeding
stable patients is UAP-level (C). Care plan development is RN-only (D).
3. An RN delegates vital sign monitoring to a UAP. The UAP reports a patient’s blood
pressure is 88/50 mmHg. What is the RN’s priority action?
A. Document the finding as reported
B. Ask the UAP to repeat the measurement in 30 minutes
C. Assess the patient immediately
D. Instruct the UAP to administer a fluid bolus
Rationale: The RN must assess any abnormal finding before delegating further or
intervening. UAPs cannot administer fluids (D).
4. Which patient care task is inappropriate to delegate to a UAP?
A. Ambulating a patient with a walker
B. Measuring intake and output
C. Assessing a patient’s lung sounds
D. Turning a bedridden patient every 2 hours
Rationale: Assessment (including auscultation) requires nursing judgment and
cannot be delegated to UAPs.
5. The RN observes a UAP applying a restraint to a confused patient without an
order. What is the RN’s best immediate action?
A. Report the UAP to the nursing supervisor
B. Remove the restraint and reassess the patient
C. Document the restraint application as an emergency measure
D. Ask the UAP to obtain a verbal order from the provider
Rationale: The RN must stop unsafe or unauthorized actions first. Restraints require
a provider order and frequent assessment.
MANAGEMENT EXAM 2026
QUESTIONS AND ANSWERS
WITH RATIONALES/GRADED
A+/2026 UPDATE/100% CORRECT
/INSTANT DOWNLOAD
Section 1: Delegation and Supervision (Questions 1–15)
1. A registered nurse (RN) is delegating tasks to a licensed practical nurse (LPN) and
an unlicensed assistive personnel (UAP). Which task is most appropriate for the RN to
delegate to the LPN?
A. Bathing a stable patient with mobility limitations
B. Administering a routine oral medication to a stable patient
C. Performing the initial admission assessment
D. Teaching a diabetic patient about insulin injection techniques
Rationale: LPNs can administer oral and some parenteral medications to stable
patients. UAPs can bathe patients (A). Initial assessments and teaching are RN
responsibilities (C, D).
2. Which patient assignment demonstrates appropriate delegation by the charge
nurse?
A. UAP assigned to monitor a patient’s continuous IV heparin drip rate
B. LPN assigned to collect a clean-catch urine specimen from a stable patient
C. RN assigned to feed a patient with no swallowing difficulties
D. LPN assigned to develop a patient’s plan of care
, Rationale: LPNs can collect specimens. UAPs cannot monitor IV drips (A). Feeding
stable patients is UAP-level (C). Care plan development is RN-only (D).
3. An RN delegates vital sign monitoring to a UAP. The UAP reports a patient’s blood
pressure is 88/50 mmHg. What is the RN’s priority action?
A. Document the finding as reported
B. Ask the UAP to repeat the measurement in 30 minutes
C. Assess the patient immediately
D. Instruct the UAP to administer a fluid bolus
Rationale: The RN must assess any abnormal finding before delegating further or
intervening. UAPs cannot administer fluids (D).
4. Which patient care task is inappropriate to delegate to a UAP?
A. Ambulating a patient with a walker
B. Measuring intake and output
C. Assessing a patient’s lung sounds
D. Turning a bedridden patient every 2 hours
Rationale: Assessment (including auscultation) requires nursing judgment and
cannot be delegated to UAPs.
5. The RN observes a UAP applying a restraint to a confused patient without an
order. What is the RN’s best immediate action?
A. Report the UAP to the nursing supervisor
B. Remove the restraint and reassess the patient
C. Document the restraint application as an emergency measure
D. Ask the UAP to obtain a verbal order from the provider
Rationale: The RN must stop unsafe or unauthorized actions first. Restraints require
a provider order and frequent assessment.
