EVOLVE HESI LEADERSHIP 114 2026
PRIORITIZATION AND DELEGATION PRACTICE
SET ANSWERS FULL SOLUTION
◉ Which point should the nurse exclude when developing strategies
to project a powerful image?
1 Using authoritative language
2 Maintaining good body posture
3 Making good eye contact with clients
4 Ensuring that clothing and hair are appropriate to the situation.
Answer: 1 Using authoritative language
The nurse should treat people with courtesy and respect. The use of
authoritative language does not help in developing a powerful
image. The nurse should also maintain good body posture because it
conveys self-confidence. Good eye contact helps in developing trust.
Appropriate dress and hair help convey a powerful image.
◉ Which statement of the nurse leader reflects the actions
suggested by the Joint Commission for disruptive behavior by a
direct care nurse?
,1 "This is the last warning for you."
2 "You are terminated, effective now."
3 "This will affect your assessment markings."
4 "You should not behave this way because you are very talented.".
Answer: 2 "You are terminated, effective now."
According to the actions suggested by the Joint Commission, there is
"zero" tolerance for an intimidating and/or disruptive behavior. The
action to be taken for this type of behavior should be suspension,
termination, loss of clinical privileges, and reporting to professional
licensure bodies.
The actions suggested by the Joint Commission do not include giving
last a warning. The nurse who has behaved disruptively is not
eligible for any assessment. By saying, "You should not behave this
way because as you are very talented," the actions suggested by Joint
Commission are not being carried out.
◉ According to the three-tiered triage system, which client requires
urgent treatment? Select all that apply.
1 A client with renal colic
2 A client with strains and sprains
3 A client with respiratory distress
,4 A client with severe abdominal pain
5 A client with multiple displaced fractures.
Answer: 1, 4, 5
According to the three-tiered triage system, renal colic, severe
abdominal pain, and multiple displaced fractures require urgent
treatment. Strains and sprains require nonurgent treatment and
respiratory distress requires emergent treatment.
◉ The nurse finds the respiratory rate is 8 breaths per minute in a
client who is on intravenous morphine sulfate. What should the
nurse do immediately in this situation?
1 Measure other vital signs.
2 Stop administering the medication.
3 Elevate the head of the client's bed.
4 Report to the primary healthcare provider.
Answer: 2 Stop administering the medication.
Morphine sulfate is an opioid analgesic and can depress the central
nervous system, which results in respiratory depression. A
respiratory rate of 8 breaths per minute indicates respiratory
depression, and the nurse should stop the medication immediately.
, The nurse can measure the other vital signs after discontinuing the
medication administration. Elevating the head of the client's bed
ensures proper breathing. Therefore the nurse should elevate the
client's bed after discontinuing the medication. The nurse should
report to the primary healthcare provider for an appropriate
antidote after stopping the medication administration.
◉ A client is admitted to the emergency department following a
motor vehicle accident. The client's wounds are extensive. Which
healthcare team member is best suited to care for this client in the
emergency ward?
1 Charge nurse
2 Registered nurse
3 Licensed practical nurse
4 Unlicensed nursing personnel.
Answer: 2 Registered nurse
A registered nurse should be the healthcare team member to care
for the client in the emergency department. The charge nurse's role
includes making client assignments, scheduling breaks for staff
members, and serving as a staff resource person. The licensed
practical nurse is involved in fast-track emergency care. Unlicensed
nursing personnel perform all hygienic tasks and are not required in
the emergency care unit.
PRIORITIZATION AND DELEGATION PRACTICE
SET ANSWERS FULL SOLUTION
◉ Which point should the nurse exclude when developing strategies
to project a powerful image?
1 Using authoritative language
2 Maintaining good body posture
3 Making good eye contact with clients
4 Ensuring that clothing and hair are appropriate to the situation.
Answer: 1 Using authoritative language
The nurse should treat people with courtesy and respect. The use of
authoritative language does not help in developing a powerful
image. The nurse should also maintain good body posture because it
conveys self-confidence. Good eye contact helps in developing trust.
Appropriate dress and hair help convey a powerful image.
◉ Which statement of the nurse leader reflects the actions
suggested by the Joint Commission for disruptive behavior by a
direct care nurse?
,1 "This is the last warning for you."
2 "You are terminated, effective now."
3 "This will affect your assessment markings."
4 "You should not behave this way because you are very talented.".
Answer: 2 "You are terminated, effective now."
According to the actions suggested by the Joint Commission, there is
"zero" tolerance for an intimidating and/or disruptive behavior. The
action to be taken for this type of behavior should be suspension,
termination, loss of clinical privileges, and reporting to professional
licensure bodies.
The actions suggested by the Joint Commission do not include giving
last a warning. The nurse who has behaved disruptively is not
eligible for any assessment. By saying, "You should not behave this
way because as you are very talented," the actions suggested by Joint
Commission are not being carried out.
◉ According to the three-tiered triage system, which client requires
urgent treatment? Select all that apply.
1 A client with renal colic
2 A client with strains and sprains
3 A client with respiratory distress
,4 A client with severe abdominal pain
5 A client with multiple displaced fractures.
Answer: 1, 4, 5
According to the three-tiered triage system, renal colic, severe
abdominal pain, and multiple displaced fractures require urgent
treatment. Strains and sprains require nonurgent treatment and
respiratory distress requires emergent treatment.
◉ The nurse finds the respiratory rate is 8 breaths per minute in a
client who is on intravenous morphine sulfate. What should the
nurse do immediately in this situation?
1 Measure other vital signs.
2 Stop administering the medication.
3 Elevate the head of the client's bed.
4 Report to the primary healthcare provider.
Answer: 2 Stop administering the medication.
Morphine sulfate is an opioid analgesic and can depress the central
nervous system, which results in respiratory depression. A
respiratory rate of 8 breaths per minute indicates respiratory
depression, and the nurse should stop the medication immediately.
, The nurse can measure the other vital signs after discontinuing the
medication administration. Elevating the head of the client's bed
ensures proper breathing. Therefore the nurse should elevate the
client's bed after discontinuing the medication. The nurse should
report to the primary healthcare provider for an appropriate
antidote after stopping the medication administration.
◉ A client is admitted to the emergency department following a
motor vehicle accident. The client's wounds are extensive. Which
healthcare team member is best suited to care for this client in the
emergency ward?
1 Charge nurse
2 Registered nurse
3 Licensed practical nurse
4 Unlicensed nursing personnel.
Answer: 2 Registered nurse
A registered nurse should be the healthcare team member to care
for the client in the emergency department. The charge nurse's role
includes making client assignments, scheduling breaks for staff
members, and serving as a staff resource person. The licensed
practical nurse is involved in fast-track emergency care. Unlicensed
nursing personnel perform all hygienic tasks and are not required in
the emergency care unit.
