HESI RN LEADERSHIP MANAGEMENT EXIT EXAM 2026-
2027 LATEST UPDATED VERSION QUESTIONS AND
ANSWERS
The registered nurse is assessing the conditions of four different clients. Which client's care should the
registered nurse delegate to an unlicensed assistive personnel (UAP)?
1 Client A - brain injury; acute care
2 Client B - diarrhea; sub-acute care
3 Client C - uncontrolled DM; chronic care
4 Client D - HTN; acute care - answer>>2 Client B - diarrhea; sub-acute care
Client B is delegated to the UAP since they are assigned to perform hygienic tasks and diarrhea is a sub-
acute condition.
Brain injury is a serious condition and care cannot be performed by the UAP. Uncontrolled diabetes is a
chronic condition, so client C is not delegated to UAP. Hypertension is an acute condition, and client D is
not delegated to the UAP.
Which element creates an integrative process that fosters effective delegation decisions by the
registered nurse?
1 Ability
2 Liability
3 Stability
4 Ethnicity - answer>>3 Stability
Stability is the element that creates an integrative process that fosters effective delegation decisions.
,Ability is the factor that needs to be assessed to determine the level the leaders determine.
Liability is the person's responsibility and accountability for individual actions.
Ethnicity does not play a role in the process of delegation.
The nurse is teaching breathing exercises to a client who underwent surgery. Which member of the
healthcare team is most suitable for reinforcement of teaching in the client?
1 Certified technician
2 Case manager
3 Cross-trained technician
4 Licensed vocational nurse (LVN) - answer>>4 Licensed vocational nurse (LVN)
The licensed practical nurses (LPN) are most suitable to be delegated the task of reinforcement
teaching.
A certified technician is an unlicensed member who can only record the vital signs or provide basic
hygiene to the client. A case manager can provide primary education to the client. These personnel can
delegate the task of reinforcement teaching to the assistive nursing personnel. Cross-trained
technicians may perform respiratory therapy, draw blood samples, and monitor electrocardiography.
The charge nurse is assigning client care to oncoming staff. The new nurse on the unit expresses an
inability to care for the assigned client and is requesting to be reassigned. What should the delegator do
in this situation?
1 Provide little guidance to the delegatee
2 Evaluate the ability and willingness of the delegate.
3 Understand the delegatee's motivation in the situation.
4 Understand the kind of support needed to accomplish the task. - answer>>3 Understand the
delegatee's motivation in the situation.
,An inability to care for the assigned client shows inability and/or unwillingness in the new nurse. The
delegator needs to understand the delegatee's motivation related to the situation and should use
selling leadership style, which leads to a supportive relationship.
Little guidance should be provided to the delegatee when he or she has high ability and willingness to
perform the task delegated efficiently. When a new team begins to work together, the delegator should
evaluate the ability and willingness of the delegatee. In the application of practice before delegation,
the delegator needs to understand the kind of support to be given to accomplish the task.
Who acts as a delegator in the absence of the registered nurse?
1 Charge nurse
2 Patient care associate
3 Licensed practical nurse
4 Unlicensed nursing personnel - answer>>1 Charge nurse
The charge nurses act as a delegator on the basis of knowledge and experience in clinical settings. In the
absence of a registered nurse, the charge nurse usually delegates the tasks.
A patient care associate assists and monitors vital signs. Licensed practical nurses and unlicensed
nursing personnel are considered delegatees due to insufficient experience and training.
The registered nurse (RN) delegates the collection of respiratory rate data to a licensed practical nurse
(LPN) for a client who is experiencing severe dehydration and whose condition is unstable. The LPN
reports the data to the RN. The RN rechecks the data and finds that the report no longer reflects the
client's current condition. Which characteristic of communication has interfered with the delegation
process?
1 Information decay
2 Information salience
3 Confidence in abilities
, 4 Synergy between team members - answer>>1 Information decay
Information decay can occur in a rapidly changing situation when reported information is no longer
relevant to a client's condition.
Information salience describes the different ways individuals from different backgrounds might assess
the quality, meaning, and clarity of certain information. Trust is developed when there is confidence in
the abilities and capabilities of the team members. Healthy relationships among members of the health
care team promote synergy between the team members.
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."
2 "You know what to do and when to report."
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." - answer>>2 "You know what to
do and when to report."
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.
The registered nurse (RN) is caring for a client with renal calculi. Which healthcare professional is most
suitable to be delegated the task of administering urinary alkalinizer by mouth to the client?
2027 LATEST UPDATED VERSION QUESTIONS AND
ANSWERS
The registered nurse is assessing the conditions of four different clients. Which client's care should the
registered nurse delegate to an unlicensed assistive personnel (UAP)?
1 Client A - brain injury; acute care
2 Client B - diarrhea; sub-acute care
3 Client C - uncontrolled DM; chronic care
4 Client D - HTN; acute care - answer>>2 Client B - diarrhea; sub-acute care
Client B is delegated to the UAP since they are assigned to perform hygienic tasks and diarrhea is a sub-
acute condition.
Brain injury is a serious condition and care cannot be performed by the UAP. Uncontrolled diabetes is a
chronic condition, so client C is not delegated to UAP. Hypertension is an acute condition, and client D is
not delegated to the UAP.
Which element creates an integrative process that fosters effective delegation decisions by the
registered nurse?
1 Ability
2 Liability
3 Stability
4 Ethnicity - answer>>3 Stability
Stability is the element that creates an integrative process that fosters effective delegation decisions.
,Ability is the factor that needs to be assessed to determine the level the leaders determine.
Liability is the person's responsibility and accountability for individual actions.
Ethnicity does not play a role in the process of delegation.
The nurse is teaching breathing exercises to a client who underwent surgery. Which member of the
healthcare team is most suitable for reinforcement of teaching in the client?
1 Certified technician
2 Case manager
3 Cross-trained technician
4 Licensed vocational nurse (LVN) - answer>>4 Licensed vocational nurse (LVN)
The licensed practical nurses (LPN) are most suitable to be delegated the task of reinforcement
teaching.
A certified technician is an unlicensed member who can only record the vital signs or provide basic
hygiene to the client. A case manager can provide primary education to the client. These personnel can
delegate the task of reinforcement teaching to the assistive nursing personnel. Cross-trained
technicians may perform respiratory therapy, draw blood samples, and monitor electrocardiography.
The charge nurse is assigning client care to oncoming staff. The new nurse on the unit expresses an
inability to care for the assigned client and is requesting to be reassigned. What should the delegator do
in this situation?
1 Provide little guidance to the delegatee
2 Evaluate the ability and willingness of the delegate.
3 Understand the delegatee's motivation in the situation.
4 Understand the kind of support needed to accomplish the task. - answer>>3 Understand the
delegatee's motivation in the situation.
,An inability to care for the assigned client shows inability and/or unwillingness in the new nurse. The
delegator needs to understand the delegatee's motivation related to the situation and should use
selling leadership style, which leads to a supportive relationship.
Little guidance should be provided to the delegatee when he or she has high ability and willingness to
perform the task delegated efficiently. When a new team begins to work together, the delegator should
evaluate the ability and willingness of the delegatee. In the application of practice before delegation,
the delegator needs to understand the kind of support to be given to accomplish the task.
Who acts as a delegator in the absence of the registered nurse?
1 Charge nurse
2 Patient care associate
3 Licensed practical nurse
4 Unlicensed nursing personnel - answer>>1 Charge nurse
The charge nurses act as a delegator on the basis of knowledge and experience in clinical settings. In the
absence of a registered nurse, the charge nurse usually delegates the tasks.
A patient care associate assists and monitors vital signs. Licensed practical nurses and unlicensed
nursing personnel are considered delegatees due to insufficient experience and training.
The registered nurse (RN) delegates the collection of respiratory rate data to a licensed practical nurse
(LPN) for a client who is experiencing severe dehydration and whose condition is unstable. The LPN
reports the data to the RN. The RN rechecks the data and finds that the report no longer reflects the
client's current condition. Which characteristic of communication has interfered with the delegation
process?
1 Information decay
2 Information salience
3 Confidence in abilities
, 4 Synergy between team members - answer>>1 Information decay
Information decay can occur in a rapidly changing situation when reported information is no longer
relevant to a client's condition.
Information salience describes the different ways individuals from different backgrounds might assess
the quality, meaning, and clarity of certain information. Trust is developed when there is confidence in
the abilities and capabilities of the team members. Healthy relationships among members of the health
care team promote synergy between the team members.
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."
2 "You know what to do and when to report."
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." - answer>>2 "You know what to
do and when to report."
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.
The registered nurse (RN) is caring for a client with renal calculi. Which healthcare professional is most
suitable to be delegated the task of administering urinary alkalinizer by mouth to the client?
