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WGU D455 Exit HESI HCV2 Comprehensive
Q&A with Rationales 2026 Update – Western
Governors University – Professional Role
Transition & Nursing Leadership Competency
Assessment Graded A+ | 100% Pass Guaranteed |
Just Released
PART 1: DELEGATION AND SUPERVISION
Question 1
A nurse leader is mentoring a new graduate nurse who is struggling with
delegation. The new nurse states, "I feel uncomfortable asking the
nursing assistant to do tasks because I don't want to seem bossy." Which
response by the nurse leader best reflects the principles of effective
delegation?
A) You should delegate as much as possible to gain confidence; the
assistant expects it.
B) Delegation is a legal and professional responsibility; focus on patient
safety and the assistants scope of practice.
C) Start by delegating only non-patient care tasks until you feel more
comfortable.
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D) Ask the assistant what tasks they prefer to do, then delegate
accordingly.
Verified Answer: B
Rationale: Effective delegation is based on the right task, right
circumstance, right person, right direction or communication, and right
supervision. Option B emphasizes the legal and ethical duty to delegate
appropriately for patient safety, which is the core principle. Option A
overgeneralizes and may lead to unsafe delegation. Option C avoids the
issue and may delay necessary skill development. Option D may not
align with patient needs or the assistant's competency .
Question 2
Which task can a registered nurse delegate to unlicensed assistive
personnel UAP?
A) Performing a sterile dressing change
B) Administering oral medications
C) Assisting a stable patient with ambulation
D) Performing an initial patient assessment
Verified Answer: C
Rationale: UAP can assist with activities of daily living including
ambulation of stable patients. The five rights of delegation include right
task, right circumstance, right person, right direction and
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communication, and right supervision. Assessment, sterile procedures,
and medication administration require licensed nursing judgment .
Question 3
A new graduate nurse is delegating to a nursing assistant. Which
statement indicates the new graduate understands the principles of
delegation?
A) I am responsible for the tasks I delegate and must supervise the
assistant.
B) Once I delegate a task, I am no longer responsible for it.
C) I can delegate any task to the assistant as long as they have been
trained.
D) Delegation is not a legal responsibility.
Verified Answer: A
Rationale: The RN retains accountability for delegated tasks and must
provide supervision. The five rights of delegation must be followed.
Delegation is both a legal and professional responsibility .
Question 4
When delegating to a licensed practical nurse LPN, which patient would
be most appropriate?
A) A patient with unstable vital signs
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B) A patient requiring initial admission assessment
C) A stable patient requiring wound care
D) A patient in septic shock
Verified Answer: C
Rationale: LPNs can perform wound care on stable patients. Unstable
patients, initial assessments, and critically ill patients require RN
assessment and intervention. The LPN scope is directed and requires
supervision .
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## PART 2: NURSING LEADERSHIP AND MANAGEMENT
Question 5
A nurse manager is reviewing the units budget and notices that overtime
costs have increased by 20 percent over the past quarter. The manager
suspects that the increase is due to inadequate staffing during peak
admission times. Which financial management tool should the manager
use to analyze the relationship between staffing levels and overtime
expenses?
A) Variance analysis, comparing actual overtime costs to budgeted
amounts
B) Cost-benefit analysis, weighing the cost of additional staff against
overtime savings
WGU D455 Exit HESI HCV2 Comprehensive
Q&A with Rationales 2026 Update – Western
Governors University – Professional Role
Transition & Nursing Leadership Competency
Assessment Graded A+ | 100% Pass Guaranteed |
Just Released
PART 1: DELEGATION AND SUPERVISION
Question 1
A nurse leader is mentoring a new graduate nurse who is struggling with
delegation. The new nurse states, "I feel uncomfortable asking the
nursing assistant to do tasks because I don't want to seem bossy." Which
response by the nurse leader best reflects the principles of effective
delegation?
A) You should delegate as much as possible to gain confidence; the
assistant expects it.
B) Delegation is a legal and professional responsibility; focus on patient
safety and the assistants scope of practice.
C) Start by delegating only non-patient care tasks until you feel more
comfortable.
,2 | Page
D) Ask the assistant what tasks they prefer to do, then delegate
accordingly.
Verified Answer: B
Rationale: Effective delegation is based on the right task, right
circumstance, right person, right direction or communication, and right
supervision. Option B emphasizes the legal and ethical duty to delegate
appropriately for patient safety, which is the core principle. Option A
overgeneralizes and may lead to unsafe delegation. Option C avoids the
issue and may delay necessary skill development. Option D may not
align with patient needs or the assistant's competency .
Question 2
Which task can a registered nurse delegate to unlicensed assistive
personnel UAP?
A) Performing a sterile dressing change
B) Administering oral medications
C) Assisting a stable patient with ambulation
D) Performing an initial patient assessment
Verified Answer: C
Rationale: UAP can assist with activities of daily living including
ambulation of stable patients. The five rights of delegation include right
task, right circumstance, right person, right direction and
,3 | Page
communication, and right supervision. Assessment, sterile procedures,
and medication administration require licensed nursing judgment .
Question 3
A new graduate nurse is delegating to a nursing assistant. Which
statement indicates the new graduate understands the principles of
delegation?
A) I am responsible for the tasks I delegate and must supervise the
assistant.
B) Once I delegate a task, I am no longer responsible for it.
C) I can delegate any task to the assistant as long as they have been
trained.
D) Delegation is not a legal responsibility.
Verified Answer: A
Rationale: The RN retains accountability for delegated tasks and must
provide supervision. The five rights of delegation must be followed.
Delegation is both a legal and professional responsibility .
Question 4
When delegating to a licensed practical nurse LPN, which patient would
be most appropriate?
A) A patient with unstable vital signs
, 4 | Page
B) A patient requiring initial admission assessment
C) A stable patient requiring wound care
D) A patient in septic shock
Verified Answer: C
Rationale: LPNs can perform wound care on stable patients. Unstable
patients, initial assessments, and critically ill patients require RN
assessment and intervention. The LPN scope is directed and requires
supervision .
---
## PART 2: NURSING LEADERSHIP AND MANAGEMENT
Question 5
A nurse manager is reviewing the units budget and notices that overtime
costs have increased by 20 percent over the past quarter. The manager
suspects that the increase is due to inadequate staffing during peak
admission times. Which financial management tool should the manager
use to analyze the relationship between staffing levels and overtime
expenses?
A) Variance analysis, comparing actual overtime costs to budgeted
amounts
B) Cost-benefit analysis, weighing the cost of additional staff against
overtime savings
