HESI RN EXIT CASE STUDY: DELEGATION AND
NURSING UPDATED AND REVISED IN 2024-2025
DECEMBER
As Alex considers the unit assignments and tasks for the day, he thinks
about the evidence-based guidelines for delegation. Which elements
are part of the Five Rights of Delegation? (Select all that apply.) -
ANSWER->- supervision
- task
- circumstances
- instructions
After receiving report from the night shift charge nurse, which activities
should Alex anticipate completing during the first hour? (Select all that
apply.) - ANSWER->- Identify tasks needed for assignment and
delegation
- Assign clients to staff nurses according to acuity
- Delegate tasks to UAP
- Inspect the code cart equipment and supplies.
Alex checks the code cart and equipment for safety and function.
Which inspections are necessary to ensure that the defibrillator is
, serviceable and ready for use during an emergency? (Select all that
apply.) - ANSWER->- Defibrillator pads/paddles are available.
- Electrical cords are in good repair.
- Defibrillator passes a system check.
Which action is the most important intervention for Alex to take? -
ANSWER->Ask Tricia to join him in the nurse manager's office.
Which action is most important for the charge nurse to take? -
ANSWER->Stop the staff nurse and ask the hospital supervisor about
the blood sampling policy.
Which is the best action for Alex to take in this situation? - ANSWER-
>Tell the nurse that this action is unethical, that it violates hospital
policy, and that this procedure should stop.
Which treatment room would be the most ideal place for this client? -
ANSWER->Room nearest the nurses' station.
Which action should be Alex's first response? - ANSWER->Ask the PN to
have the sink cleaned and reinforce infection control teaching with the
UAP.
NURSING UPDATED AND REVISED IN 2024-2025
DECEMBER
As Alex considers the unit assignments and tasks for the day, he thinks
about the evidence-based guidelines for delegation. Which elements
are part of the Five Rights of Delegation? (Select all that apply.) -
ANSWER->- supervision
- task
- circumstances
- instructions
After receiving report from the night shift charge nurse, which activities
should Alex anticipate completing during the first hour? (Select all that
apply.) - ANSWER->- Identify tasks needed for assignment and
delegation
- Assign clients to staff nurses according to acuity
- Delegate tasks to UAP
- Inspect the code cart equipment and supplies.
Alex checks the code cart and equipment for safety and function.
Which inspections are necessary to ensure that the defibrillator is
, serviceable and ready for use during an emergency? (Select all that
apply.) - ANSWER->- Defibrillator pads/paddles are available.
- Electrical cords are in good repair.
- Defibrillator passes a system check.
Which action is the most important intervention for Alex to take? -
ANSWER->Ask Tricia to join him in the nurse manager's office.
Which action is most important for the charge nurse to take? -
ANSWER->Stop the staff nurse and ask the hospital supervisor about
the blood sampling policy.
Which is the best action for Alex to take in this situation? - ANSWER-
>Tell the nurse that this action is unethical, that it violates hospital
policy, and that this procedure should stop.
Which treatment room would be the most ideal place for this client? -
ANSWER->Room nearest the nurses' station.
Which action should be Alex's first response? - ANSWER->Ask the PN to
have the sink cleaned and reinforce infection control teaching with the
UAP.
