HESI: Delegation of Nursing Management and
Rationale questions and answers 2024\2025 A+
Grade
1.
After receiving report from the night shift charge nurse, which activities should the nurse anticipate
completing during the first hour? (Select all that apply. One, some, or all options may be correct.)
- correct answer -Delegate tasks to unlicensed assistive personnel (UAP).
(Delegating tasks to UAPs for the day is a charge nurse action that should be performed during the first
hour of the shift to make good use of unit personnel resources.)
-Identify tasks needed for assignment and delegation.
(The charge nurse should first identify the tasks needed for assignment and delegation during the first
hours of the shift.)
-Assign clients to staff nurses according to acuity.
(Making client assignments is a charge nurse action that must be performed before or during the first
hour of the shift to make the best use of unit personnel resources.)
-Inspect the code cart equipment and supplies
(Inspecting the code cart is a charge nurse action that must be performed during the first hour of the
shift to ensure that emergency equipment is available and functional on the unit.)
2.
As the charge nurse considers the unit assignments and tasks for the day, they thinks about the
evidence-based guidelines for delegation. Which elements are part of the Five Rights of Delegation?
(Select all that apply. One, some, or all options may be correct.)
- correct answer -Right supervision.
(Supervision is directing, guiding, and evaluating the task performance quality of assistive personnel.)
, -Right circumstances.
(Circumstances are a very important element of clinical decision making. The contextual elements of
circumstances include policies and procedures, area of nursing, client condition, and preferred client
results.)
-Right task.
(The right task is one that can be safely delegated for a specific client, given that client's current
condition, preferred outcomes, and availability of a competent individual to perform it.)
-Right instructions.
(The right directions or instructions is an important part of the five rights of delegation. The person
receiving delegation needs to know specifically what the delegator expects.)
3.
The charge nurse 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. One, some, or all options may be correct.)
- correct answer -Electrical cords are in good repair.
(Electrical cords must be in good repair to avoid a safety hazard and for the defibrillator unit to be
serviceable and ready for use during an emergency.)
-Defibrillator passes a system check.
(The defibrillator should pass a system check at the beginning of every shift to ensure that the
defibrillator unit is serviceable and ready for use during an emergency.)
-Defibrillator pads/paddles are available.
(Defibrillator paddles or pads are required to deliver the electrical impulse to the client during an
emergency.)
4.
The charge nurse sees a staff member arriving late and walking off balance. Which action is the most
important intervention for the charge nurse to take?
- correct answer Ask the staff member to join them in the nurse manager's office.
Rationale questions and answers 2024\2025 A+
Grade
1.
After receiving report from the night shift charge nurse, which activities should the nurse anticipate
completing during the first hour? (Select all that apply. One, some, or all options may be correct.)
- correct answer -Delegate tasks to unlicensed assistive personnel (UAP).
(Delegating tasks to UAPs for the day is a charge nurse action that should be performed during the first
hour of the shift to make good use of unit personnel resources.)
-Identify tasks needed for assignment and delegation.
(The charge nurse should first identify the tasks needed for assignment and delegation during the first
hours of the shift.)
-Assign clients to staff nurses according to acuity.
(Making client assignments is a charge nurse action that must be performed before or during the first
hour of the shift to make the best use of unit personnel resources.)
-Inspect the code cart equipment and supplies
(Inspecting the code cart is a charge nurse action that must be performed during the first hour of the
shift to ensure that emergency equipment is available and functional on the unit.)
2.
As the charge nurse considers the unit assignments and tasks for the day, they thinks about the
evidence-based guidelines for delegation. Which elements are part of the Five Rights of Delegation?
(Select all that apply. One, some, or all options may be correct.)
- correct answer -Right supervision.
(Supervision is directing, guiding, and evaluating the task performance quality of assistive personnel.)
, -Right circumstances.
(Circumstances are a very important element of clinical decision making. The contextual elements of
circumstances include policies and procedures, area of nursing, client condition, and preferred client
results.)
-Right task.
(The right task is one that can be safely delegated for a specific client, given that client's current
condition, preferred outcomes, and availability of a competent individual to perform it.)
-Right instructions.
(The right directions or instructions is an important part of the five rights of delegation. The person
receiving delegation needs to know specifically what the delegator expects.)
3.
The charge nurse 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. One, some, or all options may be correct.)
- correct answer -Electrical cords are in good repair.
(Electrical cords must be in good repair to avoid a safety hazard and for the defibrillator unit to be
serviceable and ready for use during an emergency.)
-Defibrillator passes a system check.
(The defibrillator should pass a system check at the beginning of every shift to ensure that the
defibrillator unit is serviceable and ready for use during an emergency.)
-Defibrillator pads/paddles are available.
(Defibrillator paddles or pads are required to deliver the electrical impulse to the client during an
emergency.)
4.
The charge nurse sees a staff member arriving late and walking off balance. Which action is the most
important intervention for the charge nurse to take?
- correct answer Ask the staff member to join them in the nurse manager's office.
