HESI Leadership questions and answers
2024\2025 A+ Grade
The registered nurse is delegating tasks for nursing assistants caring for a client who requires more
attention. Which element should be considered when selecting the suitable nursing assistant for
delegation of a task?
1
Time
2
Safety
3
Stability
4
Critical thinking
- correct answer Critical thinking
Critical thinking is of utmost importance for selecting a suitable nursing assistant for delegation of a task
in a situation where a client requires more attention, as the delegatee should be able to perform the
task effectively. Time, safety, and stability are also the elements for effective delegation, but these are
suitable depending on the situation for assigning a task and delegation.
What is the proper order of events the nurse follows for performing critical analysis using the nursing
process as a guide for delegation?
1.
Planning an intervention
2.
Implementing the plan including an observation of the delegation
3.
Assessing the situation to determine what is legally appropriate to delegate
,4.
Evaluating whether the delegation process was completed safely and effectively
5.
Determining whether the delegatee is competent to perform the task safely
- correct answer Assessing the situation to determine what is legally appropriate to delegate
Planning an intervention
Determining whether the delegatee is competent to perform the task safely
Implementing the plan including an observation of the delegation
Evaluating whether the delegation process was completed safely and effectively
To perform a critical analysis, the registered nurse uses the nursing process as a guide for delegation.
The registered nurse in this situation determines what is legally appropriate to delegate. Then the
registered nurse plans an intervention for it and determines whether the delegatee is competent to
perform the task safely. The registered nurse implements the plan including an observation of the
delegatee. Then the registered nurse evaluates whether the delegation process was completed safely
and effectively.1
Which characteristics of the delegatee should be considered to determine that he or she is the "right
person"? Select all that apply.
1
Experience
2
Supervision
3
Willingness
4
Competence
5
Communication
- correct answer Experience
Willingness
Competence
, The delegatee should be assigned a task if he or she has experience that would allow the delegator to
provide minimal guidance. The willingness of the delegatee is also important to consider before
assigning the task. The competence of the delegatee must be assessed before assigning the task. The
delegator should supervise the tasks performed by the delegatee. The delegatee's communication skills
are assessed to ensure right direction and communication.
The registered nurse (RN) delegates the tasks of caring for a client with pressure ulcers. The client
suffers further tissue necrosis during treatment. What could be the reason for this condition?
1
Cleaning of the wound by the registered nurse (RN)
2
Performing irrigation of the wound by the patient care associate (PCA)
3
Administering of oral analgesics by the licensed practical nurse (LPN)
4
Repositioning the client every 1-2 hours by the licensed practical nurse (LPN)
- correct answer Performing irrigation of the wound by the patient care associate (PCA)
The patient care associate (PCA) is not authorized to irrigate the wound as improper technique can lead
to tissue damage. The RN is qualified to perform wound care; therefore, cleaning the wound is not likely
to lead to tissue necrosis. Pressure ulcers are associated with pain. The LPN administering oral analgesics
may relieve the pain, but it will not cause tissue necrosis. Having the licensed practical nurse (LPN)
reposition the client every 1 or 2 hours will minimize the risk of tissue necrosis due to pressure ulcers.
A direct care nurse performs exceedingly well on a cancer project. As a result, the managerial team
decides to promote the nurse to a managerial position. Which actions by the nurse would justify the
decision of the panel? Select all that apply.
1
Inspiring new ideas
2
Establishing short-term goals
3
2024\2025 A+ Grade
The registered nurse is delegating tasks for nursing assistants caring for a client who requires more
attention. Which element should be considered when selecting the suitable nursing assistant for
delegation of a task?
1
Time
2
Safety
3
Stability
4
Critical thinking
- correct answer Critical thinking
Critical thinking is of utmost importance for selecting a suitable nursing assistant for delegation of a task
in a situation where a client requires more attention, as the delegatee should be able to perform the
task effectively. Time, safety, and stability are also the elements for effective delegation, but these are
suitable depending on the situation for assigning a task and delegation.
What is the proper order of events the nurse follows for performing critical analysis using the nursing
process as a guide for delegation?
1.
Planning an intervention
2.
Implementing the plan including an observation of the delegation
3.
Assessing the situation to determine what is legally appropriate to delegate
,4.
Evaluating whether the delegation process was completed safely and effectively
5.
Determining whether the delegatee is competent to perform the task safely
- correct answer Assessing the situation to determine what is legally appropriate to delegate
Planning an intervention
Determining whether the delegatee is competent to perform the task safely
Implementing the plan including an observation of the delegation
Evaluating whether the delegation process was completed safely and effectively
To perform a critical analysis, the registered nurse uses the nursing process as a guide for delegation.
The registered nurse in this situation determines what is legally appropriate to delegate. Then the
registered nurse plans an intervention for it and determines whether the delegatee is competent to
perform the task safely. The registered nurse implements the plan including an observation of the
delegatee. Then the registered nurse evaluates whether the delegation process was completed safely
and effectively.1
Which characteristics of the delegatee should be considered to determine that he or she is the "right
person"? Select all that apply.
1
Experience
2
Supervision
3
Willingness
4
Competence
5
Communication
- correct answer Experience
Willingness
Competence
, The delegatee should be assigned a task if he or she has experience that would allow the delegator to
provide minimal guidance. The willingness of the delegatee is also important to consider before
assigning the task. The competence of the delegatee must be assessed before assigning the task. The
delegator should supervise the tasks performed by the delegatee. The delegatee's communication skills
are assessed to ensure right direction and communication.
The registered nurse (RN) delegates the tasks of caring for a client with pressure ulcers. The client
suffers further tissue necrosis during treatment. What could be the reason for this condition?
1
Cleaning of the wound by the registered nurse (RN)
2
Performing irrigation of the wound by the patient care associate (PCA)
3
Administering of oral analgesics by the licensed practical nurse (LPN)
4
Repositioning the client every 1-2 hours by the licensed practical nurse (LPN)
- correct answer Performing irrigation of the wound by the patient care associate (PCA)
The patient care associate (PCA) is not authorized to irrigate the wound as improper technique can lead
to tissue damage. The RN is qualified to perform wound care; therefore, cleaning the wound is not likely
to lead to tissue necrosis. Pressure ulcers are associated with pain. The LPN administering oral analgesics
may relieve the pain, but it will not cause tissue necrosis. Having the licensed practical nurse (LPN)
reposition the client every 1 or 2 hours will minimize the risk of tissue necrosis due to pressure ulcers.
A direct care nurse performs exceedingly well on a cancer project. As a result, the managerial team
decides to promote the nurse to a managerial position. Which actions by the nurse would justify the
decision of the panel? Select all that apply.
1
Inspiring new ideas
2
Establishing short-term goals
3
