HESI: Delegation of Nursing
Management and Rationale Exam 2026
Questions and Answers
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.)
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,-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.)
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, -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
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
Management and Rationale Exam 2026
Questions and Answers
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.)
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,-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.)
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, -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
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
