HESI Leadership 2026 -Questions And Answers Latest Updates With
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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 ✔✔✔✔✔ 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 ✔✔✔✔✔ 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 ✔✔✔✔✔ 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
Demonstrating positive feelings
4
Maximizing results from existing resources
5
Showing willingness to both lead and follow peers - CORRECT ✔✔✔✔✔ Inspiring
new ideas
Establishing short-term goals
Demonstrating positive feelings
Maximizing results from existing resources
The leader provides new ideas with a long-term effect on the progress of the
organization. He or she should also provide a positive atmosphere by giving an equal
, importance to the followers. Providing short-term goals and maximizing results from
existing resources are the job responsibilities of a manager. The willingness to lead and
follow peers is the quality of a good follower.
A hospital management team has conducted a randomized controlled trial to decrease
the occurrence of ventilator-associated pneumonia .The trial was successful and had
positive outcomes. The nurse manager, in collaboration with other hospital
management staff, conducted the same trial in another hospital, but the results were
different. Which research strategy implementation would the nurse manager consider to
be beneficial in preventing dramatic differences in trial results?
1
Evidence-based practice (EBP)
2
Practice-based evidence (PBE)
3
Client-centered outcomes research
4
Comparative effectiveness research (CER) - CORRECT ✔✔✔✔✔ Practice-based
evidence (PBE)
PBE is a research methodology that helps inform practice. It uses an observational
cohort study design that compares clinically relevant interventions, includes diverse
study participants, uses heterogeneous practice settings, collects data on a broad range
of health outcomes, and includes frontline clinicians in study development. EBP is the
integration of the best research evidence with clinical expertise and the client's unique
values and circumstances in making decisions about the care of individual clients.
Client-centered outcomes researchers conduct research to provide information about
the best available evidence to help clients and their providers make decisions that are
more informed. CER is the generation and synthesis of evidence that compares the
benefits and harms of alternative methods.
A delegator is providing feedback to four delegatees. Which feedback is constructive
feedback that can help the delegatee to improve quality of care?
1
A Well done, nice job
2
B What is wrong with you today
3
C How did the client respond after you did the task?
4
D Your work was good, but let me demonstrate a more effective way to perform the
task. - CORRECT ✔✔✔✔✔ D
Providing feedback to delegatee D that the procedure properly performed followed by
demonstrating a more effective way to perform the task improves quality of client care.
Therefore, the feedback given to delegatee D is constructive feedback. Saying to
delegatee A that the work was nice is vague feedback, which does not specify the
behavior of the delegatee and is not constructive feedback. Providing feedback to
delegatee B asking what had gone wrong with him or her today is a verbal attack that
does not produce effective change and potentially may undermine a long-term working
relationship. Asking delegatee C how the client responded after the task was done is an
Correct Answers 100% With Complete Solutions Pass Guaranteed-Graded
A+
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 ✔✔✔✔✔ 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 ✔✔✔✔✔ 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 ✔✔✔✔✔ 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
Demonstrating positive feelings
4
Maximizing results from existing resources
5
Showing willingness to both lead and follow peers - CORRECT ✔✔✔✔✔ Inspiring
new ideas
Establishing short-term goals
Demonstrating positive feelings
Maximizing results from existing resources
The leader provides new ideas with a long-term effect on the progress of the
organization. He or she should also provide a positive atmosphere by giving an equal
, importance to the followers. Providing short-term goals and maximizing results from
existing resources are the job responsibilities of a manager. The willingness to lead and
follow peers is the quality of a good follower.
A hospital management team has conducted a randomized controlled trial to decrease
the occurrence of ventilator-associated pneumonia .The trial was successful and had
positive outcomes. The nurse manager, in collaboration with other hospital
management staff, conducted the same trial in another hospital, but the results were
different. Which research strategy implementation would the nurse manager consider to
be beneficial in preventing dramatic differences in trial results?
1
Evidence-based practice (EBP)
2
Practice-based evidence (PBE)
3
Client-centered outcomes research
4
Comparative effectiveness research (CER) - CORRECT ✔✔✔✔✔ Practice-based
evidence (PBE)
PBE is a research methodology that helps inform practice. It uses an observational
cohort study design that compares clinically relevant interventions, includes diverse
study participants, uses heterogeneous practice settings, collects data on a broad range
of health outcomes, and includes frontline clinicians in study development. EBP is the
integration of the best research evidence with clinical expertise and the client's unique
values and circumstances in making decisions about the care of individual clients.
Client-centered outcomes researchers conduct research to provide information about
the best available evidence to help clients and their providers make decisions that are
more informed. CER is the generation and synthesis of evidence that compares the
benefits and harms of alternative methods.
A delegator is providing feedback to four delegatees. Which feedback is constructive
feedback that can help the delegatee to improve quality of care?
1
A Well done, nice job
2
B What is wrong with you today
3
C How did the client respond after you did the task?
4
D Your work was good, but let me demonstrate a more effective way to perform the
task. - CORRECT ✔✔✔✔✔ D
Providing feedback to delegatee D that the procedure properly performed followed by
demonstrating a more effective way to perform the task improves quality of client care.
Therefore, the feedback given to delegatee D is constructive feedback. Saying to
delegatee A that the work was nice is vague feedback, which does not specify the
behavior of the delegatee and is not constructive feedback. Providing feedback to
delegatee B asking what had gone wrong with him or her today is a verbal attack that
does not produce effective change and potentially may undermine a long-term working
relationship. Asking delegatee C how the client responded after the task was done is an
