HESI RN EXIT CASE STUDY - DELEGATION AND NURSING
1. As Alex considers the unit assignments and tasks for the day, he thinks
about the evidence-based guidelines for delegation. Which elements are
partof the Five Rights of Delegation? (Select all that apply.)
Answer: - supervision
- task
- circumstances
- instructions
2. After receiving report from the night shift charge nurse, which
activities should Alex anticipate completing during the first hour?
(Select all that ap-ply.)
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.
3. Alex checks the code cart and equipment for safety and function.
Which inspections are necessary to ensure that the defibrillator is
serviceable andready for use during an emergency? (Select all that
apply.)
Answer: - Defibrillator pads/paddles are available.
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, - Electrical cords are in good repair.
- Defibrillator passes a system check.
4. Which action is the most important intervention for Alex to take?
Answer: Ask Triciato join him in the nurse manager's office.
5. Which action is most important for the charge nurse to take?
Answer: Stop the staffnurse and ask the hospital supervisor about the blood
sampling policy.
6. Which is the best action for Alex to take in this situation?
Answer: Tell the nurse thatthis action is unethical, that it violates hospital
policy, and that this procedure shouldstop.
7. Which treatment room would be the most ideal place for this client?
Answer: Roomnearest the nurses' station.
8. Which action should be Alex's first response?
Answer: Ask the PN to have the sinkcleaned and reinforce infection control
teaching with the UAP.
9. Which action is the best response from Alex?
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1. As Alex considers the unit assignments and tasks for the day, he thinks
about the evidence-based guidelines for delegation. Which elements are
partof the Five Rights of Delegation? (Select all that apply.)
Answer: - supervision
- task
- circumstances
- instructions
2. After receiving report from the night shift charge nurse, which
activities should Alex anticipate completing during the first hour?
(Select all that ap-ply.)
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.
3. Alex checks the code cart and equipment for safety and function.
Which inspections are necessary to ensure that the defibrillator is
serviceable andready for use during an emergency? (Select all that
apply.)
Answer: - Defibrillator pads/paddles are available.
1/2
, - Electrical cords are in good repair.
- Defibrillator passes a system check.
4. Which action is the most important intervention for Alex to take?
Answer: Ask Triciato join him in the nurse manager's office.
5. Which action is most important for the charge nurse to take?
Answer: Stop the staffnurse and ask the hospital supervisor about the blood
sampling policy.
6. Which is the best action for Alex to take in this situation?
Answer: Tell the nurse thatthis action is unethical, that it violates hospital
policy, and that this procedure shouldstop.
7. Which treatment room would be the most ideal place for this client?
Answer: Roomnearest the nurses' station.
8. Which action should be Alex's first response?
Answer: Ask the PN to have the sinkcleaned and reinforce infection control
teaching with the UAP.
9. Which action is the best response from Alex?
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