MANAGEMENT AND LEADERSHIP HESI 2026
EXAM PREP GUIDE DELEGATION
PRIORITIZATION AND CLINICAL JUDGMENT
REVIEW
◉ In a disaster and bioterorrism management, nurse must consider
what?
Answer: Community and the individual
◉ Biologic agents?
Answer: Anthrax, ricin, radiation, smallpox, botulism, pneumonic
plague, sarin, inhalation tularemia, and viral hemorrhagic agents- ie
ebola.
◉ 3 levels of disaster management:
Answer: Disaster preparedness, disaster response, disaster recovery
◉ Levels of prevention in disaster management?
Answer: Primary: develop disaster plan, train rescue workers in
triage and first aid, educate personnel about shelter management,
educate public.
, Secondary: Triage, treatment of injuries, tx of other conditions like
mental health, shelter supervision.
Tertiary: Follow up care for injuries, follow up care for psychological
issues, recovery assistance, prevention of future disasters.
◉ Triage color code system:
Answer: Red: most urgent, 1st, life threatening injuries, can't delay
tx.
Yellow: urgent, second priority. injuries with systemic effects and
complications. Can delay for 30-60 minutes.
Green: Third priority. Minimal injuries with no systemic
complications. Can wait several hours.
Black: Dying or dead. Catastrophic injuries. No hope for survival, no
treatment.
◉ Nurse manager:
Answer: acts to achieve the goals of safe, effective client care within
the overall goals of a health care facility.
◉ Surgical permit:
Answer: must be written, obtained voluntarily, and explained to the
client- i.e. informed consent must be obtained.
◉ Minors:
EXAM PREP GUIDE DELEGATION
PRIORITIZATION AND CLINICAL JUDGMENT
REVIEW
◉ In a disaster and bioterorrism management, nurse must consider
what?
Answer: Community and the individual
◉ Biologic agents?
Answer: Anthrax, ricin, radiation, smallpox, botulism, pneumonic
plague, sarin, inhalation tularemia, and viral hemorrhagic agents- ie
ebola.
◉ 3 levels of disaster management:
Answer: Disaster preparedness, disaster response, disaster recovery
◉ Levels of prevention in disaster management?
Answer: Primary: develop disaster plan, train rescue workers in
triage and first aid, educate personnel about shelter management,
educate public.
, Secondary: Triage, treatment of injuries, tx of other conditions like
mental health, shelter supervision.
Tertiary: Follow up care for injuries, follow up care for psychological
issues, recovery assistance, prevention of future disasters.
◉ Triage color code system:
Answer: Red: most urgent, 1st, life threatening injuries, can't delay
tx.
Yellow: urgent, second priority. injuries with systemic effects and
complications. Can delay for 30-60 minutes.
Green: Third priority. Minimal injuries with no systemic
complications. Can wait several hours.
Black: Dying or dead. Catastrophic injuries. No hope for survival, no
treatment.
◉ Nurse manager:
Answer: acts to achieve the goals of safe, effective client care within
the overall goals of a health care facility.
◉ Surgical permit:
Answer: must be written, obtained voluntarily, and explained to the
client- i.e. informed consent must be obtained.
◉ Minors:
