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ESI RN Leadership & Management Exam
H
2025 – Delegation & Conflict Case Scenarios
Questions & Answers in Full with Rationales |
100% Verified | Graded A+
tudent Name:______________________
S
Date:_______________
Time Limit: 80 minutes
Total Questions:65
Instructions
● T his exam contains 65 questions, including multiple-choice (MCQs), select-all-that-apply
(SATA), and case scenarios, aligned with Next Generation NCLEX (NGN) standards.
● Read each question carefully and select the best answer(s). For SATA questions, choose all
options that apply.
● Complete the exam within the 80-minute time limit.
● This exam tests leadership and management skills in delegation, interdisciplinary communication,
staffing, conflict resolution, and ethical dilemmas (autonomy vs. beneficence).
Delegation to UAP/RN/LPN (Questions 1–20)
1. A
nurse is delegating tasks to a UAP for a client with diabetes. Which task is appropriate to
delegate?
A. Assess blood glucose levels
B. Assist with ambulation
C. Teach insulin administration
D. Develop a meal plan
Answer:B. Assist with ambulation
Rationale:Assisting with ambulation is within theUAP’s scope of practice. Assessing glucose,
, teaching insulin administration, and developing meal plans require RN judgment and are not
delegable.
2. A charge nurse is assigning tasks to an LPN. Which task is appropriate for the LPN?
A. Administer IV push medications
B. Perform a sterile dressing change
C. Develop a care plan for a new admission
D. Evaluate a client’s response to therapy
Answer:B. Perform a sterile dressing change
Rationale:LPNs can perform sterile dressing changes under RN supervision. IV push
medications, care plan development, and therapy evaluation require RN-level judgment.
3. Select All That Apply: Which tasks can a charge nurse delegate to a UAP for a
postoperative client?
A. Measure vital signs
B. Assess incision site
C. Assist with bathing
D. Empty a urinary catheter bag
E. Teach deep breathing exercises
Answer:A, C, D
Rationale:UAPs can measure vital signs, assist withbathing, and empty catheter bags.
Assessing incisions and teaching exercises require RN or LPN judgment.
4. A nurse is delegating tasks to an RN colleague. Which task is appropriate for the RN?
A. Perform a routine bed bath
B. Evaluate a client’s pain management plan
C. Measure intake and output
D. Transport a client to radiology
Answer:B. Evaluate a client’s pain management plan
Rationale:Evaluating pain management requires RN-levelcritical thinking. Bed baths,
intake/output measurement, and transport can be delegated to UAPs.
5. A charge nurse observes a UAP taking a client’s blood pressure incorrectly. What is the
nurse’s priority action?
A. Reprimand the UAP immediately
B. Retake the blood pressure
C. Document the error
D. Provide immediate education
Answer:B. Retake the blood pressure
Rationale:Ensuring accurate vital signs is the priorityto protect client safety. Reprimanding,
documenting, or educating can occur after correcting the error.
6. Case Study: A charge nurse is assigning tasks for a client with heart failure. Which task
should be delegated to an LPN?
A. Administer furosemide orally as prescribed
B. Assess for pulmonary edema
C. Develop a discharge teaching plan
D. Evaluate diuretic effectiveness
Answer:A. Administer furosemide orally as prescribed
ESI RN Leadership & Management Exam
H
2025 – Delegation & Conflict Case Scenarios
Questions & Answers in Full with Rationales |
100% Verified | Graded A+
tudent Name:______________________
S
Date:_______________
Time Limit: 80 minutes
Total Questions:65
Instructions
● T his exam contains 65 questions, including multiple-choice (MCQs), select-all-that-apply
(SATA), and case scenarios, aligned with Next Generation NCLEX (NGN) standards.
● Read each question carefully and select the best answer(s). For SATA questions, choose all
options that apply.
● Complete the exam within the 80-minute time limit.
● This exam tests leadership and management skills in delegation, interdisciplinary communication,
staffing, conflict resolution, and ethical dilemmas (autonomy vs. beneficence).
Delegation to UAP/RN/LPN (Questions 1–20)
1. A
nurse is delegating tasks to a UAP for a client with diabetes. Which task is appropriate to
delegate?
A. Assess blood glucose levels
B. Assist with ambulation
C. Teach insulin administration
D. Develop a meal plan
Answer:B. Assist with ambulation
Rationale:Assisting with ambulation is within theUAP’s scope of practice. Assessing glucose,
, teaching insulin administration, and developing meal plans require RN judgment and are not
delegable.
2. A charge nurse is assigning tasks to an LPN. Which task is appropriate for the LPN?
A. Administer IV push medications
B. Perform a sterile dressing change
C. Develop a care plan for a new admission
D. Evaluate a client’s response to therapy
Answer:B. Perform a sterile dressing change
Rationale:LPNs can perform sterile dressing changes under RN supervision. IV push
medications, care plan development, and therapy evaluation require RN-level judgment.
3. Select All That Apply: Which tasks can a charge nurse delegate to a UAP for a
postoperative client?
A. Measure vital signs
B. Assess incision site
C. Assist with bathing
D. Empty a urinary catheter bag
E. Teach deep breathing exercises
Answer:A, C, D
Rationale:UAPs can measure vital signs, assist withbathing, and empty catheter bags.
Assessing incisions and teaching exercises require RN or LPN judgment.
4. A nurse is delegating tasks to an RN colleague. Which task is appropriate for the RN?
A. Perform a routine bed bath
B. Evaluate a client’s pain management plan
C. Measure intake and output
D. Transport a client to radiology
Answer:B. Evaluate a client’s pain management plan
Rationale:Evaluating pain management requires RN-levelcritical thinking. Bed baths,
intake/output measurement, and transport can be delegated to UAPs.
5. A charge nurse observes a UAP taking a client’s blood pressure incorrectly. What is the
nurse’s priority action?
A. Reprimand the UAP immediately
B. Retake the blood pressure
C. Document the error
D. Provide immediate education
Answer:B. Retake the blood pressure
Rationale:Ensuring accurate vital signs is the priorityto protect client safety. Reprimanding,
documenting, or educating can occur after correcting the error.
6. Case Study: A charge nurse is assigning tasks for a client with heart failure. Which task
should be delegated to an LPN?
A. Administer furosemide orally as prescribed
B. Assess for pulmonary edema
C. Develop a discharge teaching plan
D. Evaluate diuretic effectiveness
Answer:A. Administer furosemide orally as prescribed
