HESI Leadership & Management Exam
Version 1 & 2 (V1-V2) | Actual Exam
Questions | 2025/2026 Edition | Graded A+
and Verified Answers
Delegation (20 Questions)
QUESTION 1: Which task can a registered nurse (RN) safely delegate to an unlicensed assistive
personnel (UAP) for a stable patient?
Answer: Measuring vital signs
Rationale: UAPs can perform non-invasive tasks like measuring vital signs for stable patients
under RN supervision. Tasks requiring assessment or medication administration are RN
responsibilities ().
QUESTION 2: Which task is appropriate for an RN to delegate to a licensed practical nurse
(LPN)?
Answer: Performing a sterile dressing change
Rationale: LPNs can perform sterile dressing changes within their scope of practice under RN
supervision. Tasks like patient assessment or IV push medications are RN-specific ().
QUESTION 3 (Scenario-Based): An RN is caring for a patient with a new colostomy. Which
task can be delegated to a UAP?
Answer: Emptying the colostomy bag
Rationale: UAPs can empty colostomy bags under RN supervision. Teaching, assessing, or
adjusting care plans require RN expertise ().
QUESTION 4 (Select All That Apply): Which tasks can an RN delegate to a UAP for a stable
patient? Select all that apply: Assisting with ambulation, Administering oral pain medication,
Recording intake and output, Assessing skin integrity, Providing hygiene care.
Answer: Assisting with ambulation, Recording intake and output, Providing hygiene care
Rationale: UAPs can assist with ambulation, record intake/output, and provide hygiene care.
Medication administration and skin assessment require RN or LPN skills ().
,QUESTION 5: Which of the five rights of delegation ensures the task is appropriate for the
patient’s condition?
Answer: Right circumstance
Rationale: The right circumstance ensures the task matches the patient’s condition and context
().
QUESTION 6: What must an RN verify before delegating a task to an LPN?
Answer: LPN’s scope of practice
Rationale: The RN must ensure the task falls within the LPN’s legal scope of practice ().
QUESTION 7 (Scenario-Based): An RN is overseeing a busy unit. Which task can be
delegated to a UAP for a patient recovering from surgery?
Answer: Assisting with turning the patient
Rationale: UAPs can assist with turning patients. Monitoring incisions, administering
medications, or evaluating pain are RN responsibilities ().
QUESTION 8 (Select All That Apply): Which tasks can an RN delegate to an LPN? Select all
that apply: Administering oral medications, Performing a patient assessment, Inserting a urinary
catheter, Developing a discharge plan, Monitoring a patient on telemetry.
Answer: Administering oral medications, Inserting a urinary catheter, Monitoring a patient on
telemetry
Rationale: LPNs can administer oral medications, insert catheters, and monitor telemetry under
RN supervision. Assessments and discharge planning are RN roles ().
QUESTION 9: Which task can a UAP perform for a patient with stable vital signs?
Answer: Assisting with feeding
Rationale: UAPs can assist with feeding stable patients, a non-invasive task within their scope
().
QUESTION 10: What is the role of the RN when delegating tasks to a UAP?
Answer: Provide supervision and evaluate outcomes
Rationale: The RN is responsible for supervising delegated tasks and ensuring appropriate
outcomes ().
, QUESTION 11 (Scenario-Based): An RN is managing a post-operative patient. Which task can
be delegated to an LPN?
Answer: Administering oral pain medication
Rationale: LPNs can administer oral medications within their scope under RN supervision ().
QUESTION 12: Which of the five rights of delegation ensures clear instructions are given?
Answer: Right communication
Rationale: The right communication ensures clear, specific instructions for the delegated task ().
QUESTION 13: What should an RN consider when delegating a task to a UAP?
Answer: Patient stability and task complexity
Rationale: UAPs can only perform non-complex tasks for stable patients under RN supervision
().
QUESTION 14 (Select All That Apply): Which tasks can a UAP perform for a stable patient?
Select all that apply: Taking vital signs, Administering IV medications, Assisting with bathing,
Changing a sterile dressing, Turning a patient.
Answer: Taking vital signs, Assisting with bathing, Turning a patient
Rationale: UAPs can take vital signs, assist with bathing, and turn patients. IV medications and
sterile dressings require RN or LPN skills ().
QUESTION 15 (Scenario-Based): An RN is caring for a patient with diabetes. Which task can
be delegated to a UAP?
Answer: Obtaining a fingerstick glucose level
Rationale: UAPs can perform non-invasive tasks like fingerstick glucose checks for stable
patients ().
QUESTION 16: Which task can an LPN perform under RN supervision?
Answer: Monitoring a patient’s wound drainage
Rationale: LPNs can monitor wound drainage within their scope, reporting findings to the RN
().
QUESTION 17: What is the purpose of the right person in delegation?
Answer: Ensure the delegatee is qualified
Version 1 & 2 (V1-V2) | Actual Exam
Questions | 2025/2026 Edition | Graded A+
and Verified Answers
Delegation (20 Questions)
QUESTION 1: Which task can a registered nurse (RN) safely delegate to an unlicensed assistive
personnel (UAP) for a stable patient?
Answer: Measuring vital signs
Rationale: UAPs can perform non-invasive tasks like measuring vital signs for stable patients
under RN supervision. Tasks requiring assessment or medication administration are RN
responsibilities ().
QUESTION 2: Which task is appropriate for an RN to delegate to a licensed practical nurse
(LPN)?
Answer: Performing a sterile dressing change
Rationale: LPNs can perform sterile dressing changes within their scope of practice under RN
supervision. Tasks like patient assessment or IV push medications are RN-specific ().
QUESTION 3 (Scenario-Based): An RN is caring for a patient with a new colostomy. Which
task can be delegated to a UAP?
Answer: Emptying the colostomy bag
Rationale: UAPs can empty colostomy bags under RN supervision. Teaching, assessing, or
adjusting care plans require RN expertise ().
QUESTION 4 (Select All That Apply): Which tasks can an RN delegate to a UAP for a stable
patient? Select all that apply: Assisting with ambulation, Administering oral pain medication,
Recording intake and output, Assessing skin integrity, Providing hygiene care.
Answer: Assisting with ambulation, Recording intake and output, Providing hygiene care
Rationale: UAPs can assist with ambulation, record intake/output, and provide hygiene care.
Medication administration and skin assessment require RN or LPN skills ().
,QUESTION 5: Which of the five rights of delegation ensures the task is appropriate for the
patient’s condition?
Answer: Right circumstance
Rationale: The right circumstance ensures the task matches the patient’s condition and context
().
QUESTION 6: What must an RN verify before delegating a task to an LPN?
Answer: LPN’s scope of practice
Rationale: The RN must ensure the task falls within the LPN’s legal scope of practice ().
QUESTION 7 (Scenario-Based): An RN is overseeing a busy unit. Which task can be
delegated to a UAP for a patient recovering from surgery?
Answer: Assisting with turning the patient
Rationale: UAPs can assist with turning patients. Monitoring incisions, administering
medications, or evaluating pain are RN responsibilities ().
QUESTION 8 (Select All That Apply): Which tasks can an RN delegate to an LPN? Select all
that apply: Administering oral medications, Performing a patient assessment, Inserting a urinary
catheter, Developing a discharge plan, Monitoring a patient on telemetry.
Answer: Administering oral medications, Inserting a urinary catheter, Monitoring a patient on
telemetry
Rationale: LPNs can administer oral medications, insert catheters, and monitor telemetry under
RN supervision. Assessments and discharge planning are RN roles ().
QUESTION 9: Which task can a UAP perform for a patient with stable vital signs?
Answer: Assisting with feeding
Rationale: UAPs can assist with feeding stable patients, a non-invasive task within their scope
().
QUESTION 10: What is the role of the RN when delegating tasks to a UAP?
Answer: Provide supervision and evaluate outcomes
Rationale: The RN is responsible for supervising delegated tasks and ensuring appropriate
outcomes ().
, QUESTION 11 (Scenario-Based): An RN is managing a post-operative patient. Which task can
be delegated to an LPN?
Answer: Administering oral pain medication
Rationale: LPNs can administer oral medications within their scope under RN supervision ().
QUESTION 12: Which of the five rights of delegation ensures clear instructions are given?
Answer: Right communication
Rationale: The right communication ensures clear, specific instructions for the delegated task ().
QUESTION 13: What should an RN consider when delegating a task to a UAP?
Answer: Patient stability and task complexity
Rationale: UAPs can only perform non-complex tasks for stable patients under RN supervision
().
QUESTION 14 (Select All That Apply): Which tasks can a UAP perform for a stable patient?
Select all that apply: Taking vital signs, Administering IV medications, Assisting with bathing,
Changing a sterile dressing, Turning a patient.
Answer: Taking vital signs, Assisting with bathing, Turning a patient
Rationale: UAPs can take vital signs, assist with bathing, and turn patients. IV medications and
sterile dressings require RN or LPN skills ().
QUESTION 15 (Scenario-Based): An RN is caring for a patient with diabetes. Which task can
be delegated to a UAP?
Answer: Obtaining a fingerstick glucose level
Rationale: UAPs can perform non-invasive tasks like fingerstick glucose checks for stable
patients ().
QUESTION 16: Which task can an LPN perform under RN supervision?
Answer: Monitoring a patient’s wound drainage
Rationale: LPNs can monitor wound drainage within their scope, reporting findings to the RN
().
QUESTION 17: What is the purpose of the right person in delegation?
Answer: Ensure the delegatee is qualified
