HESI: NUR204 / NUR 204 (Latest
2024 / 2025 Update) Leadership and Management | Questions and Verified Answers 100% Correct | Grade A - Fortis
Question:
Which task followed by the executive nurse is a leadership development task?
- Maintaining balance
- Having a clear vision
- Listening to constituents
- Maintaining a positive attitude
Answer:
Having a clear vision
Having a clear vision and seeing beyond where one is and where one is going is a leadership development task. Maintaining balance, listening to constituents, and maintaining a positive attitude are rules for a leader.
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Question:
The registered nurse assigned a task to unlicensed nursing personnel (UNP).The UNP observed a change when measuring a client's blood pressure. What is the responsibility of the UNP in this situation?
- Administer medication.
- Inform the licensed practical nurse.
- Inform the registered nurse immediately.
- Discuss with other UNP about the problem.
Answer:
Inform the registered nurse immediately.
The UNP should inform the registered nurse about the condition of the client immediately, as the RN is accountable and responsible for the client. The UNP is not eligible to administer medication to the client. Informing the licensed practical nurse (LPN) is not beneficial because the LPN is not directly responsible for client care. The LPN can give client care only under the supervision of the RN. Discussing with other UPN is not appropriate.
Question:
Which of these clients is most appropriate for delegation to a cross-trained technician?
- Client A respiratory therapy
- Client B
- Client C
- Client D
Answer: 2 / 4
Client A
A cross-trained technician, when paired with a registered nurse (RN), may perform respiratory therapy, phlebotomy, and electrocardiography. Care of client A can be safely delegated to a cross-trained technician. Though the cross-trained technician can record the ECG, he or she may not monitor the continuous ECG. Monitoring of vital signs is also the role of the RN. Leg exercises may be taught by the RN or by a physician. The other licensed assistive personnel may be delegated the task of reinforcing the teaching, but this is not an appropriate role for the cross-trained technician.
Question:
Which hospital care setting is most appropriate for a case manager to perform tasks as a delegatee?
- Hospice care
- Extended care
- Long-term care
- Rehabilitative care
Answer:
Rehabilitative care
Rehabilitative care settings are the most suitable for a case manager to perform tasks as a delegatee. Hospice care settings are generally delegated to the registered nurse (RN). In extended care and long-term care settings, tasks are delegated to unlicensed assistive personnel (UAP).
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Question:
The registered nurse is assigned on a shift with four nursing professionals.Organize the nursing professionals according to their span of control from least to most span of control.
- Nurse manager
- Registered nurse
- Licensed vocational nurse
- Unlicensed nursing personnel
Answer:
Unlicensed nursing personnel Licensed vocational nurse Registered nurse Nurse manager
Span of control increases as the number of individuals under a person's control increases. A nurse manager is responsible for the execution of duties delegated to registered nurses (RNs), licensed vocational nurses (LVNs)/licensed practical nurses (LPNs), and unlicensed nursing personnel (UNP). RNs are responsible for the work of LVNs, LPNs, and UNP. UNP have the smallest span of control.
Question:
The healthcare team is caring for a client who has undergone surgery for lung cancer. The client needs respiratory therapy. Which task can be safely delegated to a respiratory therapist paired with a registered nurse?
- Placing a Foley catheter
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