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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 part of the Five Rights of Delegation? (Select all that apply.) ANS: - 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.) ANS: - 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 and ready for use during an emergency? (Select all that apply.) ANS: - Defibrillator pads/paddles are available.
- Electrical cords are in good repair.
- Defibrillator passes a system check.
4. Which action is the most important intervention for Alex to take?
ANS: Ask Tricia to join him in the nurse manager's office.
5. Which action is most important for the charge nurse to take?
ANS: Stop the staff nurse and ask the hospital supervisor about the blood sampling policy.
6. Which is the best action for Alex to take in this situation?
ANS: Tell the nurse that this action is unethical, that it violates hospital policy, and that this procedure should stop.
7. Which treatment room would be the most ideal place for this client?
ANS: Room nearest the nurses' station.
8. Which action should be Alex's first response?
ANS: Ask the PN to have the sink cleaned and reinforce infection control teaching with the UAP.
9. Which action is the best response from Alex?
ANS: Tell staff to stop and call for hospital resource nurse assistance.
10. Which actions should Alex expect to observe when watching the ICU nurse access the implanted
catheter? (Select all that apply.)
on the unit since the night shift.
- Antiseptic sink cleaning and teaching of bed pan cleaning performed by the PN.
12. Which action is most important for Alex to take after he hangs up the telephone?
ANS: - Initiate neutropenic precautions for the client.
13. Which response is the best way for Alex to address this situation?
ANS: Remind the staff that this man's whole world is on that gurney.
14. Which action does Alex need to take first?
ANS: Turn off the computer and remove it from the room if possible.
15. Which duty was breached by leaving the computer open and unattended?-
ANS: A duty to use due care according to the current standard for computer usage.
16. With which policy should every nurse be familiar, particularly when access- ing protected client
health records? ANS: HIPPA
17. Which action is most important for a charge nurse to take after hearing this response from the
nurse? ANS: Report this event and the nurse's response to the unit manager.
18. Which action from Alex would most effectively address this problem?
ANS: Give a staff in-service about hospital legal policies related to collecting blood.
19. Which statement made by the nurse provides Alex the most assurance that the nurse
understands the policy? ANS: I haven't been making the distinction between when police bring someone in and when they request a sample after the client has been admitted.
20. Which action is most important for the nurse to perform?
ANS: Asking the UAP where the other labels have gone.
21. After locating the labels and correcting the error, which action is most im- portant for Alex
complete before the shift ends? ANS: Ensuring the nurse completes an error event report.
22. Which summary would Alex conclude about this event in his report?
ANS: -
Near-miss error event with no adverse outcome.
23. Which events occurring during the shift would most hospital policies require reporting? (Select
all that apply.) ANS: - Impaired nurse who arrived late this morning.
- Near-miss labeling issue.
- Unauthorized access of an unattended computer.
