This little trick will usually improve your HESI Exit score by 10-20%.

There's a little secret to the HESI Exit Exam that will help you eliminate two or
three answers AND thereby improve your final HESI Exit score ...

You see, there are definite knowledge clusters that you should know like the back
of your hand because they appear so frequently within HESI questions.

The secret lies in that, although these clusters are crucial to know, they are VERY
easy to understand once someone points them out to you!

One of these knowledge clusters is prioritization.

Prioritization questions ask "What do you do first?" or "Which patient do you see
first?"

So... Next time when you read this type of question and look at the choice of
answers, apply the following guidelines:
ABC: use Airway, Breathing, Circulation as your first criteria. The patient with
affected or potentially affected airway should be seen first.

Maslow: Always pick physiological integrity before safety and mental health issues.

Time Frames: If the patient has just had surgery, you must see that patient first.

Stability: If the patient is unstable or in a potentially life-threatening

situation you must see that patient first and monitor their vital signs
immediately.

Safety: If there's a chance that the patient might harm him or her self or others,
see that patient first.

The discharge patient can be last because he/she is stable. You will need to offer
patient teaching to this patient before discharge.
= = =

For example:

The nurse is planning care for several clients. Which of the following clients
should the nurse assess first after receiving morning report?

A. Client whose morning blood glucose level is 78 mg/dl.

B. Client whose last unit of packed red blood cells is to be infused by 10:30 am.
C. Client with a temperature of 100.5 degrees Fahrenheit 2 days post-operative
total hip replacement.
D. Client requesting a dose of standing pain medication before attending physical
therapy.

Let's apply the guidelines:

ABC, Maslow and Safety guidelines don't apply here. There's no discharge patient
either.

BUT... There is one patient who just had surgery (time frames guideline) and is in
an unstable, potentially life-threatening, situation (stability guideline). That
means you must see this patient first and monitor their vital signs immediately.

The client with a temperature two days after having surgery for a total hip
replacement is demonstrating signs of a post-operative infection.
Therefore, this client should be assessed first and you would pick answer... C!

Correct!

Choice A is incorrect because this client's blood glucose level is not life-
threatening. Choice B is incorrect because the client's blood infusion is not due
to be completed until later in the morning. Choice D is incorrect because the
client is requesting pain medication before attending physical therapy.

= = =

Once you've added the above guidelines to your memory, you'll get a much clearer
idea of what answer you should select on this type of question that you`ll
regularly face on the HESI Exit.

Other important knowledge clusters are delegation, pharmacology, medication

administration, mental health, intercultural communication, therapeutic
communication, and nutrition.

Read more about the must-knows in each of these categories on pages 7-12 of your
"HESI Exam Review Guide."

There you'll see actual working examples of other guidelines for the other areas.

You`ll learn a curious twist in the way HESI can ask medication dosage questions
(page 10), you`ll know once and for all who can delegate what and who CAN'T (page
9), you`ll learn the one answer for therapeutic communications questions that's
ALWAYS wrong (page 12), and much more!

These tips have the potential to up your score by 20% easy!

https://classroom.synonym.com/pass-exam-answering-delegation-questions-5205237.html

The HESI exit exam is one you have to pass to graduate from nursing school and it
is not easy to prepare for or pass according to a lot of nursing students. There
are different parts to the exams, I think the hardest part would be med surg ,
fundamentals etc and the easier parts are delegation, prioritization, professional,
law and ethical issues. I think if you can pass as many of the 'easy" questions as
you can, it will increase your chances of passing the hesi. So here are a few tips
on answering delegation and prioritization questions.

It is always safe to narrow down answers to those that give vital signs to the UAP.
The UAP can also measure output from a foley catheter. The UAP can also transport
patients between departments. So to review a UAP can Feed the client (observe the
UAP feeding the client if there is any paralysis involved) Take vital signs Perform
range of motion exercises Perform routine grooming and hygiene Measure output from
the foley bag Transport patients
The LPN can give medications, reinforce teaching and carry out ROUTINE care. The
LPN cannot do anything invasive i.e IV insertion according to HESI and NCLEX! In
review the LPN can do more than the UAP which includes the following Give
medication plus injections Perform ROUTINE assessments (routine as in the hospital
does this every so often without expecting to encounter problems because its just
routine)dressing changes, catheter insertion and suctioning. Can assist the
physician during procedures if the RN has to leave Cannot do anything in the
nursing process
The RN must assess the patient, the RN must receive report about the patient and
give report about a patient, the RN must perform patient teaching. Anything
invasive and sterile is the job of the RN. The RN cannot delegate any of the above.
So The RN cannot delegate pre op assessment or post op assessment Handling invasive
line Sterile technique Patient education Triage Assessment, evaluation or
monitoring Planning, care plans, interventions or nursing diagnosis
To answer prioritization questions on the HESI, think about the following • Time
frames: if the patient is freshly post op, you must see that patient first. •
Stability:If the patient is unstable or in a potentially life threatening situation
you must see that patient first. Unsable patient may men their vitals are off from
their baseline so they need monitoring • ABC: use airway breathing circulation, the
patient with affected or potentially affected airway should be seen first • Maslow:
always pick physiological integrity before safety and mental issues • Safety: if
there is the possibility of the patient harming themselves or others see that
patient first • The discharge patient can be last because they are stable
• Always give the client who requires the least complex care to the new graduate
nurse. Never give the new grad patients about to be discharged because they need
teaching or patients newly diagnosed with a disease because they also need teaching

This article hopefully should help you answer questions on prioritization and
delegation.There are lots of these questions on HESI so the more of them you get
right the better for you!

Tips
Practice your math and know your units of measurement
Study therapeutic communication and do questions on them
Know your law and ethics in nursing
Read the HESI book and HESI hints