1
NUR 204 / NUR204 HESI Leadership
and Management V2 Actual Exam
2026/2027 | Fortis | Questions with
Verified Answers | 100% Correct | Pass
Guaranteed
Q001: A 36-bed medical unit has seen a 22 % rise in
medication errors over the last quarter. The nurse
manager decides to apply Lewin’s Change Model.
Which first step is most appropriate for initiating
quality improvement?
A. Implement barcode scanning on all medications
B. Refreeze new practices by updating policy
manuals
C. Unfreeze staff by holding unit-wide forums to
discuss current error rates
D. Begin pilot-testing a double-check system
P a g e 1 | 40
, 2
ANSWER: C
Q002: The charge nurse on nights receives report
that two staff nurses are arguing over patient
assignments. voices are raised at the nurses’ station.
Which initial action best demonstrates democratic
leadership?
A. Tell both nurses to meet in the break room and
write up the incident
B. Reassign the patients immediately to end the
dispute
C. Call the house supervisor to take over the shift
D. Invite both nurses to a private area to voice
concerns and collaboratively explore solutions
ANSWER: D
Q003: A nurse leader is evaluating unit performance
data. Which metric best reflects the structure
element of Donabedian’s quality framework?
A. Percentage of patients who received discharge
teaching
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, 3
B. Nurse-to-patient ratio on day shift
C. Rate of hospital-acquired pressure injuries
D. Patient satisfaction scores
ANSWER: B
Q004: A newly promoted nurse manager wants to
improve staff retention. Which strategy aligns most
closely with transformational leadership?
A. Enforcing strict punctuality policies
B. Publicly recognizing staff innovations and
supporting professional development
C. Increasing weekend shift requirements
D. Mandating annual evaluations without staff input
ANSWER: B
Q005: During morning rounds, the charge nurse
notes a new graduate nurse looking anxious and
repeatedly checking the MAR. Which supervisory
action is most supportive of a just-culture
environment?
P a g e 3 | 40
, 4
A. Remind the graduate that errors lead to
disciplinary action
B. Ask the graduate to describe any concerns and
offer to double-check high-risk medications together
C. Assign the graduate fewer patients to reduce
stress
D. Document the observation for the manager’s
weekly review
ANSWER: B
Q006: A unit council wants to reduce call-light
response time. They decide to use Plan-Do-Study-
Act (PDSA). Which activity occurs during the
“Study” phase?
A. Implementing hourly rounding
B. Collecting and analyzing data on response times
C. Developing an action plan based on literature
D. Updating the policy manual to mandate rounding
ANSWER: B
P a g e 4 | 40
NUR 204 / NUR204 HESI Leadership
and Management V2 Actual Exam
2026/2027 | Fortis | Questions with
Verified Answers | 100% Correct | Pass
Guaranteed
Q001: A 36-bed medical unit has seen a 22 % rise in
medication errors over the last quarter. The nurse
manager decides to apply Lewin’s Change Model.
Which first step is most appropriate for initiating
quality improvement?
A. Implement barcode scanning on all medications
B. Refreeze new practices by updating policy
manuals
C. Unfreeze staff by holding unit-wide forums to
discuss current error rates
D. Begin pilot-testing a double-check system
P a g e 1 | 40
, 2
ANSWER: C
Q002: The charge nurse on nights receives report
that two staff nurses are arguing over patient
assignments. voices are raised at the nurses’ station.
Which initial action best demonstrates democratic
leadership?
A. Tell both nurses to meet in the break room and
write up the incident
B. Reassign the patients immediately to end the
dispute
C. Call the house supervisor to take over the shift
D. Invite both nurses to a private area to voice
concerns and collaboratively explore solutions
ANSWER: D
Q003: A nurse leader is evaluating unit performance
data. Which metric best reflects the structure
element of Donabedian’s quality framework?
A. Percentage of patients who received discharge
teaching
P a g e 2 | 40
, 3
B. Nurse-to-patient ratio on day shift
C. Rate of hospital-acquired pressure injuries
D. Patient satisfaction scores
ANSWER: B
Q004: A newly promoted nurse manager wants to
improve staff retention. Which strategy aligns most
closely with transformational leadership?
A. Enforcing strict punctuality policies
B. Publicly recognizing staff innovations and
supporting professional development
C. Increasing weekend shift requirements
D. Mandating annual evaluations without staff input
ANSWER: B
Q005: During morning rounds, the charge nurse
notes a new graduate nurse looking anxious and
repeatedly checking the MAR. Which supervisory
action is most supportive of a just-culture
environment?
P a g e 3 | 40
, 4
A. Remind the graduate that errors lead to
disciplinary action
B. Ask the graduate to describe any concerns and
offer to double-check high-risk medications together
C. Assign the graduate fewer patients to reduce
stress
D. Document the observation for the manager’s
weekly review
ANSWER: B
Q006: A unit council wants to reduce call-light
response time. They decide to use Plan-Do-Study-
Act (PDSA). Which activity occurs during the
“Study” phase?
A. Implementing hourly rounding
B. Collecting and analyzing data on response times
C. Developing an action plan based on literature
D. Updating the policy manual to mandate rounding
ANSWER: B
P a g e 4 | 40
