HESI LEADERSHIP EXAM 2026–
2027 – TOPIC TEST (80+
QUESTIONS) QUESTIONS AND
ANSWERS WITH
RATIONALES/GRADED A+/2026
UPDATE/100% CORRECT
/INSTANT DOWNLOAD
1. A charge nurse is assigning staff for a medical-surgical unit.
Which patient should be assigned to the LPN/LVN?
A) A patient with chest tubes and a water seal disruption
B) A patient with a new tracheostomy requiring frequent suctioning
C) A patient with a stable colostomy requiring routine stoma care
D) A patient with unstable angina on a nitroglycerin drip
Rationale: LPN/LVNs can perform stable, routine care (e.g., colostomy care).
Unstable/complex patients need RNs.
2. A nurse manager is implementing a new electronic health
record system. Which leadership style is most effective initially?
A) Laissez-faire
B) Autocratic
C) Democratic
D) Transformational
Rationale: Autocratic leadership provides clear direction during initial
implementation of new systems to reduce errors and ensure compliance.
, 3. A nurse on a busy telemetry unit receives a call that 4 new
patients are being admitted within 30 minutes. Which action is
most appropriate?
A) Call the nursing supervisor to request additional staff
B) Refuse the admissions until current patients are stable
C) Prioritize by acuity and delegate stable patient assessments to LPNs
D) Assign a UAP to perform initial assessments
Rationale: Prioritize by acuity; initial assessments must be done by RNs; LPNs can
help with stable patients.
4. During a staff meeting, two nurses disagree about the best
way to manage a patient’s pain. Which conflict resolution
strategy is most collaborative?
A) Competing
B) Smoothing
C) Avoiding
D) Collaborating
Rationale: Collaborating seeks a win-win solution by integrating both nurses’ ideas.
5. A patient falls in the hallway despite bed alarm use. What
should the nurse do first?
A) Complete an incident report
B) Notify the patient’s family
C) Assess the patient for injuries
D) Check the bed alarm for malfunction
Rationale: Patient safety is priority; assess first, then document and investigate.
2027 – TOPIC TEST (80+
QUESTIONS) QUESTIONS AND
ANSWERS WITH
RATIONALES/GRADED A+/2026
UPDATE/100% CORRECT
/INSTANT DOWNLOAD
1. A charge nurse is assigning staff for a medical-surgical unit.
Which patient should be assigned to the LPN/LVN?
A) A patient with chest tubes and a water seal disruption
B) A patient with a new tracheostomy requiring frequent suctioning
C) A patient with a stable colostomy requiring routine stoma care
D) A patient with unstable angina on a nitroglycerin drip
Rationale: LPN/LVNs can perform stable, routine care (e.g., colostomy care).
Unstable/complex patients need RNs.
2. A nurse manager is implementing a new electronic health
record system. Which leadership style is most effective initially?
A) Laissez-faire
B) Autocratic
C) Democratic
D) Transformational
Rationale: Autocratic leadership provides clear direction during initial
implementation of new systems to reduce errors and ensure compliance.
, 3. A nurse on a busy telemetry unit receives a call that 4 new
patients are being admitted within 30 minutes. Which action is
most appropriate?
A) Call the nursing supervisor to request additional staff
B) Refuse the admissions until current patients are stable
C) Prioritize by acuity and delegate stable patient assessments to LPNs
D) Assign a UAP to perform initial assessments
Rationale: Prioritize by acuity; initial assessments must be done by RNs; LPNs can
help with stable patients.
4. During a staff meeting, two nurses disagree about the best
way to manage a patient’s pain. Which conflict resolution
strategy is most collaborative?
A) Competing
B) Smoothing
C) Avoiding
D) Collaborating
Rationale: Collaborating seeks a win-win solution by integrating both nurses’ ideas.
5. A patient falls in the hallway despite bed alarm use. What
should the nurse do first?
A) Complete an incident report
B) Notify the patient’s family
C) Assess the patient for injuries
D) Check the bed alarm for malfunction
Rationale: Patient safety is priority; assess first, then document and investigate.
