NEXT GENERATION (NGN) HESI Leadership and
Management Exam Questions and Answers with
Rationales | Latest Update | A+ Grade | 2026–
2027
THIS EXAM INCLUDES:
✔ Complete NGN HESI Leadership and Management Practice
Questions
✔ Correct Answers with Detailed Rationales
✔ Select-All-That-Apply (SATA) Questions
✔ NCLEX-Style Multiple-Choice Questions
✔ Updated 2026–2027 Edition
,Question 1
The student nurse is shadowing on a medical/surgical unit and observes the duties
of the charge nurse. Which of the following would the student identify as a quality
attributed to a nurse in a leadership role?
A. Delays admission from emergency department until staff has appropriately educated
a newly diagnosed diabetic patient on insulin administration.
B. Spends time with a newly diagnosed lung cancer patient to allow him to
communicate his future health concerns.
C. Reevaluates staffing needs after one RN "calls in sick."
D. Counsels a UAP (unlicensed assistive personnel) after arriving late for work the third
time that week.
Correct Answer: B
Rationale: Leaders do the right thing, therefore they focus on effectiveness whereas a
manager focuses on efficiencies. Spending time with a patient to address concerns
demonstrates leadership.
Question 2
Which of the following is NOT a task or responsibility of the first-level manager?
A. Staff assignments for patient care during shifts
B. Conducting staff meetings
C. Making daily patient rounds
D. Initiate changes to unit policies based on current evidence
Correct Answer: D
, Rationale: Initiating changes to unit policies based on current evidence is done by the
middle-level manager. The other options describe tasks of the first-level manager.
Question 3
A new nurse is interviewed at a facility where various models of patient care
delivery are used. The nurse is interested in developing clinical decision-making
skills. After the interview, the nurse determines the best position for enhancing
those skills is the unit that uses which of the following models?
A. Primary nursing
B. Team nursing
C. Functional nursing
D. Case management
Correct Answer: A
Rationale: In primary nursing, clinical decision making is focused at the bedside by the
nurse administering the care. The other options are patient care delivery models whose
focus is not bedside decision making.
Question 4
Which of the following is NOT an example of the behavioral theory of leadership?
A. Democratic leader
B. Republican leader
Management Exam Questions and Answers with
Rationales | Latest Update | A+ Grade | 2026–
2027
THIS EXAM INCLUDES:
✔ Complete NGN HESI Leadership and Management Practice
Questions
✔ Correct Answers with Detailed Rationales
✔ Select-All-That-Apply (SATA) Questions
✔ NCLEX-Style Multiple-Choice Questions
✔ Updated 2026–2027 Edition
,Question 1
The student nurse is shadowing on a medical/surgical unit and observes the duties
of the charge nurse. Which of the following would the student identify as a quality
attributed to a nurse in a leadership role?
A. Delays admission from emergency department until staff has appropriately educated
a newly diagnosed diabetic patient on insulin administration.
B. Spends time with a newly diagnosed lung cancer patient to allow him to
communicate his future health concerns.
C. Reevaluates staffing needs after one RN "calls in sick."
D. Counsels a UAP (unlicensed assistive personnel) after arriving late for work the third
time that week.
Correct Answer: B
Rationale: Leaders do the right thing, therefore they focus on effectiveness whereas a
manager focuses on efficiencies. Spending time with a patient to address concerns
demonstrates leadership.
Question 2
Which of the following is NOT a task or responsibility of the first-level manager?
A. Staff assignments for patient care during shifts
B. Conducting staff meetings
C. Making daily patient rounds
D. Initiate changes to unit policies based on current evidence
Correct Answer: D
, Rationale: Initiating changes to unit policies based on current evidence is done by the
middle-level manager. The other options describe tasks of the first-level manager.
Question 3
A new nurse is interviewed at a facility where various models of patient care
delivery are used. The nurse is interested in developing clinical decision-making
skills. After the interview, the nurse determines the best position for enhancing
those skills is the unit that uses which of the following models?
A. Primary nursing
B. Team nursing
C. Functional nursing
D. Case management
Correct Answer: A
Rationale: In primary nursing, clinical decision making is focused at the bedside by the
nurse administering the care. The other options are patient care delivery models whose
focus is not bedside decision making.
Question 4
Which of the following is NOT an example of the behavioral theory of leadership?
A. Democratic leader
B. Republican leader
