1
LEADERSHIP HESI EXAM
QUESTIONS WITH VERIFIED
SOLUTIONS 2026
A new graduate is asked to serve on the hospital's Quality Improvement
Committee. What does the nurse know is the first step in the quality
improvement process?
a)Collect data to determine if standards are met
b)Implement a plan to correct the problem
c)Identify the standard
d)Determine if the findings warrant correction - correct-answer - C
A nurse manager wants to decrease the number of medication errors that occur
in the department. The manager arranges a meeting with the staff to discuss the
medication error concerns. How does the manager convey a philosophy of total
quality management?
a) Explaining to the staff that disciplinary action will be taken for further errors
b) Recommending that a multidisciplinary team assess the root cause of the
medication errors
c) Suggesting that the pharmacy department explore their role in the problem
d) Changing the unit policy to allow a certain number of medication errors per
year without penalty - correct-answer - B
A nurse manager wants to highlight the accomplishments of the nurses who are
providing high-quality care on a medical unit in a tertiary care medical center.
, 2
What is an example of a nurse-sensitive outcome that could be used for this
project?
a)Pressure ulcer rate compared with a national benchmark rate
b)Patient satisfaction scores compared with other hospitals
c)Nurse satisfaction scores compared with other hospitals
d)Percentage of patients with heart failure who are prescribed an angiotensin-
converting enzyme (ACE) inhibitor on hospital discharge - correct-answer - A
Recently, a medical center surveyed patients who smoked regarding their desire
to quit smoking. A high percentage were "motivated smokers," interested in
quitting in the next 30 days, but were not offered resources to help with quitting.
The nursing research council wants to introduce an evidence-based protocol for
smoking cessation based on patient survey findings. What would be an
appropriate initial action?
a)Start a journal club to review the protocol.
b)Survey nurses to determine barriers and facilitators to using smoking cessation
interventions.
c)Distribute the protocol to all staff nurses.
d)Collaborate with physicians to develop a standard set of orders to be
implemented for all patients. - correct-answer - B
How can a leader deal fairly with employees who fail to meet established
standards of care?
a)Determine if the employee issue is a will or skill issue.
b)Conduct a chart review that reflects the care issue.
c)Ask questions of the employee that can reflect the employee's knowledge base.
d)Ask other staff to document concerns to use for discharging. - correct-answer -
C
LEADERSHIP HESI EXAM
QUESTIONS WITH VERIFIED
SOLUTIONS 2026
A new graduate is asked to serve on the hospital's Quality Improvement
Committee. What does the nurse know is the first step in the quality
improvement process?
a)Collect data to determine if standards are met
b)Implement a plan to correct the problem
c)Identify the standard
d)Determine if the findings warrant correction - correct-answer - C
A nurse manager wants to decrease the number of medication errors that occur
in the department. The manager arranges a meeting with the staff to discuss the
medication error concerns. How does the manager convey a philosophy of total
quality management?
a) Explaining to the staff that disciplinary action will be taken for further errors
b) Recommending that a multidisciplinary team assess the root cause of the
medication errors
c) Suggesting that the pharmacy department explore their role in the problem
d) Changing the unit policy to allow a certain number of medication errors per
year without penalty - correct-answer - B
A nurse manager wants to highlight the accomplishments of the nurses who are
providing high-quality care on a medical unit in a tertiary care medical center.
, 2
What is an example of a nurse-sensitive outcome that could be used for this
project?
a)Pressure ulcer rate compared with a national benchmark rate
b)Patient satisfaction scores compared with other hospitals
c)Nurse satisfaction scores compared with other hospitals
d)Percentage of patients with heart failure who are prescribed an angiotensin-
converting enzyme (ACE) inhibitor on hospital discharge - correct-answer - A
Recently, a medical center surveyed patients who smoked regarding their desire
to quit smoking. A high percentage were "motivated smokers," interested in
quitting in the next 30 days, but were not offered resources to help with quitting.
The nursing research council wants to introduce an evidence-based protocol for
smoking cessation based on patient survey findings. What would be an
appropriate initial action?
a)Start a journal club to review the protocol.
b)Survey nurses to determine barriers and facilitators to using smoking cessation
interventions.
c)Distribute the protocol to all staff nurses.
d)Collaborate with physicians to develop a standard set of orders to be
implemented for all patients. - correct-answer - B
How can a leader deal fairly with employees who fail to meet established
standards of care?
a)Determine if the employee issue is a will or skill issue.
b)Conduct a chart review that reflects the care issue.
c)Ask questions of the employee that can reflect the employee's knowledge base.
d)Ask other staff to document concerns to use for discharging. - correct-answer -
C
