Evolve HESI Leadership Management
EXAM with Questions and Answers/Plus a
Rationale Updated 2026 A+/Instant
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EXAM COVERAGE
1. Nursing Leadership and Management Styles
2. Delegation and Prioritization
3. Conflict Resolution and Team Communication
4. Quality Improvement and Risk Management
5. Ethical and Legal Issues in Nursing
6. Health Care Delivery Systems and Policy
7. Resource Allocation and Staffing
1. A nurse manager is preparing to implement a new evidence-based practice protocol for wound
care. Several senior staff members are vocal in their opposition. Which action by the manager
best demonstrates transformational leadership?
A. Mandating adherence to the new policy through disciplinary action
B. Engaging the staff in a discussion to identify barriers and co-create solutions
C. Delaying the implementation until the senior staff resigns
D. Ignoring the concerns and proceeding with the rollout as planned
Answer: B
, CORRECT ANSWER : B
Rationale: Transformational leaders inspire change by engaging staff, fostering a shared vision,
and addressing concerns collaboratively. Mandating (A) is authoritarian, while ignoring (D) or
delaying (C) fails to address the root causes of resistance or build buy-in.
2. A charge nurse must delegate tasks for a team consisting of an RN, an LPN, and an Unlicensed
Assistive Personnel (UAP). Which task is most appropriate to delegate to the LPN?
A. Performing a complex wound assessment for a new surgical patient
B. Administering oral medications to a stable patient
C. Developing a plan of care for a patient with sepsis
D. Performing an initial admission assessment
Answer: B
CORRECT ANSWER : B
Rationale: LPNs can safely perform routine tasks such as oral medication administration on
stable patients. Assessment (A, D) and care planning (C) are RN-exclusive responsibilities
requiring professional judgment and analysis.
3. A nurse observes a colleague charting care that was not performed. Which action best reflects the
nurse’s ethical responsibility?
A. Discussing the incident with other colleagues to gauge their opinion
B. Reporting the observation directly to the nurse manager according to facility policy
C. Confronting the colleague and asking them to correct the chart
D. Documenting the incident in the patient’s permanent record
Answer: B
CORRECT ANSWER : B
Rationale: Reporting to a supervisor is the established procedure for addressing unsafe or
unethical practice, ensuring institutional accountability. Discussing with peers (A) is
unprofessional, and direct confrontation (C) may not resolve the safety risk.
4. A nurse is managing a conflict between two staff members who have different clinical
approaches. What is the best method to foster long-term resolution?
, A. Assigning the two nurses to different shifts
B. Utilizing a collaborative problem-solving meeting to focus on patient outcomes
C. Allowing the nurses to resolve it independently without interference
D. Determining the "correct" method and mandating it for both
Answer: B
CORRECT ANSWER : B
Rationale: Collaboration addresses the underlying issue and aligns efforts toward common
goals, fostering professional growth. Separation (A) or mandate (D) avoids the conflict without
improving team cohesion.
5. A healthcare organization is experiencing an increase in medication errors. Which quality
improvement approach is most effective?
A. Implementing punitive measures for nurses who make errors
B. Performing a Root Cause Analysis (RCA) to identify system vulnerabilities
C. Requiring all nurses to attend mandatory refresher courses
D. Increasing the frequency of performance evaluations
Answer: B
CORRECT ANSWER : B
Rationale: RCA focuses on identifying systemic failures rather than individual blame, which is
essential for sustainable safety improvements. Punitive measures (A) discourage reporting, and
refresher courses (C) do not address system-level causes.
6. A nurse manager is planning the staffing schedule for a busy unit. Which factor is most
important for maintaining safety?
A. Staff seniority and tenure
B. Patient acuity and care dependency needs
C. Personal requests for time off
D. Cost of personnel on the unit
, Answer: B
CORRECT ANSWER : B
Rationale: Staffing must be based on the complexity and care requirements of the patient
population to ensure safety and positive outcomes. While seniority or cost are factors, patient
needs are the clinical priority.
7. A nurse identifies an elderly patient who appears to be confused and unable to comprehend the
informed consent process for an upcoming surgery. Who is the appropriate person to contact?
A. The surgeon to ask them to explain it again
B. The patient’s designated healthcare proxy or power of attorney
C. The patient's primary care nurse
D. The hospital social worker
Answer: B
CORRECT ANSWER : B
Rationale: If a patient lacks decision-making capacity, the legal representative (proxy/POA)
must provide informed consent. The surgeon (A) cannot force consent, and the social worker (D)
lacks the authority to sign.
8. A nurse is utilizing SBAR to communicate a change in patient status. What is the primary
purpose of this tool?
A. To provide a thorough psychological profile of the patient
B. To provide a structured, concise summary for efficient communication
C. To document personal feelings about the patient's care
D. To replace the need for physical bedside handoff
Answer: B
CORRECT ANSWER : B
Rationale: SBAR (Situation, Background, Assessment, Recommendation) provides a
standardized framework that minimizes errors and ensures vital information is shared quickly. It
is not for subjective documentation (C) or a replacement for assessment (D).
EXAM with Questions and Answers/Plus a
Rationale Updated 2026 A+/Instant
Download PDF
EXAM COVERAGE
1. Nursing Leadership and Management Styles
2. Delegation and Prioritization
3. Conflict Resolution and Team Communication
4. Quality Improvement and Risk Management
5. Ethical and Legal Issues in Nursing
6. Health Care Delivery Systems and Policy
7. Resource Allocation and Staffing
1. A nurse manager is preparing to implement a new evidence-based practice protocol for wound
care. Several senior staff members are vocal in their opposition. Which action by the manager
best demonstrates transformational leadership?
A. Mandating adherence to the new policy through disciplinary action
B. Engaging the staff in a discussion to identify barriers and co-create solutions
C. Delaying the implementation until the senior staff resigns
D. Ignoring the concerns and proceeding with the rollout as planned
Answer: B
, CORRECT ANSWER : B
Rationale: Transformational leaders inspire change by engaging staff, fostering a shared vision,
and addressing concerns collaboratively. Mandating (A) is authoritarian, while ignoring (D) or
delaying (C) fails to address the root causes of resistance or build buy-in.
2. A charge nurse must delegate tasks for a team consisting of an RN, an LPN, and an Unlicensed
Assistive Personnel (UAP). Which task is most appropriate to delegate to the LPN?
A. Performing a complex wound assessment for a new surgical patient
B. Administering oral medications to a stable patient
C. Developing a plan of care for a patient with sepsis
D. Performing an initial admission assessment
Answer: B
CORRECT ANSWER : B
Rationale: LPNs can safely perform routine tasks such as oral medication administration on
stable patients. Assessment (A, D) and care planning (C) are RN-exclusive responsibilities
requiring professional judgment and analysis.
3. A nurse observes a colleague charting care that was not performed. Which action best reflects the
nurse’s ethical responsibility?
A. Discussing the incident with other colleagues to gauge their opinion
B. Reporting the observation directly to the nurse manager according to facility policy
C. Confronting the colleague and asking them to correct the chart
D. Documenting the incident in the patient’s permanent record
Answer: B
CORRECT ANSWER : B
Rationale: Reporting to a supervisor is the established procedure for addressing unsafe or
unethical practice, ensuring institutional accountability. Discussing with peers (A) is
unprofessional, and direct confrontation (C) may not resolve the safety risk.
4. A nurse is managing a conflict between two staff members who have different clinical
approaches. What is the best method to foster long-term resolution?
, A. Assigning the two nurses to different shifts
B. Utilizing a collaborative problem-solving meeting to focus on patient outcomes
C. Allowing the nurses to resolve it independently without interference
D. Determining the "correct" method and mandating it for both
Answer: B
CORRECT ANSWER : B
Rationale: Collaboration addresses the underlying issue and aligns efforts toward common
goals, fostering professional growth. Separation (A) or mandate (D) avoids the conflict without
improving team cohesion.
5. A healthcare organization is experiencing an increase in medication errors. Which quality
improvement approach is most effective?
A. Implementing punitive measures for nurses who make errors
B. Performing a Root Cause Analysis (RCA) to identify system vulnerabilities
C. Requiring all nurses to attend mandatory refresher courses
D. Increasing the frequency of performance evaluations
Answer: B
CORRECT ANSWER : B
Rationale: RCA focuses on identifying systemic failures rather than individual blame, which is
essential for sustainable safety improvements. Punitive measures (A) discourage reporting, and
refresher courses (C) do not address system-level causes.
6. A nurse manager is planning the staffing schedule for a busy unit. Which factor is most
important for maintaining safety?
A. Staff seniority and tenure
B. Patient acuity and care dependency needs
C. Personal requests for time off
D. Cost of personnel on the unit
, Answer: B
CORRECT ANSWER : B
Rationale: Staffing must be based on the complexity and care requirements of the patient
population to ensure safety and positive outcomes. While seniority or cost are factors, patient
needs are the clinical priority.
7. A nurse identifies an elderly patient who appears to be confused and unable to comprehend the
informed consent process for an upcoming surgery. Who is the appropriate person to contact?
A. The surgeon to ask them to explain it again
B. The patient’s designated healthcare proxy or power of attorney
C. The patient's primary care nurse
D. The hospital social worker
Answer: B
CORRECT ANSWER : B
Rationale: If a patient lacks decision-making capacity, the legal representative (proxy/POA)
must provide informed consent. The surgeon (A) cannot force consent, and the social worker (D)
lacks the authority to sign.
8. A nurse is utilizing SBAR to communicate a change in patient status. What is the primary
purpose of this tool?
A. To provide a thorough psychological profile of the patient
B. To provide a structured, concise summary for efficient communication
C. To document personal feelings about the patient's care
D. To replace the need for physical bedside handoff
Answer: B
CORRECT ANSWER : B
Rationale: SBAR (Situation, Background, Assessment, Recommendation) provides a
standardized framework that minimizes errors and ensures vital information is shared quickly. It
is not for subjective documentation (C) or a replacement for assessment (D).
