LEADERSHIP AND MANAGEMENT IN
NURSING: HESI EXAM PREP
QUESTIONS AND ANSWERS
1. A nurse manager is applying Lewin’s Change Theory. Which action represents the
‘Unfreezing’ stage?
A. Identifying that the current medication administration process is causing errors.
B. Implementing the new electronic health record system across the unit.
C. Stabilizing the new work schedule to ensure it becomes the norm.
D. Providing training sessions for staff on a new IV pump mechanism.
Answer: A
Conceptual Explanation: Unfreezing involves creating the motivation to change by
identifying a problem and making others aware of the need for change.
2. An RN is delegating tasks to a Licensed Practical Nurse (LPN). Which task is most
appropriate for the LPN?
A. Developing a plan of care for a client newly diagnosed with Type 1 Diabetes.
B. Administering a scheduled intramuscular injection of an antibiotic.
,C. Assessing a patient returning from a cardiac catheterization.
D. Performing the initial admission assessment for a patient with pneumonia.
Answer: B
Conceptual Explanation: LPNs can perform tasks such as administering medications
(depending on state law), but assessment, planning, and evaluation require the judgment of
an RN.
3. Which leadership style is characterized by a leader who makes all decisions without
seeking input from the staff?
A. Democratic
B. Laissez-faire
C. Transformational
D. Autocratic
Answer: D
Conceptual Explanation: Autocratic leadership is characterized by individual control over
all decisions and little input from group members.
4. A nurse manager notices a conflict between two nurses regarding holiday scheduling. The
manager tells them, ‘I don’t want to hear about this; figure it out yourselves.’ Which conflict
management strategy is this?
A. Accommodation
, B. Avoidance
C. Collaboration
D. Compromise
Answer: B
Conceptual Explanation: Avoidance occurs when the manager refuses to acknowledge or
address the conflict.
5. Under the principle of ‘Beneficence,’ what is the primary duty of the nurse?
A. To do no harm to the patient.
B. To treat all patients fairly and equally regardless of status.
C. To ensure the patient has the right to self-determination.
D. To act in the best interest of the patient to promote good.
Answer: D
Conceptual Explanation: Beneficence is the ethical principle of doing good and acting in
the best interest of the patient.
6. In a mass casualty incident, which color tag is assigned to a patient who has a sucking chest
wound and requires immediate intervention?
A. Green
B. Yellow
NURSING: HESI EXAM PREP
QUESTIONS AND ANSWERS
1. A nurse manager is applying Lewin’s Change Theory. Which action represents the
‘Unfreezing’ stage?
A. Identifying that the current medication administration process is causing errors.
B. Implementing the new electronic health record system across the unit.
C. Stabilizing the new work schedule to ensure it becomes the norm.
D. Providing training sessions for staff on a new IV pump mechanism.
Answer: A
Conceptual Explanation: Unfreezing involves creating the motivation to change by
identifying a problem and making others aware of the need for change.
2. An RN is delegating tasks to a Licensed Practical Nurse (LPN). Which task is most
appropriate for the LPN?
A. Developing a plan of care for a client newly diagnosed with Type 1 Diabetes.
B. Administering a scheduled intramuscular injection of an antibiotic.
,C. Assessing a patient returning from a cardiac catheterization.
D. Performing the initial admission assessment for a patient with pneumonia.
Answer: B
Conceptual Explanation: LPNs can perform tasks such as administering medications
(depending on state law), but assessment, planning, and evaluation require the judgment of
an RN.
3. Which leadership style is characterized by a leader who makes all decisions without
seeking input from the staff?
A. Democratic
B. Laissez-faire
C. Transformational
D. Autocratic
Answer: D
Conceptual Explanation: Autocratic leadership is characterized by individual control over
all decisions and little input from group members.
4. A nurse manager notices a conflict between two nurses regarding holiday scheduling. The
manager tells them, ‘I don’t want to hear about this; figure it out yourselves.’ Which conflict
management strategy is this?
A. Accommodation
, B. Avoidance
C. Collaboration
D. Compromise
Answer: B
Conceptual Explanation: Avoidance occurs when the manager refuses to acknowledge or
address the conflict.
5. Under the principle of ‘Beneficence,’ what is the primary duty of the nurse?
A. To do no harm to the patient.
B. To treat all patients fairly and equally regardless of status.
C. To ensure the patient has the right to self-determination.
D. To act in the best interest of the patient to promote good.
Answer: D
Conceptual Explanation: Beneficence is the ethical principle of doing good and acting in
the best interest of the patient.
6. In a mass casualty incident, which color tag is assigned to a patient who has a sucking chest
wound and requires immediate intervention?
A. Green
B. Yellow
