EVOLVE HESI LEADERSHIP AND
MANAGEMENT PRACTICE EXAM
2026/2027 QUESTIONS AND ANSWERS
1. A charge nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which task is
appropriate for the nurse to delegate?
A. Assisting a stable client with ambulation to the bathroom.
B. Feeding a client who has a high risk for aspiration.
C. Performing an initial skin assessment on a newly admitted client.
D. Adjusting the flow rate of an oxygen nasal cannula.
Answer: A
Conceptual Explanation: UAPs can assist stable clients with activities of daily living such
as ambulation. Assessment, high-risk feedings, and oxygen titration require the clinical
judgment of a licensed nurse.
2. Which leadership style is characterized by a leader who makes all decisions without
seeking input from the staff and prioritizes task completion over relationship building?
A. Autocratic
,B. Laissez-faire
C. Democratic
D. Transformational
Answer: A
Conceptual Explanation: Autocratic leadership is task-oriented and involves unilateral
decision-making by the leader, often useful in emergency situations but less effective for
staff morale.
3. A nurse is caring for four clients. Which client should the nurse assess first?
A. A client with a history of COPD who has an oxygen saturation of 91%.
B. A client who is 2 hours post-operative and has a heart rate of 120 bpm.
C. A client with diabetes whose morning blood glucose is 140 mg/dL.
D. A client requesting pain medication for chronic back pain rated 6/10.
Answer: B
Conceptual Explanation: Tachycardia (HR 120) in a post-operative client is a priority as it
may indicate hemorrhage or shock. COPD clients often have baseline low SpO2, and the
other options are stable/chronic.
4. The nurse manager is implementing a new EMR system. According to Lewin’s Change
Theory, which action represents the ‘unfreezing’ stage?
A. Identifying that the current paper charting is inefficient and causing errors.
, B. Providing hands-on training for the staff on the new system.
C. Making the new EMR system the permanent standard for the unit.
D. Evaluating the staff’s proficiency after three months of use.
Answer: A
Conceptual Explanation: Unfreezing involves creating awareness of the need for change
and breaking down the current status quo.
5. A Registered Nurse (RN) is assigning tasks to a Licensed Practical Nurse (LPN). Which task is
within the LPN’s scope of practice?
A. Performing a sterile dressing change on a stable post-surgical wound.
B. Administering an IV push medication for a client in a hypertensive crisis.
C. Developing the initial care plan for a client with heart failure.
D. Providing the initial education to a client about a new insulin pump.
Answer: A
Conceptual Explanation: LPNs can perform sterile procedures and care for stable clients.
Initial care planning, IV push medications (in many jurisdictions/scenarios), and initial
education are the RN’s responsibility.
6. In a mass casualty incident, which color tag would a nurse assign to a client with a
compound fracture of the femur who is conscious and has a pedal pulse?
A. Red
MANAGEMENT PRACTICE EXAM
2026/2027 QUESTIONS AND ANSWERS
1. A charge nurse is delegating tasks to an unlicensed assistive personnel (UAP). Which task is
appropriate for the nurse to delegate?
A. Assisting a stable client with ambulation to the bathroom.
B. Feeding a client who has a high risk for aspiration.
C. Performing an initial skin assessment on a newly admitted client.
D. Adjusting the flow rate of an oxygen nasal cannula.
Answer: A
Conceptual Explanation: UAPs can assist stable clients with activities of daily living such
as ambulation. Assessment, high-risk feedings, and oxygen titration require the clinical
judgment of a licensed nurse.
2. Which leadership style is characterized by a leader who makes all decisions without
seeking input from the staff and prioritizes task completion over relationship building?
A. Autocratic
,B. Laissez-faire
C. Democratic
D. Transformational
Answer: A
Conceptual Explanation: Autocratic leadership is task-oriented and involves unilateral
decision-making by the leader, often useful in emergency situations but less effective for
staff morale.
3. A nurse is caring for four clients. Which client should the nurse assess first?
A. A client with a history of COPD who has an oxygen saturation of 91%.
B. A client who is 2 hours post-operative and has a heart rate of 120 bpm.
C. A client with diabetes whose morning blood glucose is 140 mg/dL.
D. A client requesting pain medication for chronic back pain rated 6/10.
Answer: B
Conceptual Explanation: Tachycardia (HR 120) in a post-operative client is a priority as it
may indicate hemorrhage or shock. COPD clients often have baseline low SpO2, and the
other options are stable/chronic.
4. The nurse manager is implementing a new EMR system. According to Lewin’s Change
Theory, which action represents the ‘unfreezing’ stage?
A. Identifying that the current paper charting is inefficient and causing errors.
, B. Providing hands-on training for the staff on the new system.
C. Making the new EMR system the permanent standard for the unit.
D. Evaluating the staff’s proficiency after three months of use.
Answer: A
Conceptual Explanation: Unfreezing involves creating awareness of the need for change
and breaking down the current status quo.
5. A Registered Nurse (RN) is assigning tasks to a Licensed Practical Nurse (LPN). Which task is
within the LPN’s scope of practice?
A. Performing a sterile dressing change on a stable post-surgical wound.
B. Administering an IV push medication for a client in a hypertensive crisis.
C. Developing the initial care plan for a client with heart failure.
D. Providing the initial education to a client about a new insulin pump.
Answer: A
Conceptual Explanation: LPNs can perform sterile procedures and care for stable clients.
Initial care planning, IV push medications (in many jurisdictions/scenarios), and initial
education are the RN’s responsibility.
6. In a mass casualty incident, which color tag would a nurse assign to a client with a
compound fracture of the femur who is conscious and has a pedal pulse?
A. Red
