EVOLVE HESI LEADERSHIP AND
MANAGEMENT FINAL EXAM 2026/2027
QUESTIONS AND ANSWERS
1. A nurse manager is implementing a new electronic health record system. Which stage of
Lewin’s Change Theory is characterized by the manager providing training and support to
staff members to facilitate the transition?
A. Moving
B. Unfreezing
C. Refreezing
D. Resistance
Answer: A
Conceptual Explanation: The ‘Moving’ stage involves the actual implementation of the
change, including training, education, and providing resources to help staff adopt the new
system.
,2. Which task is most appropriate for a Registered Nurse (RN) to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Measuring and recording intake and output for a patient with heart failure
B. Assisting a stable patient with ambulation for the first time post-operatively
C. Evaluating the effectiveness of pain medication
D. Teaching a patient how to use an incentive spirometer
Answer: A
Conceptual Explanation: Standardized tasks like measuring I&O are within the UAP’s
scope of practice. Assessment, evaluation, and teaching are RN responsibilities.
3. A nurse is caring for four patients. Which patient should the nurse assess first?
A. A patient who had a hip replacement 2 days ago and is reporting pain as 7/10
B. A patient with a history of heart failure reporting new onset of shortness of breath at
rest
C. A patient who is 12 hours post-abdominal surgery and has not voided in 8 hours
D. A patient with chronic obstructive pulmonary disease (COPD) with an oxygen saturation
of 90%
Answer: B
, Conceptual Explanation: The patient with new onset shortness of breath represents a
potential acute change in respiratory and cardiac status, requiring immediate intervention
(ABC prioritization).
4. A nurse manager observes a staff nurse consistently arriving late for shifts. Which conflict
resolution strategy involves the manager and the nurse working together to find a mutually
agreeable solution?
A. Collaborating
B. Compromising
C. Competing
D. Avoiding
Answer: A
Conceptual Explanation: Collaboration is a win-win strategy where both parties work
together to solve the problem and meet the needs of all involved.
5. A nurse fails to provide a side rail for a confused elderly patient, resulting in the patient
falling and fracturing a hip. This is an example of:
A. Negligence
B. Battery
C. Assault
D. False imprisonment
MANAGEMENT FINAL EXAM 2026/2027
QUESTIONS AND ANSWERS
1. A nurse manager is implementing a new electronic health record system. Which stage of
Lewin’s Change Theory is characterized by the manager providing training and support to
staff members to facilitate the transition?
A. Moving
B. Unfreezing
C. Refreezing
D. Resistance
Answer: A
Conceptual Explanation: The ‘Moving’ stage involves the actual implementation of the
change, including training, education, and providing resources to help staff adopt the new
system.
,2. Which task is most appropriate for a Registered Nurse (RN) to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Measuring and recording intake and output for a patient with heart failure
B. Assisting a stable patient with ambulation for the first time post-operatively
C. Evaluating the effectiveness of pain medication
D. Teaching a patient how to use an incentive spirometer
Answer: A
Conceptual Explanation: Standardized tasks like measuring I&O are within the UAP’s
scope of practice. Assessment, evaluation, and teaching are RN responsibilities.
3. A nurse is caring for four patients. Which patient should the nurse assess first?
A. A patient who had a hip replacement 2 days ago and is reporting pain as 7/10
B. A patient with a history of heart failure reporting new onset of shortness of breath at
rest
C. A patient who is 12 hours post-abdominal surgery and has not voided in 8 hours
D. A patient with chronic obstructive pulmonary disease (COPD) with an oxygen saturation
of 90%
Answer: B
, Conceptual Explanation: The patient with new onset shortness of breath represents a
potential acute change in respiratory and cardiac status, requiring immediate intervention
(ABC prioritization).
4. A nurse manager observes a staff nurse consistently arriving late for shifts. Which conflict
resolution strategy involves the manager and the nurse working together to find a mutually
agreeable solution?
A. Collaborating
B. Compromising
C. Competing
D. Avoiding
Answer: A
Conceptual Explanation: Collaboration is a win-win strategy where both parties work
together to solve the problem and meet the needs of all involved.
5. A nurse fails to provide a side rail for a confused elderly patient, resulting in the patient
falling and fracturing a hip. This is an example of:
A. Negligence
B. Battery
C. Assault
D. False imprisonment
