EVOLVE HESI LEADERSHIP AND
MANAGEMENT FINAL EXAM PREP
QUESTIONS AND ANSWERS
1. A nurse manager is evaluating the unit’s progress toward achieving a new clinical
benchmark. Which phase of Lewin’s Change Theory is the unit currently experiencing if the
manager is reinforcing the new behavior through rewards?
A. Refreezing
B. Moving
C. Unfreezing
D. Assessing
Answer: A
Conceptual Explanation: Refreezing involves stabilizing the new change so that it
becomes the new status quo, often through reinforcement and policy updates.
2. Which task is most appropriate for a Registered Nurse (RN) to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Recording the intake and output for a patient on a fluid restriction
,B. Assisting a stable patient with ambulation for the first time post-operatively
C. Feeding a patient who is at high risk for aspiration
D. Assessing a patient’s pain level after medication administration
Answer: A
Conceptual Explanation: UAPs can perform routine tasks such as recording I&O.
Assessing, feeding high-risk patients, and initial ambulation require professional nursing
judgment.
3. A nurse is caring for four patients. Which patient should the nurse assess first?
A. A patient who underwent a thyroidectomy 6 hours ago and is complaining of tingling
around the mouth
B. A patient with a history of heart failure who has 2+ pitting edema
C. A patient with chronic obstructive pulmonary disease (COPD) with a pulse oximetry of
90%
D. A patient who is 1-day post-op from a hip replacement complaining of pain rated 7/10
Answer: A
Conceptual Explanation: Tingling around the mouth (chvostek’s sign/trousseau’s sign)
indicates hypocalcemia, a potential complication of thyroidectomy that can lead to
laryngospasm.
, 4. When a nurse manager allows staff nurses to participate in decision-making and values
their input, which leadership style is being utilized?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Bureaucratic
Answer: C
Conceptual Explanation: Democratic leadership involves group participation in decision-
making and focuses on staff empowerment.
5. A nurse observes a colleague documenting a medication administration that was never
given. Which ethical principle is the nurse violating by not reporting this?
A. Autonomy
B. Veracity
C. Beneficence
D. Fidelity
Answer: B
Conceptual Explanation: Veracity refers to the duty to tell the truth. Falsifying records is a
direct violation of this principle.
MANAGEMENT FINAL EXAM PREP
QUESTIONS AND ANSWERS
1. A nurse manager is evaluating the unit’s progress toward achieving a new clinical
benchmark. Which phase of Lewin’s Change Theory is the unit currently experiencing if the
manager is reinforcing the new behavior through rewards?
A. Refreezing
B. Moving
C. Unfreezing
D. Assessing
Answer: A
Conceptual Explanation: Refreezing involves stabilizing the new change so that it
becomes the new status quo, often through reinforcement and policy updates.
2. Which task is most appropriate for a Registered Nurse (RN) to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Recording the intake and output for a patient on a fluid restriction
,B. Assisting a stable patient with ambulation for the first time post-operatively
C. Feeding a patient who is at high risk for aspiration
D. Assessing a patient’s pain level after medication administration
Answer: A
Conceptual Explanation: UAPs can perform routine tasks such as recording I&O.
Assessing, feeding high-risk patients, and initial ambulation require professional nursing
judgment.
3. A nurse is caring for four patients. Which patient should the nurse assess first?
A. A patient who underwent a thyroidectomy 6 hours ago and is complaining of tingling
around the mouth
B. A patient with a history of heart failure who has 2+ pitting edema
C. A patient with chronic obstructive pulmonary disease (COPD) with a pulse oximetry of
90%
D. A patient who is 1-day post-op from a hip replacement complaining of pain rated 7/10
Answer: A
Conceptual Explanation: Tingling around the mouth (chvostek’s sign/trousseau’s sign)
indicates hypocalcemia, a potential complication of thyroidectomy that can lead to
laryngospasm.
, 4. When a nurse manager allows staff nurses to participate in decision-making and values
their input, which leadership style is being utilized?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Bureaucratic
Answer: C
Conceptual Explanation: Democratic leadership involves group participation in decision-
making and focuses on staff empowerment.
5. A nurse observes a colleague documenting a medication administration that was never
given. Which ethical principle is the nurse violating by not reporting this?
A. Autonomy
B. Veracity
C. Beneficence
D. Fidelity
Answer: B
Conceptual Explanation: Veracity refers to the duty to tell the truth. Falsifying records is a
direct violation of this principle.
