HESI LEADERSHIP AND MANAGEMENT
EXAM STUDY GUIDE 2026/2027
QUESTIONS AND ANSWERS
1. A nurse manager is observing a staff nurse who is consistently late for shifts. The manager
decides to address this using a transformational leadership approach. Which action should
the manager take?
A. Inform the nurse that further tardiness will result in a formal written warning.
B. Offer a financial bonus if the nurse arrives on time for the next month.
C. Meet with the nurse to discuss how their lateness impacts the team’s ability to provide
quality care.
D. Ignore the behavior unless other staff members complain formally.
Answer: C
Conceptual Explanation: Transformational leaders focus on vision and collective purpose,
encouraging staff to see how their individual actions affect the overall mission and team
performance.
,2. Which task is most appropriate for a Registered Nurse (RN) to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Assessing a client’s skin integrity after a fall.
B. Assisting a stable client with ambulation to the bathroom.
C. Teaching a client how to use an incentive spirometer.
D. Feeding a client who has a high risk for aspiration.
Answer: B
Conceptual Explanation: RNs should not delegate assessment, teaching, or clinical
judgment. Assisting a stable client with activities of daily living (ADLs) like ambulation is
within the UAP’s scope of practice.
3. A nurse is caring for a group of clients. Which client should the nurse see first?
A. A client scheduled for discharge in 2 hours who needs education.
B. A client who requested pain medication 15 minutes ago.
C. A client with a chest tube who is reporting sudden shortness of breath.
D. A client who needs a dressing change for a stage 2 pressure injury.
Answer: C
Conceptual Explanation: Using the ABC (Airway, Breathing, Circulation) priority
framework, the client with sudden shortness of breath represents a potential life-
threatening respiratory issue and must be assessed immediately.
, 4. During a staff meeting, two nurses disagree on the process for admitting new patients. The
manager suggests that both sides give up something to reach a solution. Which conflict
resolution strategy is being used?
A. Compromising
B. Collaborating
C. Competing
D. Smoothing
Answer: A
Conceptual Explanation: Compromising involves each party giving up something of value
to reach a middle ground. Collaborating seeks a win-win where no one gives up their needs,
but a new solution is found.
5. A nurse manager is preparing the annual budget and needs to request a new telemetry
monitoring system. This purchase belongs in which budget category?
A. Capital budget
B. Personnel budget
C. Operating budget
D. Cash budget
Answer: A
EXAM STUDY GUIDE 2026/2027
QUESTIONS AND ANSWERS
1. A nurse manager is observing a staff nurse who is consistently late for shifts. The manager
decides to address this using a transformational leadership approach. Which action should
the manager take?
A. Inform the nurse that further tardiness will result in a formal written warning.
B. Offer a financial bonus if the nurse arrives on time for the next month.
C. Meet with the nurse to discuss how their lateness impacts the team’s ability to provide
quality care.
D. Ignore the behavior unless other staff members complain formally.
Answer: C
Conceptual Explanation: Transformational leaders focus on vision and collective purpose,
encouraging staff to see how their individual actions affect the overall mission and team
performance.
,2. Which task is most appropriate for a Registered Nurse (RN) to delegate to an Unlicensed
Assistive Personnel (UAP)?
A. Assessing a client’s skin integrity after a fall.
B. Assisting a stable client with ambulation to the bathroom.
C. Teaching a client how to use an incentive spirometer.
D. Feeding a client who has a high risk for aspiration.
Answer: B
Conceptual Explanation: RNs should not delegate assessment, teaching, or clinical
judgment. Assisting a stable client with activities of daily living (ADLs) like ambulation is
within the UAP’s scope of practice.
3. A nurse is caring for a group of clients. Which client should the nurse see first?
A. A client scheduled for discharge in 2 hours who needs education.
B. A client who requested pain medication 15 minutes ago.
C. A client with a chest tube who is reporting sudden shortness of breath.
D. A client who needs a dressing change for a stage 2 pressure injury.
Answer: C
Conceptual Explanation: Using the ABC (Airway, Breathing, Circulation) priority
framework, the client with sudden shortness of breath represents a potential life-
threatening respiratory issue and must be assessed immediately.
, 4. During a staff meeting, two nurses disagree on the process for admitting new patients. The
manager suggests that both sides give up something to reach a solution. Which conflict
resolution strategy is being used?
A. Compromising
B. Collaborating
C. Competing
D. Smoothing
Answer: A
Conceptual Explanation: Compromising involves each party giving up something of value
to reach a middle ground. Collaborating seeks a win-win where no one gives up their needs,
but a new solution is found.
5. A nurse manager is preparing the annual budget and needs to request a new telemetry
monitoring system. This purchase belongs in which budget category?
A. Capital budget
B. Personnel budget
C. Operating budget
D. Cash budget
Answer: A
