EVOLVE HESI LEADERSHIP AND
MANAGEMENT EXAM REVIEW
QUESTIONS AND ANSWERS
1. A nurse manager is evaluating a newly licensed nurse’s understanding of delegation. Which
of the following tasks should the nurse manager identify as appropriate for the nurse to
delegate to an assistive personnel (AP)?
A. Updating the plan of care for a client who is postoperative.
B. Assessing a client’s pain level following medication administration.
C. Teaching a client how to use an incentive spirometer.
D. Recording a client’s intake and output.
Answer: D
Conceptual Explanation: Recording intake and output is within the scope of practice for
AP. Assessment, teaching, and clinical judgment/planning are responsibilities of the RN.
2. A nurse is preparing to delegate tasks to a licensed practical nurse (LPN). Which of the
following clients should the nurse assign to the LPN?
A. A client who requires discharge teaching about insulin administration.
,B. A client who is being admitted with a rule-out myocardial infarction.
C. A client who is 24 hours postoperative following a total hip arthroplasty.
D. A client who is experiencing a new onset of shortness of breath.
Answer: C
Conceptual Explanation: A client who is 24 hours post-op is relatively stable compared to
those with new-onset symptoms or requiring initial admission assessment/teaching,
making them appropriate for an LPN.
3. A nurse manager is discussing the concept of ‘justice’ with a group of staff nurses. Which of
the following situations should the nurse manager include as an example of justice?
A. A nurse stays with a client who is fearful during a procedure.
B. A nurse provides the same level of care to a client regardless of their socioeconomic
status.
C. A nurse tells the truth to a client about a medication error.
D. A nurse allows a client to choose whether to take a prescribed medication.
Answer: B
Conceptual Explanation: Justice refers to fairness in the distribution of resources and
care. Providing equal care regardless of status is a direct application of justice.
, 4. A nurse is prioritizing care for a group of clients. Which of the following clients should the
nurse see first?
A. A client who has a prescription for a routine dressing change.
B. A client who is scheduled for a physical therapy consult in 2 hours.
C. A client who is requesting an extra blanket.
D. A client who reports sudden chest pain and shortness of breath.
Answer: D
Conceptual Explanation: Using the ABC (Airway, Breathing, Circulation) framework,
sudden chest pain and shortness of breath indicate a potential life-threatening respiratory
or cardiac event and require immediate intervention.
5. A nurse manager uses a leadership style that encourages staff participation in decision-
making and values teamwork. Which of the following leadership styles is the manager
exhibiting?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Transactional
Answer: C
MANAGEMENT EXAM REVIEW
QUESTIONS AND ANSWERS
1. A nurse manager is evaluating a newly licensed nurse’s understanding of delegation. Which
of the following tasks should the nurse manager identify as appropriate for the nurse to
delegate to an assistive personnel (AP)?
A. Updating the plan of care for a client who is postoperative.
B. Assessing a client’s pain level following medication administration.
C. Teaching a client how to use an incentive spirometer.
D. Recording a client’s intake and output.
Answer: D
Conceptual Explanation: Recording intake and output is within the scope of practice for
AP. Assessment, teaching, and clinical judgment/planning are responsibilities of the RN.
2. A nurse is preparing to delegate tasks to a licensed practical nurse (LPN). Which of the
following clients should the nurse assign to the LPN?
A. A client who requires discharge teaching about insulin administration.
,B. A client who is being admitted with a rule-out myocardial infarction.
C. A client who is 24 hours postoperative following a total hip arthroplasty.
D. A client who is experiencing a new onset of shortness of breath.
Answer: C
Conceptual Explanation: A client who is 24 hours post-op is relatively stable compared to
those with new-onset symptoms or requiring initial admission assessment/teaching,
making them appropriate for an LPN.
3. A nurse manager is discussing the concept of ‘justice’ with a group of staff nurses. Which of
the following situations should the nurse manager include as an example of justice?
A. A nurse stays with a client who is fearful during a procedure.
B. A nurse provides the same level of care to a client regardless of their socioeconomic
status.
C. A nurse tells the truth to a client about a medication error.
D. A nurse allows a client to choose whether to take a prescribed medication.
Answer: B
Conceptual Explanation: Justice refers to fairness in the distribution of resources and
care. Providing equal care regardless of status is a direct application of justice.
, 4. A nurse is prioritizing care for a group of clients. Which of the following clients should the
nurse see first?
A. A client who has a prescription for a routine dressing change.
B. A client who is scheduled for a physical therapy consult in 2 hours.
C. A client who is requesting an extra blanket.
D. A client who reports sudden chest pain and shortness of breath.
Answer: D
Conceptual Explanation: Using the ABC (Airway, Breathing, Circulation) framework,
sudden chest pain and shortness of breath indicate a potential life-threatening respiratory
or cardiac event and require immediate intervention.
5. A nurse manager uses a leadership style that encourages staff participation in decision-
making and values teamwork. Which of the following leadership styles is the manager
exhibiting?
A. Autocratic
B. Laissez-faire
C. Democratic
D. Transactional
Answer: C
