NUR 204/ NUR24 LEADERSHIP HESI
Comprehensive Final Exam
2026-2028 Testing Cycle | Newly Released
75 Q & A| Grade A+ | Guaranteed Pass
100% Correct Verified Solutions - Fortis
Q1: A nurse manager is assigning patient care for the shift. Which patient should be assigned to
the LPN?
A. A newly admitted patient with an acute stroke requiring frequent neurological assessments
B. A stable patient with a chronic wound requiring a routine dressing change [CORRECT]
C. A patient on a heparin drip with fluctuating PTT levels
D. A patient with new-onset confusion and agitation
Correct Answer: B
Rationale: Correct because the LPN can care for stable patients with routine needs; acute,
unstable, or complex patients require RN assessment and evaluation.
Q2: The RN is delegating tasks to the UAP. Which of the following tasks are appropriate for the
UAP? (Select all that apply.)
A. Ambulating a stable patient with a gait belt [CORRECT]
B. Recording intake and output for a patient on fluid restriction [CORRECT]
C. Teaching a patient how to use an incentive spirometer
D. Measuring vital signs on a stable postoperative patient [CORRECT]
Correct Answer: A, B, D
Rationale: Correct because ambulation, I&O, and vital signs on stable patients are non-invasive
UAP tasks; teaching is an RN-only function under the TAPE rule.
Q3: The nurse manager is preparing the unit budget. The purchase of a new portable ultrasound
machine for IV access, costing $15,000 with a 7-year lifespan, is classified under which budget?
A. Operating budget
B. Personnel budget
,C. Capital budget [CORRECT]
D. Contingency budget
Correct Answer: C
Rationale: Correct because capital budgets cover high-cost, long-term equipment purchases that
exceed a set threshold and last multiple years.
Q4: The RN is using SBAR to notify the provider of a patient's deteriorating condition. Which
statement belongs in the "Assessment" section?
A. "The patient is a 72-year-old with a history of COPD."
B. "The patient's oxygen saturation has dropped to 86% on 2 L nasal cannula." [CORRECT]
C. "I recommend starting the patient on 4 L and obtaining a stat ABG."
D. "The patient was admitted 3 days ago for pneumonia."
Correct Answer: B
Rationale: Correct because Assessment includes current objective clinical findings, such as vital
signs and physical exam data.
Q5: Two nurses are in conflict over holiday scheduling. The nurse manager brings them together
to identify common goals and creates a schedule that gives each nurse some preferred days off.
This approach is:
A. Avoiding
B. Competing
C. Collaborating [CORRECT]
D. Accommodating
Correct Answer: C
Rationale: Correct because collaboration involves open communication and joint problem-
solving to achieve a mutually acceptable solution.
Q6: A unit uses a Patient Classification System (PCS) to determine staffing. Which of the
following is the primary purpose of a PCS?
A. Count the total number of patients on the unit
B. Measure the intensity of nursing care required by each patient [CORRECT]
C. Assign patients to rooms based on diagnosis
D. Track the number of admissions per shift
Correct Answer: B
Rationale: Correct because a PCS measures acuity and care intensity, guiding staffing decisions
based on patient needs rather than just census.
, Q7: The quality improvement team is implementing a new fall prevention protocol. They first
collect baseline fall rates and design the intervention. This stage of the PDSA cycle is:
A. Plan [CORRECT]
B. Do
C. Study
D. Act
Correct Answer: A
Rationale: Correct because the Plan phase involves identifying the problem, collecting baseline
data, and designing the intervention.
Q8: A sentinel event occurs on the unit. The hospital initiates a Root Cause Analysis (RCA).
What is the primary goal of an RCA?
A. Punish the individual responsible for the error
B. Identify systemic workflow failures that contributed to the event [CORRECT]
C. Assign blame to the department manager
D. Immediately change all hospital policies
Correct Answer: B
Rationale: Correct because RCA is a retrospective, non-punitive process designed to find system
vulnerabilities, not to blame individuals.
Q9: The nurse manager is fostering a Just Culture. A nurse makes an honest medication error due
to similar-looking packaging. Under Just Culture, this behavior is classified as:
A. Reckless behavior
B. At-risk behavior
C. Human error [CORRECT]
D. Intentional misconduct
Correct Answer: C
Rationale: Correct because human error is an unintentional slip or mistake; under Just Culture, it
is addressed through consolation and system redesign.
Q10: A competent adult patient refuses a blood transfusion that could prolong life. The nurse
supports the patient's decision. Which ethical principle is the nurse demonstrating?
A. Autonomy [CORRECT]
B. Beneficence
C. Nonmaleficence
D. Justice
Correct Answer: A
Comprehensive Final Exam
2026-2028 Testing Cycle | Newly Released
75 Q & A| Grade A+ | Guaranteed Pass
100% Correct Verified Solutions - Fortis
Q1: A nurse manager is assigning patient care for the shift. Which patient should be assigned to
the LPN?
A. A newly admitted patient with an acute stroke requiring frequent neurological assessments
B. A stable patient with a chronic wound requiring a routine dressing change [CORRECT]
C. A patient on a heparin drip with fluctuating PTT levels
D. A patient with new-onset confusion and agitation
Correct Answer: B
Rationale: Correct because the LPN can care for stable patients with routine needs; acute,
unstable, or complex patients require RN assessment and evaluation.
Q2: The RN is delegating tasks to the UAP. Which of the following tasks are appropriate for the
UAP? (Select all that apply.)
A. Ambulating a stable patient with a gait belt [CORRECT]
B. Recording intake and output for a patient on fluid restriction [CORRECT]
C. Teaching a patient how to use an incentive spirometer
D. Measuring vital signs on a stable postoperative patient [CORRECT]
Correct Answer: A, B, D
Rationale: Correct because ambulation, I&O, and vital signs on stable patients are non-invasive
UAP tasks; teaching is an RN-only function under the TAPE rule.
Q3: The nurse manager is preparing the unit budget. The purchase of a new portable ultrasound
machine for IV access, costing $15,000 with a 7-year lifespan, is classified under which budget?
A. Operating budget
B. Personnel budget
,C. Capital budget [CORRECT]
D. Contingency budget
Correct Answer: C
Rationale: Correct because capital budgets cover high-cost, long-term equipment purchases that
exceed a set threshold and last multiple years.
Q4: The RN is using SBAR to notify the provider of a patient's deteriorating condition. Which
statement belongs in the "Assessment" section?
A. "The patient is a 72-year-old with a history of COPD."
B. "The patient's oxygen saturation has dropped to 86% on 2 L nasal cannula." [CORRECT]
C. "I recommend starting the patient on 4 L and obtaining a stat ABG."
D. "The patient was admitted 3 days ago for pneumonia."
Correct Answer: B
Rationale: Correct because Assessment includes current objective clinical findings, such as vital
signs and physical exam data.
Q5: Two nurses are in conflict over holiday scheduling. The nurse manager brings them together
to identify common goals and creates a schedule that gives each nurse some preferred days off.
This approach is:
A. Avoiding
B. Competing
C. Collaborating [CORRECT]
D. Accommodating
Correct Answer: C
Rationale: Correct because collaboration involves open communication and joint problem-
solving to achieve a mutually acceptable solution.
Q6: A unit uses a Patient Classification System (PCS) to determine staffing. Which of the
following is the primary purpose of a PCS?
A. Count the total number of patients on the unit
B. Measure the intensity of nursing care required by each patient [CORRECT]
C. Assign patients to rooms based on diagnosis
D. Track the number of admissions per shift
Correct Answer: B
Rationale: Correct because a PCS measures acuity and care intensity, guiding staffing decisions
based on patient needs rather than just census.
, Q7: The quality improvement team is implementing a new fall prevention protocol. They first
collect baseline fall rates and design the intervention. This stage of the PDSA cycle is:
A. Plan [CORRECT]
B. Do
C. Study
D. Act
Correct Answer: A
Rationale: Correct because the Plan phase involves identifying the problem, collecting baseline
data, and designing the intervention.
Q8: A sentinel event occurs on the unit. The hospital initiates a Root Cause Analysis (RCA).
What is the primary goal of an RCA?
A. Punish the individual responsible for the error
B. Identify systemic workflow failures that contributed to the event [CORRECT]
C. Assign blame to the department manager
D. Immediately change all hospital policies
Correct Answer: B
Rationale: Correct because RCA is a retrospective, non-punitive process designed to find system
vulnerabilities, not to blame individuals.
Q9: The nurse manager is fostering a Just Culture. A nurse makes an honest medication error due
to similar-looking packaging. Under Just Culture, this behavior is classified as:
A. Reckless behavior
B. At-risk behavior
C. Human error [CORRECT]
D. Intentional misconduct
Correct Answer: C
Rationale: Correct because human error is an unintentional slip or mistake; under Just Culture, it
is addressed through consolation and system redesign.
Q10: A competent adult patient refuses a blood transfusion that could prolong life. The nurse
supports the patient's decision. Which ethical principle is the nurse demonstrating?
A. Autonomy [CORRECT]
B. Beneficence
C. Nonmaleficence
D. Justice
Correct Answer: A
