HESI RN LEADERSHIP /MANAGEMENT
EXIT EXAM 2025 TEST BANK 120
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) ALREADY GRADED A+
"The nursing manager wants to implement transformational leadership qualities. Which actions best
describe this style of leadership? Select all that apply.
1 Providing intellectual stimulation
2 Intervening only when problems exist
3 Performing experiments with system redesign
4 Using motivator factors to inspire work performance
5 Monitoring performance and taking action to correct - CORRECT ANSWER=> 1, 3, 4
Transformational leaders provide intellectual stimulation and encourage follower creativity. They
experiment with systems redesign, empower staff, create enthusiasm for practice, and promote
scholarship of practice in client care. They use motivator factors liberally to inspire work performance.
Intervening only when problems exist is a behavior related to transactional leadership. Monitoring
performance and taking corrective action is a transactional leadership quality."
"Which component of delegation is defined as the ability to perform duties in a specific role?
1 Authority
2 Supervision
3 Responsibility
4 Accountability - CORRECT ANSWER=> 1
Authority is the ability to perform duties in a specific role.
Supervision is the provision of guidance and oversight of a delegated task. Responsibility refers to
reliability, dependability, and obligation to accomplish work. Accountability involves determining
whether the actions are appropriate and providing a detailed explanation of what has occurred."
"The healthcare team is caring for a client with neutropenia. Which task is delegated to unlicensed
assistive personnel?
Page | 1
,1 Administering antibiotics
2 Assisting with personal hygiene
3 Monitoring for signs and symptoms of infection
4 Teaching the client and caregivers about how to avoid infection - CORRECT ANSWER=> 2
Unlicensed assistive personnel assisting with the client's personal hygiene.
The licensed practical nurse administers antibiotics. Monitoring for signs and symptoms is performed by
the licensed practical nurse. The registered nurse teaches the client and caregivers how to avoid
infection."
"A client's serum potassium level has increased to 5.8 mEq/L (5.8 mmol/L). What action should the nurse
implement first?
1 Call the laboratory to repeat the test.
2 Take vital signs and notify the healthcare provider.
3 Inform the cardiac arrest team to place them on alert.
4 Take an electrocardiogram and have lidocaine available. - CORRECT ANSWER=> 2
Vital signs monitor cardiorespiratory status; hyperkalemia causes cardiac dysrhythmias. The healthcare
provider should be notified because medical intervention may be necessary.
A repeat laboratory test will take time and probably reaffirm the original results; the client needs
immediate attention. The cardiac arrest team is always on alert and will respond when called for a
cardiac arrest. Taking an electrocardiogram and having lidocaine available are insufficient interventions."
"The nurse has accepted a position as a navigator. What should the nurse expect to learn during training
for this role? Select all that apply.
1 Approaches to reduce the cost of health care
2 Learning ways to work through the health systems
3 Strategies to teach clients about disease, including prevention and treatment
4 Assessing barriers that clients have encountered while attempting to receive care
5 Helping clients cope with delays in receiving treatment until barriers are overcome - CORRECT
ANSWER=> 2, 3, 4, 5
Navigators are responsible for overcoming health system barriers, providing health education about
diseases from prevention to treatment, addressing barriers to care, and providing psychosocial support.
These are the areas the nurse should expect to focus on when being trained in the role.
Learning approaches to reduce the cost of health care would be appropriate for a case manager to
learn."
"What aspect of total client care needs to be taken into consideration if used on a 24-bed care area?
1 Cost of nurses
2 Training needs
Page | 2
,3 Documentation
4 Time commitment - CORRECT ANSWER=> 1 Cost of nurses
Since total client care is provided by a registered nurse (RN) it can be very expensive and not realistic to
use a highly skilled and extremely knowledgeable professional nurse to provide all the care required in a
unit of 24 clients.
There are no particular issues with training, documentation, or time commitment with total client care."
"For which situations would total client care be an appropriate delivery system? Select all that apply.
1 Client scheduled for lithotripsy for renal calculi
2 Client with an endotracheal tube for pulmonary sepsis
3 Client recovering from cardiovascular bypass graft surgery
4 Client recovering from the placement of a cerebrospinal fluid shunt
5 Client transferring to a rehabilitation unit after total hip replacement surgery - CORRECT ANSWER=>
2, 3, 4
Total client care is used in critical care settings where one nurse provides total care to one or two
critically ill clients. The client with an endotracheal tube for pulmonary sepsis and the client recovering
from cardiovascular bypass graft surgery are considered acutely ill and will be receiving care in a critical
care area. The client recovering from cranial surgery to place a cerebrospinal fluid shunt would be
appropriate for total client care.
Total client care would not be an ideal care approach for the client scheduled for lithotripsy or the client
being transferred to a rehabilitation unit."
"Which intervention should the charge nurse perform to manage a task when the unlicensed nursing
personal (UNP) is lacking competence?
1 Provide constructive feedback and assign another task.
2 Provide open vocal feedback and withdraw the UNP from task.
3 Provide additional support and temporarily lower expectations.
4 Provide accountability to the organization and undergo training again. - CORRECT ANSWER=> 3
Provide additional support and temporarily lower expectations.
The charge nurse should manage a task by temporarily lowering expectations and providing additional
support to an unlicensed nursing personal (UNP) who is lacking competence. This strategy allows the
UNP to build on strengths, minimize weaknesses, and gain confidence.
Providing constructive feedback and assigning another task may not improve the strategy of the UNP
and may affect the productivity of the new task. Withdrawing the UNP from the task and providing open
vocal feedback may weaken the working relationship and the UNP may lose confidence or become
frustrated. The charge nurse should be aware of accountability to the organization in case of a failure of
the delegation, but assigning the UNP for further training may lead to high risk for legal liability."
Page | 3
, "Which statement would most likely be made by a client who is receiving care through the functional
method?
1 "My nurse's name is Amy."
2 "Susan will be caring for me until 7 pm."
3 "I have to wait until the medication nurse is available for a pain pill."
4 "Barbara coordinated all of my care but I might receive the care from other nurses." - CORRECT
ANSWER=> 3 "I have to wait until the medication nurse is available for a pain pill."
In the functional method, staff are assigned tasks according to scope of practice. In this approach a
medication nurse will be identified.
Knowing the nurse's name would more likely be a characteristic of team or primary nursing. Knowing
which nurse will provide care for a specific period of time would indicate the case approach to care.
Knowing which nurse coordinated the care that might be provided by others would more likely indicate
primary nursing or case management."
"Which constructive aspects of conflict does the nurse leader identify? Select all that apply.
1 Polarizes groups
2 Releases pent-up emotions
3 Promotes ineffective communication
4 Helps individuals grow personally
5 Builds cohesiveness among people - CORRECT ANSWER=> 2, 4, 5
Conflict serves as a release for pent-up emotion, anxiety, and stress. It helps individuals to grow
personally and apply what they learn to future situations. It helps to build cohesiveness among people
sharing the conflict, celebrating in its settlement and learning more about each other.
It polarizes groups so they increase internal cohesiveness and reduce intergroup cooperation; this is a
destructive aspect of conflict. Authentic communication is an aspect of conflict but not improbable
communication."
"When does delegation become more challenging? Select all that apply.
1 When the client is stable
2 When the client is pregnant
3 When the geographic area is small
4 When the resources are abundant
5 When school children are receiving care - CORRECT ANSWER=> 2 When the client is pregnant, 5
When school children are receiving care
The delegation process becomes more challenging when vulnerable populations such as pregnant
women and school children are receiving care.
Page | 4
EXIT EXAM 2025 TEST BANK 120
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) ALREADY GRADED A+
"The nursing manager wants to implement transformational leadership qualities. Which actions best
describe this style of leadership? Select all that apply.
1 Providing intellectual stimulation
2 Intervening only when problems exist
3 Performing experiments with system redesign
4 Using motivator factors to inspire work performance
5 Monitoring performance and taking action to correct - CORRECT ANSWER=> 1, 3, 4
Transformational leaders provide intellectual stimulation and encourage follower creativity. They
experiment with systems redesign, empower staff, create enthusiasm for practice, and promote
scholarship of practice in client care. They use motivator factors liberally to inspire work performance.
Intervening only when problems exist is a behavior related to transactional leadership. Monitoring
performance and taking corrective action is a transactional leadership quality."
"Which component of delegation is defined as the ability to perform duties in a specific role?
1 Authority
2 Supervision
3 Responsibility
4 Accountability - CORRECT ANSWER=> 1
Authority is the ability to perform duties in a specific role.
Supervision is the provision of guidance and oversight of a delegated task. Responsibility refers to
reliability, dependability, and obligation to accomplish work. Accountability involves determining
whether the actions are appropriate and providing a detailed explanation of what has occurred."
"The healthcare team is caring for a client with neutropenia. Which task is delegated to unlicensed
assistive personnel?
Page | 1
,1 Administering antibiotics
2 Assisting with personal hygiene
3 Monitoring for signs and symptoms of infection
4 Teaching the client and caregivers about how to avoid infection - CORRECT ANSWER=> 2
Unlicensed assistive personnel assisting with the client's personal hygiene.
The licensed practical nurse administers antibiotics. Monitoring for signs and symptoms is performed by
the licensed practical nurse. The registered nurse teaches the client and caregivers how to avoid
infection."
"A client's serum potassium level has increased to 5.8 mEq/L (5.8 mmol/L). What action should the nurse
implement first?
1 Call the laboratory to repeat the test.
2 Take vital signs and notify the healthcare provider.
3 Inform the cardiac arrest team to place them on alert.
4 Take an electrocardiogram and have lidocaine available. - CORRECT ANSWER=> 2
Vital signs monitor cardiorespiratory status; hyperkalemia causes cardiac dysrhythmias. The healthcare
provider should be notified because medical intervention may be necessary.
A repeat laboratory test will take time and probably reaffirm the original results; the client needs
immediate attention. The cardiac arrest team is always on alert and will respond when called for a
cardiac arrest. Taking an electrocardiogram and having lidocaine available are insufficient interventions."
"The nurse has accepted a position as a navigator. What should the nurse expect to learn during training
for this role? Select all that apply.
1 Approaches to reduce the cost of health care
2 Learning ways to work through the health systems
3 Strategies to teach clients about disease, including prevention and treatment
4 Assessing barriers that clients have encountered while attempting to receive care
5 Helping clients cope with delays in receiving treatment until barriers are overcome - CORRECT
ANSWER=> 2, 3, 4, 5
Navigators are responsible for overcoming health system barriers, providing health education about
diseases from prevention to treatment, addressing barriers to care, and providing psychosocial support.
These are the areas the nurse should expect to focus on when being trained in the role.
Learning approaches to reduce the cost of health care would be appropriate for a case manager to
learn."
"What aspect of total client care needs to be taken into consideration if used on a 24-bed care area?
1 Cost of nurses
2 Training needs
Page | 2
,3 Documentation
4 Time commitment - CORRECT ANSWER=> 1 Cost of nurses
Since total client care is provided by a registered nurse (RN) it can be very expensive and not realistic to
use a highly skilled and extremely knowledgeable professional nurse to provide all the care required in a
unit of 24 clients.
There are no particular issues with training, documentation, or time commitment with total client care."
"For which situations would total client care be an appropriate delivery system? Select all that apply.
1 Client scheduled for lithotripsy for renal calculi
2 Client with an endotracheal tube for pulmonary sepsis
3 Client recovering from cardiovascular bypass graft surgery
4 Client recovering from the placement of a cerebrospinal fluid shunt
5 Client transferring to a rehabilitation unit after total hip replacement surgery - CORRECT ANSWER=>
2, 3, 4
Total client care is used in critical care settings where one nurse provides total care to one or two
critically ill clients. The client with an endotracheal tube for pulmonary sepsis and the client recovering
from cardiovascular bypass graft surgery are considered acutely ill and will be receiving care in a critical
care area. The client recovering from cranial surgery to place a cerebrospinal fluid shunt would be
appropriate for total client care.
Total client care would not be an ideal care approach for the client scheduled for lithotripsy or the client
being transferred to a rehabilitation unit."
"Which intervention should the charge nurse perform to manage a task when the unlicensed nursing
personal (UNP) is lacking competence?
1 Provide constructive feedback and assign another task.
2 Provide open vocal feedback and withdraw the UNP from task.
3 Provide additional support and temporarily lower expectations.
4 Provide accountability to the organization and undergo training again. - CORRECT ANSWER=> 3
Provide additional support and temporarily lower expectations.
The charge nurse should manage a task by temporarily lowering expectations and providing additional
support to an unlicensed nursing personal (UNP) who is lacking competence. This strategy allows the
UNP to build on strengths, minimize weaknesses, and gain confidence.
Providing constructive feedback and assigning another task may not improve the strategy of the UNP
and may affect the productivity of the new task. Withdrawing the UNP from the task and providing open
vocal feedback may weaken the working relationship and the UNP may lose confidence or become
frustrated. The charge nurse should be aware of accountability to the organization in case of a failure of
the delegation, but assigning the UNP for further training may lead to high risk for legal liability."
Page | 3
, "Which statement would most likely be made by a client who is receiving care through the functional
method?
1 "My nurse's name is Amy."
2 "Susan will be caring for me until 7 pm."
3 "I have to wait until the medication nurse is available for a pain pill."
4 "Barbara coordinated all of my care but I might receive the care from other nurses." - CORRECT
ANSWER=> 3 "I have to wait until the medication nurse is available for a pain pill."
In the functional method, staff are assigned tasks according to scope of practice. In this approach a
medication nurse will be identified.
Knowing the nurse's name would more likely be a characteristic of team or primary nursing. Knowing
which nurse will provide care for a specific period of time would indicate the case approach to care.
Knowing which nurse coordinated the care that might be provided by others would more likely indicate
primary nursing or case management."
"Which constructive aspects of conflict does the nurse leader identify? Select all that apply.
1 Polarizes groups
2 Releases pent-up emotions
3 Promotes ineffective communication
4 Helps individuals grow personally
5 Builds cohesiveness among people - CORRECT ANSWER=> 2, 4, 5
Conflict serves as a release for pent-up emotion, anxiety, and stress. It helps individuals to grow
personally and apply what they learn to future situations. It helps to build cohesiveness among people
sharing the conflict, celebrating in its settlement and learning more about each other.
It polarizes groups so they increase internal cohesiveness and reduce intergroup cooperation; this is a
destructive aspect of conflict. Authentic communication is an aspect of conflict but not improbable
communication."
"When does delegation become more challenging? Select all that apply.
1 When the client is stable
2 When the client is pregnant
3 When the geographic area is small
4 When the resources are abundant
5 When school children are receiving care - CORRECT ANSWER=> 2 When the client is pregnant, 5
When school children are receiving care
The delegation process becomes more challenging when vulnerable populations such as pregnant
women and school children are receiving care.
Page | 4
