HESI LEADERSHIP EXIT EXAM VERSION 2 50
QUESTIONS AND ANSWERS 2024.
A new graduate is asked to serve on the hospital's Quality Improvement Committee.
What does the nurse know is the first step in the quality improvement process?
a)Collect data to determine if standards are met
b)Implement a plan to correct the problem
c)Identify the standard
d)Determine if the findings warrant correction - ansC
A new graduate nurse is employed in a small community hospital. The nurse notices
practices which seem to be very physician driven and that patients have little input into
their care. Families are seen as a nuisance rather than as partners in potential care
provision. What is the best approach for the new nurse to use for improving care in this
setting?
a)Do nothing. They are too new to the organization to make change.
b)Share with the physician the recommendations from various IOM reports.
c)Share with their team members what they know about the aims of providing health
care.
d)Report the team members to the chief nursing officer who is unlikely to know the lack
of details on this unit. - ansC
A new nurse sees a flyer for a workshop on healthcare relationship building and
recognizes that relationship building with those in current leadership positions is
challenging for her. She decides to attend. By making the decision to attend what is the
new nurse demonstrating?
a)Social awareness
b)Self management
c)Strengths-based learning
d)Personal leadership - ansB
A new nurse wants to be a change agent on the unit. What action listed would be the
MOST appropriate for the nurse to take?
a)Become an early adopter
b)Wait until a more experienced nurse vocalizes support
c)Seek help from her nurse manager
d)Talk to a peer on another unit about the problems with more experienced nurses -
ansA
A new nurse works on a busy medical-surgical unit. While the charge nurse keeps the
unit organized and running smoothly, the nurse notices that another experienced nurse
is the nurse to whom most of the other nurses ask questions and seek information. How
does the new nurse view this experienced nurse?
a)A formal leader
b)A positional leader
,HESI LEADERSHIP EXIT EXAM VERSION 2 50
QUESTIONS AND ANSWERS 2024.
c)An official leader
d)An informal leader - ansD
A new staff nurse discovers two of the certified nursing assistants (CNAs) in the utility
room speaking loudly and pointing at each other. What is the MOST appropriate action
by the nurse?
a)Continue walking down the hall, believing they will work it out.
b)Walk into the utility room and tell them to stop or they will be reported to HR.
c)Make an observation about their behavior and ask them what's going on.
d) Get the nurse manager and take her to the utility room. - ansd
A nurse has accepted a new position in a different organization and is composing a
resignation letter for the manager of her current position. What items, if included in the
letter, is likely to prevent the nurse from being rehired in the same organization in the
future?
a)An offer to negotiate a resignation date around department needs
b)A summary of the verbal resignation discussion with the manager
c)A list and full description of co-workers' annoying off-duty behaviors
A positive statement about what has been learned from the position - ansc
A nurse manager wants to decrease the number of medication errors that occur in the
department. The manager arranges a meeting with the staff to discuss the medication
error concerns. How does the manager convey a philosophy of total quality
management?
a) Explaining to the staff that disciplinary action will be taken for further errors
b) Recommending that a multidisciplinary team assess the root cause of the medication
errors
c) Suggesting that the pharmacy department explore their role in the problem
d) Changing the unit policy to allow a certain number of medication errors per year
without penalty - ansB
A nurse manager wants to highlight the accomplishments of the nurses who are
providing high-quality care on a medical unit in a tertiary care medical center. What is
an example of a nurse-sensitive outcome that could be used for this project?
a)Pressure ulcer rate compared with a national benchmark rate
b)Patient satisfaction scores compared with other hospitals
c)Nurse satisfaction scores compared with other hospitals
d)Percentage of patients with heart failure who are prescribed an angiotensin-
converting enzyme (ACE) inhibitor on hospital discharge - ansA
A very close relationship exists between stress management and time management.
What is the best way to define time management?
,HESI LEADERSHIP EXIT EXAM VERSION 2 50
QUESTIONS AND ANSWERS 2024.
a) "Going with the flow" so that unexpected events don't have a negative impact on the
plans for the day
b) Using tools and principles to engage others in low-priority needs and objectives in
order that the leader may occupy self with high-priority needs
c) Using tools, techniques, and principles to achieve personal and professional goals
d) Doing things that matter to others, such as supervisors, subordinates, and peers -
ansC
An 83-year-old white man is admitted to a large suburban nursing home. Today, an
African-American nurse's aide is assigned to care for the patient and assist him with a
shower. The patient refuses to go with the nurse's aide for the shower. Later in the day,
the patient's son arrives and insists that no African Americans be allowed to participate
in the patient's care. Only a few nurse's aides and professional staff members in this
setting are African American. What is the most appropriate strategy to manage this
situation?
a)Refer the patient and his son to the administration.
b)Because this will be the patient's home, plan the care to accommodate the family's
wishes.
c)Offer to have someone else bathe the patient today until someone in administration
can talk with the patient.
d)Indicate that it is not within the institution's practice to restrict who provides care to
patients. - ansD
An incident report of the incident described in the previous question needs to be
completed. What is the appropriate wording to be included in the incident report?
a)"Patient was noted to have a low arterial blood pressure (76/40), and the vasopressor
medication was discontinued."
b)"Patient's vasopressor medication was infusing at a higher rate than ordered and the
medication was discontinued when the patient's blood pressure dropped to 76/40."
c)"Nurse M.J. started the vasopressor medication, the patient subsequently was noted
to have a blood pressure reading of 76/40, the medication was discontinued, and the
physician was also notified."
d)"Patient receiving vasopressor medication intravenously, blood pressure noted to be
76/40, and intravenous infusion discontinued. Physician notified and orders received for
500 mL normal saline administered for hypotension." - ansD
During bedside rounds, a surgeon turns to the charge nurse and says, "The poor
nursing care has caused this wound to become infected. Can't nurses at this hospital do
anything right?" What is the appropriate response by the charge nurse?
a) "The nursing care on this unit has received awards and certainly is not the problem."
b) "Let's first decide what to do for Mrs. Johnson and then step into the hall and talk
further about your concerns."
, HESI LEADERSHIP EXIT EXAM VERSION 2 50
QUESTIONS AND ANSWERS 2024.
c) "It is inappropriate to talk to me that way. I will report this to my supervisor."
d) Would you like to change the antibiotic Mrs. Johnson is receiving?" - ansb
Emotional intelligence (EI) is a quality critical to the development of a new leader. This
trait should inspire those who follow a leader whom demonstrates high levels of EI.
What is the BEST example which illustrates emotional intelligence?
a) Manager who conducts rounds on unit, makes eye contact with team members, and
generally makes time to hear about the issues of the day.
b) Manager holds meetings at the nurses station to be able to respond to emergencies
and phone calls yet is rarely seen in scrubs helping at the bedside.
c) Manager who holds team accountable. However, she interrupts people frequently at
meetings and raises voice when disagrees with them.
d) Manager writes down thoughts and puts them in an e-mail, often very late at night, for
her team or colleagues to read. She expects others to respond to them by the first
meeting of the day. She frequently reschedules meetings for personal reasons yet give -
ansa
How can a leader deal fairly with employees who fail to meet established standards of
care?
a)Determine if the employee issue is a will or skill issue.
b)Conduct a chart review that reflects the care issue.
c)Ask questions of the employee that can reflect the employee's knowledge base.
d)Ask other staff to document concerns to use for discharging. - ansC
Mr. Grandion was admitted to a rehabilitation center after discharge from a hospital. He
has not walked in the 5 days while he was hospitalized and is provided a wheelchair.
Dining with other residents is expected, and staffing is limited on a holiday weekend.
What is the best strategy to ensure Mr. Grandion has sufficient nutrition and exercise?
a)Tell Mr. Grandion to stay in bed and someone will bring a tray to his room because
the staff can't get him to the dining room in time for dinner
b)Assist Mr. Grandion into his wheelchair and remind him that in 2 hours he must be in
the dining room if he wishes to eat.
c)Request help from another unit before dinner and indicate the nature of help needed.
d)Order a life device to transfer Mr. Grandion from his bed to the wheelchair. - ansc
Nurses were long viewed by physicians, legislators, the media, and others as powerless
because nurses:
a)declined to participate in political activities in the earliest years of the profession in the
United States.
b)as women were subject to control by medicine and other paternalistic groups; women
had limited legal rights in late 19th-century America.
c)and nursing leaders in the mid-20th century did not wish to be viewed by those
outside of nursing as pushy or demanding.
QUESTIONS AND ANSWERS 2024.
A new graduate is asked to serve on the hospital's Quality Improvement Committee.
What does the nurse know is the first step in the quality improvement process?
a)Collect data to determine if standards are met
b)Implement a plan to correct the problem
c)Identify the standard
d)Determine if the findings warrant correction - ansC
A new graduate nurse is employed in a small community hospital. The nurse notices
practices which seem to be very physician driven and that patients have little input into
their care. Families are seen as a nuisance rather than as partners in potential care
provision. What is the best approach for the new nurse to use for improving care in this
setting?
a)Do nothing. They are too new to the organization to make change.
b)Share with the physician the recommendations from various IOM reports.
c)Share with their team members what they know about the aims of providing health
care.
d)Report the team members to the chief nursing officer who is unlikely to know the lack
of details on this unit. - ansC
A new nurse sees a flyer for a workshop on healthcare relationship building and
recognizes that relationship building with those in current leadership positions is
challenging for her. She decides to attend. By making the decision to attend what is the
new nurse demonstrating?
a)Social awareness
b)Self management
c)Strengths-based learning
d)Personal leadership - ansB
A new nurse wants to be a change agent on the unit. What action listed would be the
MOST appropriate for the nurse to take?
a)Become an early adopter
b)Wait until a more experienced nurse vocalizes support
c)Seek help from her nurse manager
d)Talk to a peer on another unit about the problems with more experienced nurses -
ansA
A new nurse works on a busy medical-surgical unit. While the charge nurse keeps the
unit organized and running smoothly, the nurse notices that another experienced nurse
is the nurse to whom most of the other nurses ask questions and seek information. How
does the new nurse view this experienced nurse?
a)A formal leader
b)A positional leader
,HESI LEADERSHIP EXIT EXAM VERSION 2 50
QUESTIONS AND ANSWERS 2024.
c)An official leader
d)An informal leader - ansD
A new staff nurse discovers two of the certified nursing assistants (CNAs) in the utility
room speaking loudly and pointing at each other. What is the MOST appropriate action
by the nurse?
a)Continue walking down the hall, believing they will work it out.
b)Walk into the utility room and tell them to stop or they will be reported to HR.
c)Make an observation about their behavior and ask them what's going on.
d) Get the nurse manager and take her to the utility room. - ansd
A nurse has accepted a new position in a different organization and is composing a
resignation letter for the manager of her current position. What items, if included in the
letter, is likely to prevent the nurse from being rehired in the same organization in the
future?
a)An offer to negotiate a resignation date around department needs
b)A summary of the verbal resignation discussion with the manager
c)A list and full description of co-workers' annoying off-duty behaviors
A positive statement about what has been learned from the position - ansc
A nurse manager wants to decrease the number of medication errors that occur in the
department. The manager arranges a meeting with the staff to discuss the medication
error concerns. How does the manager convey a philosophy of total quality
management?
a) Explaining to the staff that disciplinary action will be taken for further errors
b) Recommending that a multidisciplinary team assess the root cause of the medication
errors
c) Suggesting that the pharmacy department explore their role in the problem
d) Changing the unit policy to allow a certain number of medication errors per year
without penalty - ansB
A nurse manager wants to highlight the accomplishments of the nurses who are
providing high-quality care on a medical unit in a tertiary care medical center. What is
an example of a nurse-sensitive outcome that could be used for this project?
a)Pressure ulcer rate compared with a national benchmark rate
b)Patient satisfaction scores compared with other hospitals
c)Nurse satisfaction scores compared with other hospitals
d)Percentage of patients with heart failure who are prescribed an angiotensin-
converting enzyme (ACE) inhibitor on hospital discharge - ansA
A very close relationship exists between stress management and time management.
What is the best way to define time management?
,HESI LEADERSHIP EXIT EXAM VERSION 2 50
QUESTIONS AND ANSWERS 2024.
a) "Going with the flow" so that unexpected events don't have a negative impact on the
plans for the day
b) Using tools and principles to engage others in low-priority needs and objectives in
order that the leader may occupy self with high-priority needs
c) Using tools, techniques, and principles to achieve personal and professional goals
d) Doing things that matter to others, such as supervisors, subordinates, and peers -
ansC
An 83-year-old white man is admitted to a large suburban nursing home. Today, an
African-American nurse's aide is assigned to care for the patient and assist him with a
shower. The patient refuses to go with the nurse's aide for the shower. Later in the day,
the patient's son arrives and insists that no African Americans be allowed to participate
in the patient's care. Only a few nurse's aides and professional staff members in this
setting are African American. What is the most appropriate strategy to manage this
situation?
a)Refer the patient and his son to the administration.
b)Because this will be the patient's home, plan the care to accommodate the family's
wishes.
c)Offer to have someone else bathe the patient today until someone in administration
can talk with the patient.
d)Indicate that it is not within the institution's practice to restrict who provides care to
patients. - ansD
An incident report of the incident described in the previous question needs to be
completed. What is the appropriate wording to be included in the incident report?
a)"Patient was noted to have a low arterial blood pressure (76/40), and the vasopressor
medication was discontinued."
b)"Patient's vasopressor medication was infusing at a higher rate than ordered and the
medication was discontinued when the patient's blood pressure dropped to 76/40."
c)"Nurse M.J. started the vasopressor medication, the patient subsequently was noted
to have a blood pressure reading of 76/40, the medication was discontinued, and the
physician was also notified."
d)"Patient receiving vasopressor medication intravenously, blood pressure noted to be
76/40, and intravenous infusion discontinued. Physician notified and orders received for
500 mL normal saline administered for hypotension." - ansD
During bedside rounds, a surgeon turns to the charge nurse and says, "The poor
nursing care has caused this wound to become infected. Can't nurses at this hospital do
anything right?" What is the appropriate response by the charge nurse?
a) "The nursing care on this unit has received awards and certainly is not the problem."
b) "Let's first decide what to do for Mrs. Johnson and then step into the hall and talk
further about your concerns."
, HESI LEADERSHIP EXIT EXAM VERSION 2 50
QUESTIONS AND ANSWERS 2024.
c) "It is inappropriate to talk to me that way. I will report this to my supervisor."
d) Would you like to change the antibiotic Mrs. Johnson is receiving?" - ansb
Emotional intelligence (EI) is a quality critical to the development of a new leader. This
trait should inspire those who follow a leader whom demonstrates high levels of EI.
What is the BEST example which illustrates emotional intelligence?
a) Manager who conducts rounds on unit, makes eye contact with team members, and
generally makes time to hear about the issues of the day.
b) Manager holds meetings at the nurses station to be able to respond to emergencies
and phone calls yet is rarely seen in scrubs helping at the bedside.
c) Manager who holds team accountable. However, she interrupts people frequently at
meetings and raises voice when disagrees with them.
d) Manager writes down thoughts and puts them in an e-mail, often very late at night, for
her team or colleagues to read. She expects others to respond to them by the first
meeting of the day. She frequently reschedules meetings for personal reasons yet give -
ansa
How can a leader deal fairly with employees who fail to meet established standards of
care?
a)Determine if the employee issue is a will or skill issue.
b)Conduct a chart review that reflects the care issue.
c)Ask questions of the employee that can reflect the employee's knowledge base.
d)Ask other staff to document concerns to use for discharging. - ansC
Mr. Grandion was admitted to a rehabilitation center after discharge from a hospital. He
has not walked in the 5 days while he was hospitalized and is provided a wheelchair.
Dining with other residents is expected, and staffing is limited on a holiday weekend.
What is the best strategy to ensure Mr. Grandion has sufficient nutrition and exercise?
a)Tell Mr. Grandion to stay in bed and someone will bring a tray to his room because
the staff can't get him to the dining room in time for dinner
b)Assist Mr. Grandion into his wheelchair and remind him that in 2 hours he must be in
the dining room if he wishes to eat.
c)Request help from another unit before dinner and indicate the nature of help needed.
d)Order a life device to transfer Mr. Grandion from his bed to the wheelchair. - ansc
Nurses were long viewed by physicians, legislators, the media, and others as powerless
because nurses:
a)declined to participate in political activities in the earliest years of the profession in the
United States.
b)as women were subject to control by medicine and other paternalistic groups; women
had limited legal rights in late 19th-century America.
c)and nursing leaders in the mid-20th century did not wish to be viewed by those
outside of nursing as pushy or demanding.
