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HESI Management Practice Test Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

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HESI Management Practice Test Questions and Answers | Latest Version | 2025/2026 | Correct & Verified A nurse manager observes frequent medication errors in the unit. What is the first action the manager should take? A. Punish the nurse responsible B. Remove all high-risk medications from the unit C. Conduct a root cause analysis to identify contributing factors D. Limit nurse-patient assignments A staff nurse reports feeling overwhelmed with patient assignments. What is the best management intervention? A. Increase the nurse’s workload to build resilience B. Reassess staffing ratios and redistribute assignments C. Advise the nurse to work overtime D. Refer the nurse to HR immediately A nurse manager wants to improve communication during shift changes. Which strategy is most effective? 2 A. Allow nurses to decide how to hand off information B. Use only verbal reports during handoff C. Implement a standardized handoff tool like SBAR D. Skip handoff if the unit is busy A patient develops sudden respiratory distress postoperatively. What is the first action of the charge nurse? A. Call the patient’s family B. Ensure emergency response and notify the provider C. Document the event before acting D. Wait for the next shift to handle it A nurse manager is evaluating staff performance. Which method is most effective? A. Verbal feedback only during annual review B. Continuous performance evaluations with clear objectives C. Ignoring minor errors to maintain morale D. Using peer gossip as the main source of evaluation 3 A unit has frequent patient falls. Which intervention should the nurse manager implement first? A. Restrict patient mobility completely B. Increase medication doses C. Conduct a fall risk assessment and implement prevention protocols D. Blame staff for negligence A nurse manager observes inconsistent documentation of vital signs. What is the best first action? A. Discipline staff immediately B. Reduce patient assignments C. Audit records and provide targeted education on documentation standards D. Ignore it if there are no adverse outcomes A staff nurse reports a conflict with a coworker. What is the best management approach? A. Ignore the issue and hope it resolves B. Facilitate a structured conflict resolution meeting C. Separate the nurses permanently D. Escalate directly to hospital administration 4 A nurse manager notices repeated surgical site infections. What should be done first? A. Cancel all upcoming surgeries B. Review infection control policies and compliance C. Punish staff responsible D. Change surgical equipment vendors A new nurse asks about prioritizing patient care. Which advice is most appropriate? A. Complete tasks in the order assigned by senior staff only B. Focus solely on routine tasks first C. Prioritize based on patient acuity and safety D. Treat all patients equally without considering condition

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HESI Management Practice Test
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A nurse manager observes frequent medication errors in the unit. What is the first action the

manager should take?

A. Punish the nurse responsible

B. Remove all high-risk medications from the unit


✔✔C. Conduct a root cause analysis to identify contributing factors


D. Limit nurse-patient assignments




A staff nurse reports feeling overwhelmed with patient assignments. What is the best

management intervention?

A. Increase the nurse’s workload to build resilience


✔✔B. Reassess staffing ratios and redistribute assignments


C. Advise the nurse to work overtime

D. Refer the nurse to HR immediately




A nurse manager wants to improve communication during shift changes. Which strategy is most

effective?

1

,A. Allow nurses to decide how to hand off information

B. Use only verbal reports during handoff


✔✔C. Implement a standardized handoff tool like SBAR


D. Skip handoff if the unit is busy




A patient develops sudden respiratory distress postoperatively. What is the first action of the

charge nurse?

A. Call the patient’s family


✔✔B. Ensure emergency response and notify the provider


C. Document the event before acting

D. Wait for the next shift to handle it




A nurse manager is evaluating staff performance. Which method is most effective?

A. Verbal feedback only during annual review


✔✔B. Continuous performance evaluations with clear objectives


C. Ignoring minor errors to maintain morale

D. Using peer gossip as the main source of evaluation




2

, A unit has frequent patient falls. Which intervention should the nurse manager implement first?

A. Restrict patient mobility completely

B. Increase medication doses


✔✔C. Conduct a fall risk assessment and implement prevention protocols


D. Blame staff for negligence




A nurse manager observes inconsistent documentation of vital signs. What is the best first

action?

A. Discipline staff immediately

B. Reduce patient assignments


✔✔C. Audit records and provide targeted education on documentation standards


D. Ignore it if there are no adverse outcomes




A staff nurse reports a conflict with a coworker. What is the best management approach?

A. Ignore the issue and hope it resolves


✔✔B. Facilitate a structured conflict resolution meeting


C. Separate the nurses permanently

D. Escalate directly to hospital administration


3

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