HESI Leadership & Management Exam
With Actual Questions & Verified
Answers,Plus Rationales/Expert
Verified For Guaranteed Pass
2025/2026 /Latest Update/Instant
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1. A nurse manager is planning assignments for a team that includes an RN, an LPN, and
a UAP. Which task is appropriate to assign to the UAP?
a. Administering oral medications
b. Inserting a Foley catheter
c. Assisting a patient with ambulation
d. Teaching about wound care
c. Assisting a patient with ambulation
Rationale: UAPs can assist with basic care activities such as ambulation, hygiene,
and vital signs. Medication administration, invasive procedures, and teaching are
outside their scope.
2. A new graduate nurse is overwhelmed by their workload. The charge nurse suggests
prioritizing using Maslow’s hierarchy of needs. Which patient should the nurse see
first?
a. A patient requesting pain medication for 6/10 pain
b. A patient with shortness of breath and low oxygen saturation
c. A patient requesting assistance to the bathroom
d. A patient anxious about upcoming surgery
b. A patient with shortness of breath and low oxygen saturation
Rationale: Airway and breathing are top priority according to Maslow and ABCs of
prioritization.
3. A nurse manager is implementing a change in the documentation system. Which
strategy will most effectively reduce staff resistance?
a. Mandating compliance with the new system
b. Ignoring staff concerns
, c. Involving staff in the planning process
d. Waiting until resistance decreases on its own
c. Involving staff in the planning process
Rationale: Participation in decision-making reduces resistance and increases
acceptance of change.
4. A nurse is delegating tasks. Which task is most appropriate for an LPN?
a. Administering IV push morphine
b. Developing a plan of care
c. Administering oral antibiotics
d. Assessing a newly admitted patient
c. Administering oral antibiotics
Rationale: LPNs can administer oral medications but cannot perform initial
assessments, IV push meds, or create care plans.
5. A charge nurse notes two nurses are arguing loudly at the nurses’ station. What is the
best initial action?
a. Ignore the situation
b. Ask them to take the discussion to a private area
c. Reprimand them in front of the staff
d. Report them to administration
b. Ask them to take the discussion to a private area
Rationale: Conflict should be addressed privately to maintain professionalism and
avoid disrupting patient care.
6. Which patient is most appropriate for the nurse to assign to an LPN?
a. A patient requiring discharge teaching
b. A patient with unstable chest pain
c. A patient needing wound care and dressing changes
d. A newly admitted diabetic requiring assessment
c. A patient needing wound care and dressing changes
Rationale: LPNs can perform wound care but not initial assessments, unstable
patient care, or discharge teaching.
7. A nurse manager is reviewing staff performance. Which action demonstrates
accountability?
a. Blaming the team for medication errors
b. Accepting responsibility for a missed dressing change
c. Denying involvement in a patient fall
d. Delegating all tasks to others
b. Accepting responsibility for a missed dressing change
Rationale: Accountability involves owning actions and outcomes of nursing care.
, 8. The nurse leader is practicing transformational leadership. Which behavior is an
example?
a. Giving orders without input
b. Inspiring staff with a shared vision
c. Monitoring staff for mistakes
d. Limiting autonomy in decision-making
b. Inspiring staff with a shared vision
Rationale: Transformational leaders motivate and inspire staff toward a common
goal.
9. A staff nurse reports unsafe staffing to the nurse manager, but no action is taken.
What is the nurse’s next step?
a. Report to the state board of nursing
b. File a formal grievance or report to higher administration
c. Refuse to care for assigned patients
d. Ignore the situation
b. File a formal grievance or report to higher administration
Rationale: Following the chain of command ensures proper resolution of staffing
concerns.
10. Which statement best describes evidence-based practice in nursing leadership?
a. Making decisions based on personal preferences
b. Using interventions supported by research and clinical expertise
c. Allowing tradition to guide practice
d. Relying solely on patient opinions
b. Using interventions supported by research and clinical expertise
Rationale: Evidence-based practice integrates research, expertise, and patient
preferences.
11. A nurse is preparing for a disaster drill. Which action demonstrates effective
prioritization?
a. Assigning the same tasks to all staff
b. Triage patients based on severity of illness
c. Allowing staff to choose which patients to care for
d. Focusing only on high-acuity patients
b. Triage patients based on severity of illness
Rationale: Disaster triage ensures limited resources are used efficiently, addressing
the most critical patients first.
12. A nurse leader wants to reduce staff turnover. Which strategy is most effective?
a. Increasing mandatory overtime
b. Providing professional development opportunities
c. Limiting communication with staff
With Actual Questions & Verified
Answers,Plus Rationales/Expert
Verified For Guaranteed Pass
2025/2026 /Latest Update/Instant
Download Pdf
1. A nurse manager is planning assignments for a team that includes an RN, an LPN, and
a UAP. Which task is appropriate to assign to the UAP?
a. Administering oral medications
b. Inserting a Foley catheter
c. Assisting a patient with ambulation
d. Teaching about wound care
c. Assisting a patient with ambulation
Rationale: UAPs can assist with basic care activities such as ambulation, hygiene,
and vital signs. Medication administration, invasive procedures, and teaching are
outside their scope.
2. A new graduate nurse is overwhelmed by their workload. The charge nurse suggests
prioritizing using Maslow’s hierarchy of needs. Which patient should the nurse see
first?
a. A patient requesting pain medication for 6/10 pain
b. A patient with shortness of breath and low oxygen saturation
c. A patient requesting assistance to the bathroom
d. A patient anxious about upcoming surgery
b. A patient with shortness of breath and low oxygen saturation
Rationale: Airway and breathing are top priority according to Maslow and ABCs of
prioritization.
3. A nurse manager is implementing a change in the documentation system. Which
strategy will most effectively reduce staff resistance?
a. Mandating compliance with the new system
b. Ignoring staff concerns
, c. Involving staff in the planning process
d. Waiting until resistance decreases on its own
c. Involving staff in the planning process
Rationale: Participation in decision-making reduces resistance and increases
acceptance of change.
4. A nurse is delegating tasks. Which task is most appropriate for an LPN?
a. Administering IV push morphine
b. Developing a plan of care
c. Administering oral antibiotics
d. Assessing a newly admitted patient
c. Administering oral antibiotics
Rationale: LPNs can administer oral medications but cannot perform initial
assessments, IV push meds, or create care plans.
5. A charge nurse notes two nurses are arguing loudly at the nurses’ station. What is the
best initial action?
a. Ignore the situation
b. Ask them to take the discussion to a private area
c. Reprimand them in front of the staff
d. Report them to administration
b. Ask them to take the discussion to a private area
Rationale: Conflict should be addressed privately to maintain professionalism and
avoid disrupting patient care.
6. Which patient is most appropriate for the nurse to assign to an LPN?
a. A patient requiring discharge teaching
b. A patient with unstable chest pain
c. A patient needing wound care and dressing changes
d. A newly admitted diabetic requiring assessment
c. A patient needing wound care and dressing changes
Rationale: LPNs can perform wound care but not initial assessments, unstable
patient care, or discharge teaching.
7. A nurse manager is reviewing staff performance. Which action demonstrates
accountability?
a. Blaming the team for medication errors
b. Accepting responsibility for a missed dressing change
c. Denying involvement in a patient fall
d. Delegating all tasks to others
b. Accepting responsibility for a missed dressing change
Rationale: Accountability involves owning actions and outcomes of nursing care.
, 8. The nurse leader is practicing transformational leadership. Which behavior is an
example?
a. Giving orders without input
b. Inspiring staff with a shared vision
c. Monitoring staff for mistakes
d. Limiting autonomy in decision-making
b. Inspiring staff with a shared vision
Rationale: Transformational leaders motivate and inspire staff toward a common
goal.
9. A staff nurse reports unsafe staffing to the nurse manager, but no action is taken.
What is the nurse’s next step?
a. Report to the state board of nursing
b. File a formal grievance or report to higher administration
c. Refuse to care for assigned patients
d. Ignore the situation
b. File a formal grievance or report to higher administration
Rationale: Following the chain of command ensures proper resolution of staffing
concerns.
10. Which statement best describes evidence-based practice in nursing leadership?
a. Making decisions based on personal preferences
b. Using interventions supported by research and clinical expertise
c. Allowing tradition to guide practice
d. Relying solely on patient opinions
b. Using interventions supported by research and clinical expertise
Rationale: Evidence-based practice integrates research, expertise, and patient
preferences.
11. A nurse is preparing for a disaster drill. Which action demonstrates effective
prioritization?
a. Assigning the same tasks to all staff
b. Triage patients based on severity of illness
c. Allowing staff to choose which patients to care for
d. Focusing only on high-acuity patients
b. Triage patients based on severity of illness
Rationale: Disaster triage ensures limited resources are used efficiently, addressing
the most critical patients first.
12. A nurse leader wants to reduce staff turnover. Which strategy is most effective?
a. Increasing mandatory overtime
b. Providing professional development opportunities
c. Limiting communication with staff
