Hesi Leadership Exit Exam Version 2
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
What is the first action a charge nurse should take when a staff nurse refuses an assignment,
claiming it is unsafe?
✔✔Assess the assignment and determine if the nurse’s concerns are valid before making
adjustments.
How should a nurse leader handle a staff conflict that disrupts unit workflow?
✔✔Facilitate private communication between the involved staff to resolve the issue
professionally.
What should a nurse manager do when a staff nurse consistently demonstrates poor time
management?
✔✔Provide coaching, prioritize workload review, and offer strategies to improve efficiency.
What is the best leadership response when nurses express burnout from repeated overtime?
✔✔Reassess staffing patterns, advocate for additional support, and promote work-life balance.
1
,What is the most appropriate action for a nurse manager when a medication error is reported?
✔✔Complete an incident report, investigate contributing factors, and implement system
improvements.
When a new graduate nurse expresses fear of making mistakes, what should the nurse leader do?
✔✔Offer mentoring, reassurance, and opportunities for guided practice to build confidence.
How should the nurse manager address complaints of delayed call light responses?
✔✔Monitor response times, discuss accountability with staff, and reinforce patient-centered care
expectations.
What is the correct action when a nurse is suspected of working while impaired?
✔✔Remove the nurse from patient care immediately and follow organizational policy for
impaired staff.
What should the leader do when families complain about poor communication regarding care
plans?
✔✔Encourage consistent updates, reinforce family-centered communication, and hold staff
accountable.
2
, What is the first step when staff morale is low and turnover is rising?
✔✔Conduct a staff satisfaction assessment and develop strategies to improve engagement.
What should the nurse leader do when staff are resistant to implementing new policies?
✔✔Educate staff on the purpose of the policy and involve them in the change process.
What action should a charge nurse take if a staff nurse becomes overwhelmed during a code?
✔✔Assign the nurse a specific role appropriate to their skill level and provide support.
What is the priority when a unit experiences multiple patient falls in a short period?
✔✔Analyze fall incidents, identify risk factors, and implement fall prevention strategies.
What should a leader do when a nurse consistently documents after care is performed
inaccurately?
✔✔Provide education on timely documentation and monitor for compliance.
3
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
What is the first action a charge nurse should take when a staff nurse refuses an assignment,
claiming it is unsafe?
✔✔Assess the assignment and determine if the nurse’s concerns are valid before making
adjustments.
How should a nurse leader handle a staff conflict that disrupts unit workflow?
✔✔Facilitate private communication between the involved staff to resolve the issue
professionally.
What should a nurse manager do when a staff nurse consistently demonstrates poor time
management?
✔✔Provide coaching, prioritize workload review, and offer strategies to improve efficiency.
What is the best leadership response when nurses express burnout from repeated overtime?
✔✔Reassess staffing patterns, advocate for additional support, and promote work-life balance.
1
,What is the most appropriate action for a nurse manager when a medication error is reported?
✔✔Complete an incident report, investigate contributing factors, and implement system
improvements.
When a new graduate nurse expresses fear of making mistakes, what should the nurse leader do?
✔✔Offer mentoring, reassurance, and opportunities for guided practice to build confidence.
How should the nurse manager address complaints of delayed call light responses?
✔✔Monitor response times, discuss accountability with staff, and reinforce patient-centered care
expectations.
What is the correct action when a nurse is suspected of working while impaired?
✔✔Remove the nurse from patient care immediately and follow organizational policy for
impaired staff.
What should the leader do when families complain about poor communication regarding care
plans?
✔✔Encourage consistent updates, reinforce family-centered communication, and hold staff
accountable.
2
, What is the first step when staff morale is low and turnover is rising?
✔✔Conduct a staff satisfaction assessment and develop strategies to improve engagement.
What should the nurse leader do when staff are resistant to implementing new policies?
✔✔Educate staff on the purpose of the policy and involve them in the change process.
What action should a charge nurse take if a staff nurse becomes overwhelmed during a code?
✔✔Assign the nurse a specific role appropriate to their skill level and provide support.
What is the priority when a unit experiences multiple patient falls in a short period?
✔✔Analyze fall incidents, identify risk factors, and implement fall prevention strategies.
What should a leader do when a nurse consistently documents after care is performed
inaccurately?
✔✔Provide education on timely documentation and monitor for compliance.
3
