NURSING · 2026/2027 LATEST UPDATE
HESI RN Leadership & Management Exit Exam
2026 Delegation, Ethics, Conflict Resolution
- Complete Study Guide
160+ Verified Exam Questions · Rated A+ · Guaranteed
Results
✔ Delegation & Staff Management ✔ Ethical Decision Making & Dilemmas
✔ Nursing Leadership Styles ✔ Conflict Resolution & Team Communication
Instant PDF Download · 100% Verified Answers · Score 90%+
, BEST SELLER · NURSING
HESI RN Leadership & Management Exit Exam 2026
A+
Delegation, Ethics, Conflict Resolution 2026/2027 - Q&A
Rated
with Verified Answers
Every section. Every topic. 100% correct answers guaranteed. Used by 5,000+
nursing students to pass on their first attempt.
Delegation & Staff Management Nursing Leadership Styles
Ethical Decision Making & Dilemmas
Conflict Resolution & Team Communication
Used by 5,000+ students · 100% Verified Answers · 2026/2027 Latest Update
Instant PDF Download
,SECTION 1 | Delegation & Staff Management | Q1-Q40 | HESI RN Leadership & Management Exit Exam 2026 Delegation, Ethics, Conflict Resolution 2026/2027
Q1 Question 1 of 160
A charge nurse on a medical-surgical unit is planning assignments for the shift.
The unit has one RN, one LPN, and one unlicensed assistive personnel. A 72-year-
old patient with a new colostomy requires stoma care and patient teaching. The
charge nurse should assign this task to which team member?
A. The unlicensed assistive personnel because stoma care is a basic bedside task that
does not require nursing judgment
B. The LPN because stoma care falls within the LPN scope and the patient is stable
postoperatively
C. The RN because new colostomy care and initial patient teaching require professional
nursing assessment and evaluation
D. The charge nurse must perform the task personally because delegation of stoma care
is not permitted
Correct Answer: C
Rationale:
New colostomy care and patient teaching require the assessment skills, evaluation, and
teaching expertise of a registered nurse. The patient has a new colostomy requiring initial
instruction on care and potential complication identification, which exceeds LPN scope and UAP
capability. Stable, established ostomy care could be delegated to an LPN, but not initial
teaching.
Q2 Question 2 of 160
A nurse manager is reviewing staffing patterns and notices that overtime costs
have increased by 30% over the past quarter. The manager decides to analyze the
root cause before implementing changes. This approach reflects which management
principle?
A. Autocratic decision-making where the manager independently determines the solution
without staff input
B. Evidence-based management that gathers and analyzes data before implementing
changes
C. Laissez-faire leadership that allows the situation to resolve without intervention
D. Crisis management that reacts to problems only after they become critical
Correct Answer: B
HESI RN Leadership & Management Exit Exam 2026 Delegation, Ethics, Conflict Resolution — 2026/2027 | Passing Score: 850 scaled (75%) | Page 3 of 85
, Rationale:
Evidence-based management involves collecting and analyzing data to identify root causes
before implementing solutions, leading to more effective and sustainable changes. Autocratic
decision-making skips analysis, laissez-faire avoids intervention, and crisis management is
reactive rather than proactive, none of which describe this analytical approach.
Q3 Question 3 of 160
A registered nurse delegates the task of ambulating a stable postoperative patient
to unlicensed assistive personnel. The UAP allows the patient to fall while
ambulating. According to the principle of delegation, who bears the ultimate
accountability for this patient outcome?
A. The UAP bears full accountability because the UAP physically caused the fall during
the ambulation
B. The patient bears responsibility because the patient should have communicated
feeling unsteady
C. The RN retains ultimate accountability because the RN cannot delegate
responsibility for patient outcomes
D. The hospital administration is accountable because the institution sets staffing
ratios
Correct Answer: C
Rationale:
While tasks can be delegated, accountability for patient outcomes remains with the delegating
RN. The five rights of delegation require the RN to ensure the right task is assigned to the
right person with the right communication and supervision. The UAP is responsible for
performing the task correctly, but the RN cannot delegate accountability for the overall
patient outcome.
Q4 Question 4 of 160
A nurse manager is implementing a new scheduling system and wants to ensure staff
buy-in. The manager holds a unit meeting to explain the rationale, solicits
feedback, and incorporates staff suggestions into the final plan. Which leadership
style does this demonstrate?
A. Democratic leadership that involves staff in decision-making and values their
contributions
B. Autocratic leadership where the manager makes all decisions independently for
efficiency
C. Laissez-faire leadership where the manager abdicates decision-making to the group
entirely
D. Transactional leadership that uses rewards and punishments to motivate compliance
Correct Answer: A
HESI RN Leadership & Management Exit Exam 2026 Delegation, Ethics, Conflict Resolution — 2026/2027 | Passing Score: 850 scaled (75%) | Page 4 of 85
HESI RN Leadership & Management Exit Exam
2026 Delegation, Ethics, Conflict Resolution
- Complete Study Guide
160+ Verified Exam Questions · Rated A+ · Guaranteed
Results
✔ Delegation & Staff Management ✔ Ethical Decision Making & Dilemmas
✔ Nursing Leadership Styles ✔ Conflict Resolution & Team Communication
Instant PDF Download · 100% Verified Answers · Score 90%+
, BEST SELLER · NURSING
HESI RN Leadership & Management Exit Exam 2026
A+
Delegation, Ethics, Conflict Resolution 2026/2027 - Q&A
Rated
with Verified Answers
Every section. Every topic. 100% correct answers guaranteed. Used by 5,000+
nursing students to pass on their first attempt.
Delegation & Staff Management Nursing Leadership Styles
Ethical Decision Making & Dilemmas
Conflict Resolution & Team Communication
Used by 5,000+ students · 100% Verified Answers · 2026/2027 Latest Update
Instant PDF Download
,SECTION 1 | Delegation & Staff Management | Q1-Q40 | HESI RN Leadership & Management Exit Exam 2026 Delegation, Ethics, Conflict Resolution 2026/2027
Q1 Question 1 of 160
A charge nurse on a medical-surgical unit is planning assignments for the shift.
The unit has one RN, one LPN, and one unlicensed assistive personnel. A 72-year-
old patient with a new colostomy requires stoma care and patient teaching. The
charge nurse should assign this task to which team member?
A. The unlicensed assistive personnel because stoma care is a basic bedside task that
does not require nursing judgment
B. The LPN because stoma care falls within the LPN scope and the patient is stable
postoperatively
C. The RN because new colostomy care and initial patient teaching require professional
nursing assessment and evaluation
D. The charge nurse must perform the task personally because delegation of stoma care
is not permitted
Correct Answer: C
Rationale:
New colostomy care and patient teaching require the assessment skills, evaluation, and
teaching expertise of a registered nurse. The patient has a new colostomy requiring initial
instruction on care and potential complication identification, which exceeds LPN scope and UAP
capability. Stable, established ostomy care could be delegated to an LPN, but not initial
teaching.
Q2 Question 2 of 160
A nurse manager is reviewing staffing patterns and notices that overtime costs
have increased by 30% over the past quarter. The manager decides to analyze the
root cause before implementing changes. This approach reflects which management
principle?
A. Autocratic decision-making where the manager independently determines the solution
without staff input
B. Evidence-based management that gathers and analyzes data before implementing
changes
C. Laissez-faire leadership that allows the situation to resolve without intervention
D. Crisis management that reacts to problems only after they become critical
Correct Answer: B
HESI RN Leadership & Management Exit Exam 2026 Delegation, Ethics, Conflict Resolution — 2026/2027 | Passing Score: 850 scaled (75%) | Page 3 of 85
, Rationale:
Evidence-based management involves collecting and analyzing data to identify root causes
before implementing solutions, leading to more effective and sustainable changes. Autocratic
decision-making skips analysis, laissez-faire avoids intervention, and crisis management is
reactive rather than proactive, none of which describe this analytical approach.
Q3 Question 3 of 160
A registered nurse delegates the task of ambulating a stable postoperative patient
to unlicensed assistive personnel. The UAP allows the patient to fall while
ambulating. According to the principle of delegation, who bears the ultimate
accountability for this patient outcome?
A. The UAP bears full accountability because the UAP physically caused the fall during
the ambulation
B. The patient bears responsibility because the patient should have communicated
feeling unsteady
C. The RN retains ultimate accountability because the RN cannot delegate
responsibility for patient outcomes
D. The hospital administration is accountable because the institution sets staffing
ratios
Correct Answer: C
Rationale:
While tasks can be delegated, accountability for patient outcomes remains with the delegating
RN. The five rights of delegation require the RN to ensure the right task is assigned to the
right person with the right communication and supervision. The UAP is responsible for
performing the task correctly, but the RN cannot delegate accountability for the overall
patient outcome.
Q4 Question 4 of 160
A nurse manager is implementing a new scheduling system and wants to ensure staff
buy-in. The manager holds a unit meeting to explain the rationale, solicits
feedback, and incorporates staff suggestions into the final plan. Which leadership
style does this demonstrate?
A. Democratic leadership that involves staff in decision-making and values their
contributions
B. Autocratic leadership where the manager makes all decisions independently for
efficiency
C. Laissez-faire leadership where the manager abdicates decision-making to the group
entirely
D. Transactional leadership that uses rewards and punishments to motivate compliance
Correct Answer: A
HESI RN Leadership & Management Exit Exam 2026 Delegation, Ethics, Conflict Resolution — 2026/2027 | Passing Score: 850 scaled (75%) | Page 4 of 85
