MANAGEMENT AND LEADERSHIP HESI 2026
STUDY GUIDE CORE NURSING LEADERSHIP
PRINCIPLES AND DECISION MAKING SKILLS
◉ Good Samaritan Act?
Answer: Means of protecting a nurse when he or she is performing
emergency care
◉ If the nurse carries out a provider's prescription that she is not
prepared for and does not inform the provider about her lack of
preparation?
Answer: The nurse is soley responsible for any damages.
◉ If nurse informs provider of her lack of preparation in carrying
out a prescription and carries out the prescription anywa?
Answer: The nurse and the physician are liable for damages
◉ Can the nurse alter the prescription dosage of drug?
Answer: NEVER. Nursing judgement cannot be substituted with
medical judgement. If she believes the dosage is wrong, she should
inform the health care provider, record the response of the provider,
, inform the nursing supervisor, refuse to carry out wrong
prescription.
◉ What should a nurse do if she believes a provider's prescription is
made with poor judgement? - i.e. she doesn't believe the pt needs a
tranquilizer.
Answer: Record that the health care provider was notified and that
the prescription was questioned. Carry out the prescription as
ordered.
◉ Nurse Practice Acts govern policies related to making
assignments. Ie for a sterile dressing change:
Answer: Should be done by an RN or LPN-licensed practical nurse,
who has been checked off this procedure.
◉ What does assertive communication start with?
Answer: "I need" rather than "you must"
◉ Motivation comes from within an individual. What can a nurse
leader provide?
Answer: Nurse leader can provide an environment that will promote
motivation through positive feedback, respect, and seeking input.
Look for responses that demonstrate these behaviors.
STUDY GUIDE CORE NURSING LEADERSHIP
PRINCIPLES AND DECISION MAKING SKILLS
◉ Good Samaritan Act?
Answer: Means of protecting a nurse when he or she is performing
emergency care
◉ If the nurse carries out a provider's prescription that she is not
prepared for and does not inform the provider about her lack of
preparation?
Answer: The nurse is soley responsible for any damages.
◉ If nurse informs provider of her lack of preparation in carrying
out a prescription and carries out the prescription anywa?
Answer: The nurse and the physician are liable for damages
◉ Can the nurse alter the prescription dosage of drug?
Answer: NEVER. Nursing judgement cannot be substituted with
medical judgement. If she believes the dosage is wrong, she should
inform the health care provider, record the response of the provider,
, inform the nursing supervisor, refuse to carry out wrong
prescription.
◉ What should a nurse do if she believes a provider's prescription is
made with poor judgement? - i.e. she doesn't believe the pt needs a
tranquilizer.
Answer: Record that the health care provider was notified and that
the prescription was questioned. Carry out the prescription as
ordered.
◉ Nurse Practice Acts govern policies related to making
assignments. Ie for a sterile dressing change:
Answer: Should be done by an RN or LPN-licensed practical nurse,
who has been checked off this procedure.
◉ What does assertive communication start with?
Answer: "I need" rather than "you must"
◉ Motivation comes from within an individual. What can a nurse
leader provide?
Answer: Nurse leader can provide an environment that will promote
motivation through positive feedback, respect, and seeking input.
Look for responses that demonstrate these behaviors.
