HESI RN LEADERSHIP MANAGEMENT EXIT EXAM LATEST
2026-2027 120 QUESTIONS AND 100% Verified
ANSWERS
Which behavior of the nurse indicates management skills according to Gardner's task of achieving
workable unity?
1 Assisting the client/family with planning, priority setting, and decision making
2 Assisting multidisciplinary leaders to achieve optimal functioning to benefit client care delivery
3 Assisting clients to achieve optimal functioning to benefit the transition to enhanced health functions
4 Assisting staff to achieve optimal functioning to benefit the transition to enhanced organizational
functions - answer>>4 Assisting staff to achieve optimal functioning to benefit the transition to
enhanced organizational functions
According to Gardner's task of achieving workable unity, the nurse in a management position helps the
staff achieve optimal functioning to benefit transition to enhanced organizational functions. Assisting
the client/family with planning, priority setting, and decision making is the clinical position of Gardner's
task of managing. Assisting multidisciplinary leaders to achieve optimal functioning to benefit client
care delivery is the executive position of Gardner's task of achieving workable unity. Assisting clients to
achieve optimal functioning to benefit the transition to enhanced health functions is the clinical
position of Gardner's task of achieving workable unity.
The nurse manager is looking to include members of the health care team in the decision-making
process but finds that many members are reluctant to offer ideas. Which approach by the manager
generates a large volume of creative options while encouraging reticent members of the team to
participate?
1 Applying the Delphi technique
2 Organizing focus groups
3 Planning brainstorming sessions
4 Applying nominal group techniques - answer>>3
Brainstorming helps to get a large volume of creative options from the team by providing a safe
environment for the contribution of ideas.
,The application of the Delphi technique, focus groups strategy, and nominal group techniques are also
effective in minimizing these problems, but do not provide a large volume of creative options. The
Delphi technique involves collection and summarization of opinions and judgments on a particular issue
from expert panels through interviews, surveys, or questionnaires. A focus group involves organizing
moderated discussions with small groups of people to identify problems or evaluate processes; it is less
likely to provide a nonjudgmental environment for generating ideas. A nominal group technique allows
the opportunity to the team members to share ideas, but their ideas are judged and merits are given to
each idea.
A client with myocardial infarction is admitted in the emergency department, and the primary health
care provider recommended the placement of a stent. The client is incompetent to understand the
situation. What model does the nurse manager think would be beneficial in this situation?
1 Decision model
2 Autonomy model
3 Social justice model
4 Patient-benefit model - answer>>4 Patient-benefit model
The patient-benefit model uses substituted judgment such as determining what the client would want
for himself or herself if capable of making these issues known, and thereby facilitates decision making
for incompetent clients.
The decision model is used for nurses; it depends on specific circumstances to know if the situation is
routine and predictable or complex and uncertain. The autonomy model facilitates decision making for
competent clients. The social justice model considers broad social issues and is accountable to the
overall institution.
Which type of behavior by the registered nurse results in a low-to-stable level of commitment?
1 Punitive
2 Charismatic
3 Inspirational
,4 Intellectual stimulation - answer>>1
Punitive behavior is a type of transactional leadership behavior that results in a low-to-stable level of
commitment as an organizational outcome.
Charismatic, inspirational, and intellectual stimulation are transformational leadership behaviors that
result in increased commitment as an organizational outcome.
The leader encounters a situation where the nursing outcomes are unpredictable. Which attributes or
approaches should the leader utilize to navigate this situation? Select all that apply.
1 Creativity
2 Experience
3 Enthusiasm
4 Group process
5 Independent decision making - answer>>1 Creativity, 2 Experience, 4 Group process
A situation with unpredictable results requires creativity, experience, and group process.
Enthusiasm is an important quality of a follower but it would be a secondary factor to be considered in
this situation. Independent decision making would not be appropriate to this situation. Rather, the
leader should seek expert opinion and involve key stakeholders.
The nurse manager orders the direct care nurse to assist in providing tertiary care to a client. Which
type of treatment would the direct care nurse be involved in?
1 Chronic care
2 Rehabilitation
3 Health maintenance
4 Prevention of disease complications - answer>>2
Tertiary care includes rehabilitation.
, Chronic care and health maintenance are considered primary care, and prevention of disease
complications is classified as secondary care.
The nurse leader arranges a meeting with the staff members to learn how satisfied they are with their
jobs. Which approach by the nurse leader would outline effective leadership? Select all that apply.
1 Seeking feedback from the team
2 Allotting work schedules to the team
3 Penalizing the team for poor performance
4 Motivating the team to reach the desired goals
5 Asking the team to participate in decision making - answer>>1, 4, 5
Seeking feedback from the team will help the team members in reaching the organizational goals and a
shared vision. The most important leadership quality is to motivate the team members in such a way
that they are satisfied with their jobs and helped in reaching their goals. Asking team members to
participate in decision making will improve their job satisfaction.
Allotting the work schedules and penalizing team members for poor performance are the duties of a
nurse manager.
During a peer review, the manager finds that a newly appointed nurse leader encourages "bottom up"
interaction among the workers. To which statement of the staff does the manager relate this?
1 "He/she accepts responsibility willingly."
2 "He/she is empathetic to the experiences of others."
3 "He/she involves us in shaping policies for client care."
4 "He/she believes in unleashing constructive energy rather than constraining energy." - answer>>3
"He/she involves us in shaping policies for client care."
2026-2027 120 QUESTIONS AND 100% Verified
ANSWERS
Which behavior of the nurse indicates management skills according to Gardner's task of achieving
workable unity?
1 Assisting the client/family with planning, priority setting, and decision making
2 Assisting multidisciplinary leaders to achieve optimal functioning to benefit client care delivery
3 Assisting clients to achieve optimal functioning to benefit the transition to enhanced health functions
4 Assisting staff to achieve optimal functioning to benefit the transition to enhanced organizational
functions - answer>>4 Assisting staff to achieve optimal functioning to benefit the transition to
enhanced organizational functions
According to Gardner's task of achieving workable unity, the nurse in a management position helps the
staff achieve optimal functioning to benefit transition to enhanced organizational functions. Assisting
the client/family with planning, priority setting, and decision making is the clinical position of Gardner's
task of managing. Assisting multidisciplinary leaders to achieve optimal functioning to benefit client
care delivery is the executive position of Gardner's task of achieving workable unity. Assisting clients to
achieve optimal functioning to benefit the transition to enhanced health functions is the clinical
position of Gardner's task of achieving workable unity.
The nurse manager is looking to include members of the health care team in the decision-making
process but finds that many members are reluctant to offer ideas. Which approach by the manager
generates a large volume of creative options while encouraging reticent members of the team to
participate?
1 Applying the Delphi technique
2 Organizing focus groups
3 Planning brainstorming sessions
4 Applying nominal group techniques - answer>>3
Brainstorming helps to get a large volume of creative options from the team by providing a safe
environment for the contribution of ideas.
,The application of the Delphi technique, focus groups strategy, and nominal group techniques are also
effective in minimizing these problems, but do not provide a large volume of creative options. The
Delphi technique involves collection and summarization of opinions and judgments on a particular issue
from expert panels through interviews, surveys, or questionnaires. A focus group involves organizing
moderated discussions with small groups of people to identify problems or evaluate processes; it is less
likely to provide a nonjudgmental environment for generating ideas. A nominal group technique allows
the opportunity to the team members to share ideas, but their ideas are judged and merits are given to
each idea.
A client with myocardial infarction is admitted in the emergency department, and the primary health
care provider recommended the placement of a stent. The client is incompetent to understand the
situation. What model does the nurse manager think would be beneficial in this situation?
1 Decision model
2 Autonomy model
3 Social justice model
4 Patient-benefit model - answer>>4 Patient-benefit model
The patient-benefit model uses substituted judgment such as determining what the client would want
for himself or herself if capable of making these issues known, and thereby facilitates decision making
for incompetent clients.
The decision model is used for nurses; it depends on specific circumstances to know if the situation is
routine and predictable or complex and uncertain. The autonomy model facilitates decision making for
competent clients. The social justice model considers broad social issues and is accountable to the
overall institution.
Which type of behavior by the registered nurse results in a low-to-stable level of commitment?
1 Punitive
2 Charismatic
3 Inspirational
,4 Intellectual stimulation - answer>>1
Punitive behavior is a type of transactional leadership behavior that results in a low-to-stable level of
commitment as an organizational outcome.
Charismatic, inspirational, and intellectual stimulation are transformational leadership behaviors that
result in increased commitment as an organizational outcome.
The leader encounters a situation where the nursing outcomes are unpredictable. Which attributes or
approaches should the leader utilize to navigate this situation? Select all that apply.
1 Creativity
2 Experience
3 Enthusiasm
4 Group process
5 Independent decision making - answer>>1 Creativity, 2 Experience, 4 Group process
A situation with unpredictable results requires creativity, experience, and group process.
Enthusiasm is an important quality of a follower but it would be a secondary factor to be considered in
this situation. Independent decision making would not be appropriate to this situation. Rather, the
leader should seek expert opinion and involve key stakeholders.
The nurse manager orders the direct care nurse to assist in providing tertiary care to a client. Which
type of treatment would the direct care nurse be involved in?
1 Chronic care
2 Rehabilitation
3 Health maintenance
4 Prevention of disease complications - answer>>2
Tertiary care includes rehabilitation.
, Chronic care and health maintenance are considered primary care, and prevention of disease
complications is classified as secondary care.
The nurse leader arranges a meeting with the staff members to learn how satisfied they are with their
jobs. Which approach by the nurse leader would outline effective leadership? Select all that apply.
1 Seeking feedback from the team
2 Allotting work schedules to the team
3 Penalizing the team for poor performance
4 Motivating the team to reach the desired goals
5 Asking the team to participate in decision making - answer>>1, 4, 5
Seeking feedback from the team will help the team members in reaching the organizational goals and a
shared vision. The most important leadership quality is to motivate the team members in such a way
that they are satisfied with their jobs and helped in reaching their goals. Asking team members to
participate in decision making will improve their job satisfaction.
Allotting the work schedules and penalizing team members for poor performance are the duties of a
nurse manager.
During a peer review, the manager finds that a newly appointed nurse leader encourages "bottom up"
interaction among the workers. To which statement of the staff does the manager relate this?
1 "He/she accepts responsibility willingly."
2 "He/she is empathetic to the experiences of others."
3 "He/she involves us in shaping policies for client care."
4 "He/she believes in unleashing constructive energy rather than constraining energy." - answer>>3
"He/she involves us in shaping policies for client care."
