LEADERSHIP HESI FINAL EXAM 2026/2027 QUESTIONS
AND SOLUTIONS RATED A+
✔✔What statement by a newly promoted nurse manager indicates the need for follow-
up on leadership style and development for the manager?
a)"As a new leader, I should identify and work with a mentor."
b)"I intend to promote shared decision making in my unit."
c)"I don't need to worry about engaging my workforce because all nurses are naturally
engaged."
"I will purposefully cultivate a broad follower base in my unit." - ✔✔C
✔✔When administering medications to a patient utilizing bar-code technology, what is
the most important first step?
a)Scan patient's identification band
b)Scan medication
c)Administer medication
d)Check the five rights - ✔✔d
✔✔A new nurse wants to be a change agent on the unit. What action listed would be
the MOST appropriate for the nurse to take?
a)Become an early adopter
b)Wait until a more experienced nurse vocalizes support
c)Seek help from her nurse manager
d)Talk to a peer on another unit about the problems with more experienced nurses -
✔✔A
✔✔A new staff nurse discovers two of the certified nursing assistants (CNAs) in the
utility room speaking loudly and pointing at each other. What is the MOST appropriate
action by the nurse?
a)Continue walking down the hall, believing they will work it out.
b)Walk into the utility room and tell them to stop or they will be reported to HR.
c)Make an observation about their behavior and ask them what's going on.
d) Get the nurse manager and take her to the utility room. - ✔✔d
✔✔What type of performance appraisal is based on the employee and manager jointly
setting goals?
a)Management by objective
b)Behaviorally anchored rating scales
c)Critical incidents
d)Narrative method - ✔✔a
✔✔Role theory provides one framework for development and evaluation of staff. What
term describes when employees are unwilling or unable to meet requirements?
a)Role ambiguity
, b)Role conflict
c)Role acquisition
d)Role clarity - ✔✔B
✔✔An 83-year-old white man is admitted to a large suburban nursing home. Today, an
African-American nurse's aide is assigned to care for the patient and assist him with a
shower. The patient refuses to go with the nurse's aide for the shower. Later in the day,
the patient's son arrives and insists that no African Americans be allowed to participate
in the patient's care. Only a few nurse's aides and professional staff members in this
setting are African American. What is the most appropriate strategy to manage this
situation?
a)Refer the patient and his son to the administration.
b)Because this will be the patient's home, plan the care to accommodate the family's
wishes.
c)Offer to have someone else bathe the patient today until someone in administration
can talk with the patient.
d)Indicate that it is not within the institution's practice to restrict who provides care to
patients. - ✔✔D
✔✔A new graduate is asked to serve on the hospital's Quality Improvement Committee.
What does the nurse know is the first step in the quality improvement process?
a)Collect data to determine if standards are met
b)Implement a plan to correct the problem
c)Identify the standard
d)Determine if the findings warrant correction - ✔✔C
✔✔A nurse manager wants to decrease the number of medication errors that occur in
the department. The manager arranges a meeting with the staff to discuss the
medication error concerns. How does the manager convey a philosophy of total quality
management?
a) Explaining to the staff that disciplinary action will be taken for further errors
b) Recommending that a multidisciplinary team assess the root cause of the medication
errors
c) Suggesting that the pharmacy department explore their role in the problem
d) Changing the unit policy to allow a certain number of medication errors per year
without penalty - ✔✔B
✔✔A nurse manager wants to highlight the accomplishments of the nurses who are
providing high-quality care on a medical unit in a tertiary care medical center. What is
an example of a nurse-sensitive outcome that could be used for this project?
a)Pressure ulcer rate compared with a national benchmark rate
b)Patient satisfaction scores compared with other hospitals
c)Nurse satisfaction scores compared with other hospitals
AND SOLUTIONS RATED A+
✔✔What statement by a newly promoted nurse manager indicates the need for follow-
up on leadership style and development for the manager?
a)"As a new leader, I should identify and work with a mentor."
b)"I intend to promote shared decision making in my unit."
c)"I don't need to worry about engaging my workforce because all nurses are naturally
engaged."
"I will purposefully cultivate a broad follower base in my unit." - ✔✔C
✔✔When administering medications to a patient utilizing bar-code technology, what is
the most important first step?
a)Scan patient's identification band
b)Scan medication
c)Administer medication
d)Check the five rights - ✔✔d
✔✔A new nurse wants to be a change agent on the unit. What action listed would be
the MOST appropriate for the nurse to take?
a)Become an early adopter
b)Wait until a more experienced nurse vocalizes support
c)Seek help from her nurse manager
d)Talk to a peer on another unit about the problems with more experienced nurses -
✔✔A
✔✔A new staff nurse discovers two of the certified nursing assistants (CNAs) in the
utility room speaking loudly and pointing at each other. What is the MOST appropriate
action by the nurse?
a)Continue walking down the hall, believing they will work it out.
b)Walk into the utility room and tell them to stop or they will be reported to HR.
c)Make an observation about their behavior and ask them what's going on.
d) Get the nurse manager and take her to the utility room. - ✔✔d
✔✔What type of performance appraisal is based on the employee and manager jointly
setting goals?
a)Management by objective
b)Behaviorally anchored rating scales
c)Critical incidents
d)Narrative method - ✔✔a
✔✔Role theory provides one framework for development and evaluation of staff. What
term describes when employees are unwilling or unable to meet requirements?
a)Role ambiguity
, b)Role conflict
c)Role acquisition
d)Role clarity - ✔✔B
✔✔An 83-year-old white man is admitted to a large suburban nursing home. Today, an
African-American nurse's aide is assigned to care for the patient and assist him with a
shower. The patient refuses to go with the nurse's aide for the shower. Later in the day,
the patient's son arrives and insists that no African Americans be allowed to participate
in the patient's care. Only a few nurse's aides and professional staff members in this
setting are African American. What is the most appropriate strategy to manage this
situation?
a)Refer the patient and his son to the administration.
b)Because this will be the patient's home, plan the care to accommodate the family's
wishes.
c)Offer to have someone else bathe the patient today until someone in administration
can talk with the patient.
d)Indicate that it is not within the institution's practice to restrict who provides care to
patients. - ✔✔D
✔✔A new graduate is asked to serve on the hospital's Quality Improvement Committee.
What does the nurse know is the first step in the quality improvement process?
a)Collect data to determine if standards are met
b)Implement a plan to correct the problem
c)Identify the standard
d)Determine if the findings warrant correction - ✔✔C
✔✔A nurse manager wants to decrease the number of medication errors that occur in
the department. The manager arranges a meeting with the staff to discuss the
medication error concerns. How does the manager convey a philosophy of total quality
management?
a) Explaining to the staff that disciplinary action will be taken for further errors
b) Recommending that a multidisciplinary team assess the root cause of the medication
errors
c) Suggesting that the pharmacy department explore their role in the problem
d) Changing the unit policy to allow a certain number of medication errors per year
without penalty - ✔✔B
✔✔A nurse manager wants to highlight the accomplishments of the nurses who are
providing high-quality care on a medical unit in a tertiary care medical center. What is
an example of a nurse-sensitive outcome that could be used for this project?
a)Pressure ulcer rate compared with a national benchmark rate
b)Patient satisfaction scores compared with other hospitals
c)Nurse satisfaction scores compared with other hospitals
