HESI RN LEADERSHIP /MANAGEMENT EXIT
EXAM 2024/2025 QUESTIONS AND CORRECT
ANSWERS GRADED A+
The healthcare team is caring for clients in an emergency department. How soon
should the clients triaged as an emergency severity index-3 (ESI-3) be seen by the
physician according to the five level triage system?
1 Immediately
2 Within 1 hour
3 Could be delayed
4 Within 10 minutes
2 Within 1 hour
The clients triaged as an ESI-3 should be seen by the physician within an hour.
The clients with life-threatening problems are triaged as ESI-1, and they should be
provided with immediate care. The care of the clients in ESI-4 and ESI-5 can be
delayed for some time because the condition of the clients in this level is stable.
Clients with major injuries are triaged as an ESI-2 and require treatment within 10
minutes.
Which question does the registered nurse recognize as related to the right of
circumstance when delegating?
,1 "Is the delegation appropriate to the situation?"
2 "Is the task within the delegatee's scope of practice?"
3 "Is the prospective delegate a willing and able employee?"
4 "Is the delegator able to monitor and evaluate the client appropriately?"
1 "Is the delegation appropriate to the situation?"
The question, "Is the delegation appropriate to the situation?" is related to right
circumstance.
The question, "Is the task within the delegatee's scope of practice?" is related to
right task. The question, "Is the prospective delegate a willing and able employee?"
is related to right person. The question, "Is the delegator able to monitor and
evaluate the client appropriately?" is related to right supervision.
Which factors does the registered nurse consider in the decision to delegate
process? Select all that apply.
1 Evaluation
2 Nursing judgment
3 Predictability of outcomes
4 Pervasive functions of assessment
5 Complexity of the task to be performed
3, 5
Two factors responsible for the decision to delegate process are predictability of
outcomes and complexity of the task to be performed.
,Evaluation, nursing judgment, and pervasive functions are not factors in the
decision to delegate process.
Which actions of the nurse exhibit transactional leadership? Select all that apply.
1 Motivating or inspiring the employees
2 Meeting the targets within the deadline
3 Working according to organizational rules
4 Correcting the errors in a reactive manner
5 Increasing the employee commitment of an organization
2, 3, 4
The characteristics of transactional leadership include valuing the orders and
structures of an organization. The nurse who exhibits transactional leadership will
meet the targets within the deadline given by the organization. The nurse will also
follow the rules of an organization and will correct the errors of an employee in a
reactive manner.
Motivating or inspiring the employees and increasing employee commitment are
the characteristics of transformational leadership.
The unit nurse manager comes to work obviously intoxicated. Which action is the
staff nurse ethically obligated to take?
1 Call the security guard.
2 Tell the nurse manager to go home.
3 Have the supervisor validate the observation.
, 4 Offer the nurse manager a large cup of coffee
3 Have the supervisor validate the observation.
The staff nurse should call the hospital supervisor to confirm and handle the
problem. The security guard has no authority in this situation. Although sending
the nurse manager home removes the nurse manager from the clinical setting, this
action misses an opportunity for documenting the situation and the nurse manager
is in no condition to drive safely. Drinking coffee does not make a person less
intoxicated.
Which aspects are considered when determining the willingness of a nursing
assistant before delegating a task? Select all that apply.
1 Ability
2 Attitude
3 Personality
4 Confidence
5 Commitment
2, 4, 5
An individual's willingness is related to attitude, confidence, and commitment.
Ability is related to knowledge and skills in a specific situation. Personality
characteristics can influence the effectiveness of the delegator.
EXAM 2024/2025 QUESTIONS AND CORRECT
ANSWERS GRADED A+
The healthcare team is caring for clients in an emergency department. How soon
should the clients triaged as an emergency severity index-3 (ESI-3) be seen by the
physician according to the five level triage system?
1 Immediately
2 Within 1 hour
3 Could be delayed
4 Within 10 minutes
2 Within 1 hour
The clients triaged as an ESI-3 should be seen by the physician within an hour.
The clients with life-threatening problems are triaged as ESI-1, and they should be
provided with immediate care. The care of the clients in ESI-4 and ESI-5 can be
delayed for some time because the condition of the clients in this level is stable.
Clients with major injuries are triaged as an ESI-2 and require treatment within 10
minutes.
Which question does the registered nurse recognize as related to the right of
circumstance when delegating?
,1 "Is the delegation appropriate to the situation?"
2 "Is the task within the delegatee's scope of practice?"
3 "Is the prospective delegate a willing and able employee?"
4 "Is the delegator able to monitor and evaluate the client appropriately?"
1 "Is the delegation appropriate to the situation?"
The question, "Is the delegation appropriate to the situation?" is related to right
circumstance.
The question, "Is the task within the delegatee's scope of practice?" is related to
right task. The question, "Is the prospective delegate a willing and able employee?"
is related to right person. The question, "Is the delegator able to monitor and
evaluate the client appropriately?" is related to right supervision.
Which factors does the registered nurse consider in the decision to delegate
process? Select all that apply.
1 Evaluation
2 Nursing judgment
3 Predictability of outcomes
4 Pervasive functions of assessment
5 Complexity of the task to be performed
3, 5
Two factors responsible for the decision to delegate process are predictability of
outcomes and complexity of the task to be performed.
,Evaluation, nursing judgment, and pervasive functions are not factors in the
decision to delegate process.
Which actions of the nurse exhibit transactional leadership? Select all that apply.
1 Motivating or inspiring the employees
2 Meeting the targets within the deadline
3 Working according to organizational rules
4 Correcting the errors in a reactive manner
5 Increasing the employee commitment of an organization
2, 3, 4
The characteristics of transactional leadership include valuing the orders and
structures of an organization. The nurse who exhibits transactional leadership will
meet the targets within the deadline given by the organization. The nurse will also
follow the rules of an organization and will correct the errors of an employee in a
reactive manner.
Motivating or inspiring the employees and increasing employee commitment are
the characteristics of transformational leadership.
The unit nurse manager comes to work obviously intoxicated. Which action is the
staff nurse ethically obligated to take?
1 Call the security guard.
2 Tell the nurse manager to go home.
3 Have the supervisor validate the observation.
, 4 Offer the nurse manager a large cup of coffee
3 Have the supervisor validate the observation.
The staff nurse should call the hospital supervisor to confirm and handle the
problem. The security guard has no authority in this situation. Although sending
the nurse manager home removes the nurse manager from the clinical setting, this
action misses an opportunity for documenting the situation and the nurse manager
is in no condition to drive safely. Drinking coffee does not make a person less
intoxicated.
Which aspects are considered when determining the willingness of a nursing
assistant before delegating a task? Select all that apply.
1 Ability
2 Attitude
3 Personality
4 Confidence
5 Commitment
2, 4, 5
An individual's willingness is related to attitude, confidence, and commitment.
Ability is related to knowledge and skills in a specific situation. Personality
characteristics can influence the effectiveness of the delegator.
