HESI RN LEADERSHIP AND MANAGEMENT EXIT
EXAM | COMPREHENSIVE 100-QUESTION TEST
BANK WITH VERIFIED ANSWERS | HESI RN REVIEW |
PRACTICE EXAM | STUDY GUIDE |
SECTION 1: LEADERSHIP THEORIES AND STYLES
(Questions 1-15)
1. Which actions of the nurse exhibit transactional leadership? Select all that apply.
A. Motivating or inspiring the employees
B. Meeting the targets within the deadline
C. Working according to organizational rules
D. Correcting the errors in a reactive manner
E. Increasing the employee commitment of an organization
ANSWER: B, C, D
2. The nursing manager wants to implement transformational leadership qualities. Which
actions best describe this style of leadership? Select all that apply.
A. Providing intellectual stimulation
B. Intervening only when problems exist
,C. Performing experiments with system redesign
D. Using motivator factors to inspire work performance
E. Monitoring performance and taking action to correct
ANSWER: A, C, D
3. Under a leader, a team of followers has failed to achieve success in conducting
research. What does an effective leader do in this situation?
A. Criticizes the team members for failure
B. Provides excuses for the negative outcome
C. Refuses to take the responsibility for failure
D. Accepts failure and gains experience from it
ANSWER: D
4. A nurse manager exhibits characteristics of a laissez-faire leadership style. Which
behavior would the nurse manager most likely demonstrate?
A. Makes all decisions without input from staff
B. Provides minimal direction and allows staff to make decisions
C. Motivates staff through inspirational vision and intellectual stimulation
D. Focuses on meeting organizational targets and correcting errors reactively
ANSWER: B
,5. A newly appointed nurse manager wants to implement shared governance on the unit.
Which action should the manager take first?
A. Assign staff nurses to lead specific quality improvement projects
B. Develop a unit-based council structure with elected staff representatives
C. Request that the hospital administration approve a governance budget
D. Conduct a staff survey to assess readiness for shared decision-making
ANSWER: D
6. A charge nurse consistently uses an autocratic leadership style. Which outcome is most
likely to occur on this unit?
A. High staff satisfaction and retention rates
B. Increased creativity and innovation among staff
C. Rapid decision-making during emergency situations
D. Strong interdisciplinary collaboration and communication
ANSWER: C
7. A nurse leader is implementing Kotter's 8-step change model to address high rates of
hospital-acquired infections. After creating a sense of urgency, which step should the
leader take next?
A. Generate short-term wins
B. Form a powerful guiding coalition
C. Communicate the vision throughout the organization
, D. Empower broad-based action to remove obstacles
ANSWER: B
8. A unit is experiencing low morale and high turnover. The nurse manager decides to
implement a democratic leadership approach. Which action best reflects this style?
A. Allowing staff to vote on all unit policies and procedures
B. Consulting with staff before making major decisions affecting the unit
C. Delegating all decision-making responsibilities to a staff committee
D. Maintaining full control while soliciting input from senior staff members
ANSWER: B
9. A nurse manager is applying Lewin's change theory to implement a new medication
administration system. During the "unfreezing" stage, which action is most appropriate?
A. Implementing the new system on a trial basis
B. Collecting data to demonstrate the need for change
C. Reinforcing staff who successfully use the new system
D. Providing ongoing training and support during implementation
ANSWER: B
10. The nurse manager notices that a staff nurse exhibits behaviors consistent with
emotional intelligence. Which behavior did the manager observe?
EXAM | COMPREHENSIVE 100-QUESTION TEST
BANK WITH VERIFIED ANSWERS | HESI RN REVIEW |
PRACTICE EXAM | STUDY GUIDE |
SECTION 1: LEADERSHIP THEORIES AND STYLES
(Questions 1-15)
1. Which actions of the nurse exhibit transactional leadership? Select all that apply.
A. Motivating or inspiring the employees
B. Meeting the targets within the deadline
C. Working according to organizational rules
D. Correcting the errors in a reactive manner
E. Increasing the employee commitment of an organization
ANSWER: B, C, D
2. The nursing manager wants to implement transformational leadership qualities. Which
actions best describe this style of leadership? Select all that apply.
A. Providing intellectual stimulation
B. Intervening only when problems exist
,C. Performing experiments with system redesign
D. Using motivator factors to inspire work performance
E. Monitoring performance and taking action to correct
ANSWER: A, C, D
3. Under a leader, a team of followers has failed to achieve success in conducting
research. What does an effective leader do in this situation?
A. Criticizes the team members for failure
B. Provides excuses for the negative outcome
C. Refuses to take the responsibility for failure
D. Accepts failure and gains experience from it
ANSWER: D
4. A nurse manager exhibits characteristics of a laissez-faire leadership style. Which
behavior would the nurse manager most likely demonstrate?
A. Makes all decisions without input from staff
B. Provides minimal direction and allows staff to make decisions
C. Motivates staff through inspirational vision and intellectual stimulation
D. Focuses on meeting organizational targets and correcting errors reactively
ANSWER: B
,5. A newly appointed nurse manager wants to implement shared governance on the unit.
Which action should the manager take first?
A. Assign staff nurses to lead specific quality improvement projects
B. Develop a unit-based council structure with elected staff representatives
C. Request that the hospital administration approve a governance budget
D. Conduct a staff survey to assess readiness for shared decision-making
ANSWER: D
6. A charge nurse consistently uses an autocratic leadership style. Which outcome is most
likely to occur on this unit?
A. High staff satisfaction and retention rates
B. Increased creativity and innovation among staff
C. Rapid decision-making during emergency situations
D. Strong interdisciplinary collaboration and communication
ANSWER: C
7. A nurse leader is implementing Kotter's 8-step change model to address high rates of
hospital-acquired infections. After creating a sense of urgency, which step should the
leader take next?
A. Generate short-term wins
B. Form a powerful guiding coalition
C. Communicate the vision throughout the organization
, D. Empower broad-based action to remove obstacles
ANSWER: B
8. A unit is experiencing low morale and high turnover. The nurse manager decides to
implement a democratic leadership approach. Which action best reflects this style?
A. Allowing staff to vote on all unit policies and procedures
B. Consulting with staff before making major decisions affecting the unit
C. Delegating all decision-making responsibilities to a staff committee
D. Maintaining full control while soliciting input from senior staff members
ANSWER: B
9. A nurse manager is applying Lewin's change theory to implement a new medication
administration system. During the "unfreezing" stage, which action is most appropriate?
A. Implementing the new system on a trial basis
B. Collecting data to demonstrate the need for change
C. Reinforcing staff who successfully use the new system
D. Providing ongoing training and support during implementation
ANSWER: B
10. The nurse manager notices that a staff nurse exhibits behaviors consistent with
emotional intelligence. Which behavior did the manager observe?
