HESI RN LEADERSHIP MANAGEMENT EXIT EXAM
LATEST QUESTIONS AND 100- Verified
ANSWERS.
The nursing manager wants to implement transformational leadership qualities.
Which actions best describe this style of leadership? Select all that apply.
1 Providing intellectual stimulation
2 Intervening only when problems exist
3 Performing experiments with system redesign
4 Using motivator factors to inspire work performance
5 Monitoring performance and taking action to correct - ANSWER -1, 3, 4
Transformational leaders provide intellectual stimulation and encourage follower
creativity. They experiment with systems redesign, empower staff, create
enthusiasm for practice, and promote scholarship of practice in client care. They
use motivator factors liberally to inspire work performance.
Intervening only when problems exist is a behavior related to transactional
leadership. Monitoring performance and taking corrective action is a transactional
leadership quality.
Which component of delegation is defined as the ability to perform duties in a
specific role?
1 Authority
2 Supervision
3 Responsibility
4 Accountability - ANSWER -1
Authority is the ability to perform duties in a specific role.
Supervision is the provision of guidance and oversight of a delegated task.
Responsibility refers to reliability, dependability, and obligation to accomplish
,work. Accountability involves determining whether the actions are appropriate and
providing a detailed explanation of what has occurred.
The healthcare team is caring for a client with neutropenia. Which task is
delegated to unlicensed assistive personnel?
1 Administering antibiotics
2 Assisting with personal hygiene
3 Monitoring for signs and symptoms of infection
4 Teaching the client and caregivers about how to avoid infection - ANSWER -2
Unlicensed assistive personnel assisting with the client's personal hygiene.
The licensed practical nurse administers antibiotics. Monitoring for signs and
symptoms is performed by the licensed practical nurse. The registered nurse
teaches the client and caregivers how to avoid infection.
A client's serum potassium level has increased to 5.8 mEq/L (5.8 mmol/L). What
action should the nurse implement first?
1 Call the laboratory to repeat the test.
2 Take vital signs and notify the healthcare provider.
3 Inform the cardiac arrest team to place them on alert.
4 Take an electrocardiogram and have lidocaine available. - ANSWER -2
Vital signs monitor cardiorespiratory status; hyperkalemia causes cardiac
dysrhythmias. The healthcare provider should be notified because medical
intervention may be necessary.
A repeat laboratory test will take time and probably reaffirm the original results;
the client needs immediate attention. The cardiac arrest team is always on alert and
will respond when called for a cardiac arrest. Taking an electrocardiogram and
having lidocaine available are insufficient interventions.
The nurse has accepted a position as a navigator. What should the nurse expect to
learn during training for this role? Select all that apply.
,1 Approaches to reduce the cost of health care
2 Learning ways to work through the health systems
3 Strategies to teach clients about disease, including prevention and treatment
4 Assessing barriers that clients have encountered while attempting to receive care
5 Helping clients cope with delays in receiving treatment until barriers are
overcome - ANSWER -2, 3, 4, 5
Navigators are responsible for overcoming health system barriers, providing health
education about diseases from prevention to treatment, addressing barriers to care,
and providing psychosocial support. These are the areas the nurse should expect to
focus on when being trained in the role.
Learning approaches to reduce the cost of health care would be appropriate for a
case manager to learn.
What aspect of total client care needs to be taken into consideration if used on a
24-bed care area?
1 Cost of nurses
2 Training needs
3 Documentation
4 Time commitment - ANSWER -1 Cost of nurses
Since total client care is provided by a registered nurse (RN) it can be very
expensive and not realistic to use a highly skilled and extremely knowledgeable
professional nurse to provide all the care required in a unit of 24 clients.
There are no particular issues with training, documentation, or time commitment
with total client care.
For which situations would total client care be an appropriate delivery system?
Select all that apply.
1 Client scheduled for lithotripsy for renal calculi
2 Client with an endotracheal tube for pulmonary sepsis
3 Client recovering from cardiovascular bypass graft surgery
, 4 Client recovering from the placement of a cerebrospinal fluid shunt
5 Client transferring to a rehabilitation unit after total hip replacement surgery -
ANSWER -2, 3, 4
Total client care is used in critical care settings where one nurse provides total care
to one or two critically ill clients. The client with an endotracheal tube for
pulmonary sepsis and the client recovering from cardiovascular bypass graft
surgery are considered acutely ill and will be receiving care in a critical care area.
The client recovering from cranial surgery to place a cerebrospinal fluid shunt
would be appropriate for total client care.
Total client care would not be an ideal care approach for the client scheduled for
lithotripsy or the client being transferred to a rehabilitation unit.
Which intervention should the charge nurse perform to manage a task when the
unlicensed nursing personal (UNP) is lacking competence?
1 Provide constructive feedback and assign another task.
2 Provide open vocal feedback and withdraw the UNP from task.
3 Provide additional support and temporarily lower expectations.
4 Provide accountability to the organization and undergo training again. -
ANSWER -3 Provide additional support and temporarily lower expectations.
The charge nurse should manage a task by temporarily lowering expectations and
providing additional support to an unlicensed nursing personal (UNP) who is
lacking competence. This strategy allows the UNP to build on strengths, minimize
weaknesses, and gain confidence.
Providing constructive feedback and assigning another task may not improve the
strategy of the UNP and may affect the productivity of the new task. Withdrawing
the UNP from the task and providing open vocal feedback may weaken the
working relationship and the UNP may lose confidence or become frustrated. The
charge nurse should be aware of accountability to the organization in case of a
failure of the delegation, but assigning the UNP for further training may lead to
high risk for legal liability.
LATEST QUESTIONS AND 100- Verified
ANSWERS.
The nursing manager wants to implement transformational leadership qualities.
Which actions best describe this style of leadership? Select all that apply.
1 Providing intellectual stimulation
2 Intervening only when problems exist
3 Performing experiments with system redesign
4 Using motivator factors to inspire work performance
5 Monitoring performance and taking action to correct - ANSWER -1, 3, 4
Transformational leaders provide intellectual stimulation and encourage follower
creativity. They experiment with systems redesign, empower staff, create
enthusiasm for practice, and promote scholarship of practice in client care. They
use motivator factors liberally to inspire work performance.
Intervening only when problems exist is a behavior related to transactional
leadership. Monitoring performance and taking corrective action is a transactional
leadership quality.
Which component of delegation is defined as the ability to perform duties in a
specific role?
1 Authority
2 Supervision
3 Responsibility
4 Accountability - ANSWER -1
Authority is the ability to perform duties in a specific role.
Supervision is the provision of guidance and oversight of a delegated task.
Responsibility refers to reliability, dependability, and obligation to accomplish
,work. Accountability involves determining whether the actions are appropriate and
providing a detailed explanation of what has occurred.
The healthcare team is caring for a client with neutropenia. Which task is
delegated to unlicensed assistive personnel?
1 Administering antibiotics
2 Assisting with personal hygiene
3 Monitoring for signs and symptoms of infection
4 Teaching the client and caregivers about how to avoid infection - ANSWER -2
Unlicensed assistive personnel assisting with the client's personal hygiene.
The licensed practical nurse administers antibiotics. Monitoring for signs and
symptoms is performed by the licensed practical nurse. The registered nurse
teaches the client and caregivers how to avoid infection.
A client's serum potassium level has increased to 5.8 mEq/L (5.8 mmol/L). What
action should the nurse implement first?
1 Call the laboratory to repeat the test.
2 Take vital signs and notify the healthcare provider.
3 Inform the cardiac arrest team to place them on alert.
4 Take an electrocardiogram and have lidocaine available. - ANSWER -2
Vital signs monitor cardiorespiratory status; hyperkalemia causes cardiac
dysrhythmias. The healthcare provider should be notified because medical
intervention may be necessary.
A repeat laboratory test will take time and probably reaffirm the original results;
the client needs immediate attention. The cardiac arrest team is always on alert and
will respond when called for a cardiac arrest. Taking an electrocardiogram and
having lidocaine available are insufficient interventions.
The nurse has accepted a position as a navigator. What should the nurse expect to
learn during training for this role? Select all that apply.
,1 Approaches to reduce the cost of health care
2 Learning ways to work through the health systems
3 Strategies to teach clients about disease, including prevention and treatment
4 Assessing barriers that clients have encountered while attempting to receive care
5 Helping clients cope with delays in receiving treatment until barriers are
overcome - ANSWER -2, 3, 4, 5
Navigators are responsible for overcoming health system barriers, providing health
education about diseases from prevention to treatment, addressing barriers to care,
and providing psychosocial support. These are the areas the nurse should expect to
focus on when being trained in the role.
Learning approaches to reduce the cost of health care would be appropriate for a
case manager to learn.
What aspect of total client care needs to be taken into consideration if used on a
24-bed care area?
1 Cost of nurses
2 Training needs
3 Documentation
4 Time commitment - ANSWER -1 Cost of nurses
Since total client care is provided by a registered nurse (RN) it can be very
expensive and not realistic to use a highly skilled and extremely knowledgeable
professional nurse to provide all the care required in a unit of 24 clients.
There are no particular issues with training, documentation, or time commitment
with total client care.
For which situations would total client care be an appropriate delivery system?
Select all that apply.
1 Client scheduled for lithotripsy for renal calculi
2 Client with an endotracheal tube for pulmonary sepsis
3 Client recovering from cardiovascular bypass graft surgery
, 4 Client recovering from the placement of a cerebrospinal fluid shunt
5 Client transferring to a rehabilitation unit after total hip replacement surgery -
ANSWER -2, 3, 4
Total client care is used in critical care settings where one nurse provides total care
to one or two critically ill clients. The client with an endotracheal tube for
pulmonary sepsis and the client recovering from cardiovascular bypass graft
surgery are considered acutely ill and will be receiving care in a critical care area.
The client recovering from cranial surgery to place a cerebrospinal fluid shunt
would be appropriate for total client care.
Total client care would not be an ideal care approach for the client scheduled for
lithotripsy or the client being transferred to a rehabilitation unit.
Which intervention should the charge nurse perform to manage a task when the
unlicensed nursing personal (UNP) is lacking competence?
1 Provide constructive feedback and assign another task.
2 Provide open vocal feedback and withdraw the UNP from task.
3 Provide additional support and temporarily lower expectations.
4 Provide accountability to the organization and undergo training again. -
ANSWER -3 Provide additional support and temporarily lower expectations.
The charge nurse should manage a task by temporarily lowering expectations and
providing additional support to an unlicensed nursing personal (UNP) who is
lacking competence. This strategy allows the UNP to build on strengths, minimize
weaknesses, and gain confidence.
Providing constructive feedback and assigning another task may not improve the
strategy of the UNP and may affect the productivity of the new task. Withdrawing
the UNP from the task and providing open vocal feedback may weaken the
working relationship and the UNP may lose confidence or become frustrated. The
charge nurse should be aware of accountability to the organization in case of a
failure of the delegation, but assigning the UNP for further training may lead to
high risk for legal liability.
