HESI LEADERSHIP AND MANAGEMENT FINAL
PAPER 2026 COMPLETE QUESTIONS AND
ANSWERS
◉ 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.
◉ Which statement would most likely be made by a client who is
receiving care through the functional method?
1 "My nurse's name is Amy."
PAPER 2026 COMPLETE QUESTIONS AND
ANSWERS
◉ 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.
◉ Which statement would most likely be made by a client who is
receiving care through the functional method?
1 "My nurse's name is Amy."
