NUR 204 / NUR204 HESI Leadership
and Management V2 Actual Exam
2026/2027 | Fortis |Complete 200
Questions with Verified Answers and
Rationales | Guaranteed Pass
(GRADED A+)
1. A nurse manager is working to improve patient safety and
quality of care. Which of the following strategies is most
likely to result in the best outcomes?
A. Implementing new policies without consulting the staff
B. Using evidence-based practice to inform decisions
C. Giving all nurses the same workload regardless of experience
D. Relying solely on past methods of care without reassessment
Answer: B. Using evidence-based practice to inform decisions
Rationale: Evidence-based practice (EBP) integrates clinical
expertise, patient values, and the best research evidence into
decision-making, leading to improved patient outcomes and
better safety practices .
2. The charge nurse on a medical unit receives report that the
new admission nurse will arrive 2 hours late. Two RNs are
,already out on sick leave, and one LPN is available. The unit
has 28 occupied beds, including four fresh post-ops and two
patients on continuous heparin drips. Which action best
demonstrates transformational leadership?
A. Assign the LPN to monitor the heparin drips while the charge
nurse takes the new admissions
B. Cancel all routine scheduled baths to free up staff time
C. Call the nursing supervisor to request additional staffing and
concurrently hold morning huddles to reprioritize assignments
D. Instruct the staff to "work harder" and complete tasks as usual
until the late nurse arrives
Answer: C. Call the nursing supervisor to request additional
staffing and concurrently hold morning huddles to
reprioritize assignments
Rationale: Transformational leaders inspire and engage staff by
actively problem-solving, communicating transparently, and
advocating for system-level support. Option A is unsafe because
LPNs cannot titrate heparin drips .
3. Which of the following is a key principle of delegation in
nursing leadership?
A. Delegation should always be to the most experienced nurse
available.
B. The nurse delegating the task remains accountable for the
outcome.
,C. Delegation should be avoided in high-stress situations.
D. Only tasks that require critical thinking should be delegated.
Answer: B. The nurse delegating the task remains accountable
for the outcome.
Rationale: While tasks can be delegated, the nurse who delegates
is still responsible for ensuring the task is completed correctly and
that the outcomes are appropriate .
4. The nurse manager observes a social media post by a staff
nurse that discusses the care of a client. Which action should
the nurse manager take?
A. Report the post to a supervisor
B. Ignore the post to avoid conflict
C. Ask the nurse to remove the post immediately
D. Reprimand the nurse in front of other staff
Answer: A. Report the post to a supervisor
Rationale: Discussing client care on social media is a violation of
HIPAA. The nurse manager's appropriate action is to report the
breach to a supervisor, as it involves a serious breach of client
confidentiality .
5. The nurse manager tells a newly hired nurse that the unit
practices functional nursing. What is the best description of
functional nursing?
, A. One nurse is responsible for planning the care for a group of
patients.
B. Nursing tasks are divided among staff members based on their
specific skills.
C. The same nurse cares for the same patient throughout the
hospital stay.
D. A team of nursing staff provides care for a group of patients.
Answer: B. Nursing tasks are divided among staff members
based on their specific skills.
Rationale: Functional nursing is a task-oriented approach in
which care is compartmentalized, and each staff member
performs specific tasks (e.g., one nurse gives medications, another
does treatments) .
6. The nurse manager is preparing a budget using the
incremental method for an existing cardiac care unit. Which
action should the nurse manager take?
A. Verify that the revenue would generate from the care of one
client.
B. Calculate the expense of taking care of one client.
C. Determine the expected increase in salaries from the previous
year.
D. Identify the cost of providing care for a specific diagnosis.
Answer: C. Determine the expected increase in salaries from
the previous year.
Rationale: The incremental method for creating a budget involves
adjusting the previous year's budget for anticipated changes in
the coming year. The most common factor to determine is the
and Management V2 Actual Exam
2026/2027 | Fortis |Complete 200
Questions with Verified Answers and
Rationales | Guaranteed Pass
(GRADED A+)
1. A nurse manager is working to improve patient safety and
quality of care. Which of the following strategies is most
likely to result in the best outcomes?
A. Implementing new policies without consulting the staff
B. Using evidence-based practice to inform decisions
C. Giving all nurses the same workload regardless of experience
D. Relying solely on past methods of care without reassessment
Answer: B. Using evidence-based practice to inform decisions
Rationale: Evidence-based practice (EBP) integrates clinical
expertise, patient values, and the best research evidence into
decision-making, leading to improved patient outcomes and
better safety practices .
2. The charge nurse on a medical unit receives report that the
new admission nurse will arrive 2 hours late. Two RNs are
,already out on sick leave, and one LPN is available. The unit
has 28 occupied beds, including four fresh post-ops and two
patients on continuous heparin drips. Which action best
demonstrates transformational leadership?
A. Assign the LPN to monitor the heparin drips while the charge
nurse takes the new admissions
B. Cancel all routine scheduled baths to free up staff time
C. Call the nursing supervisor to request additional staffing and
concurrently hold morning huddles to reprioritize assignments
D. Instruct the staff to "work harder" and complete tasks as usual
until the late nurse arrives
Answer: C. Call the nursing supervisor to request additional
staffing and concurrently hold morning huddles to
reprioritize assignments
Rationale: Transformational leaders inspire and engage staff by
actively problem-solving, communicating transparently, and
advocating for system-level support. Option A is unsafe because
LPNs cannot titrate heparin drips .
3. Which of the following is a key principle of delegation in
nursing leadership?
A. Delegation should always be to the most experienced nurse
available.
B. The nurse delegating the task remains accountable for the
outcome.
,C. Delegation should be avoided in high-stress situations.
D. Only tasks that require critical thinking should be delegated.
Answer: B. The nurse delegating the task remains accountable
for the outcome.
Rationale: While tasks can be delegated, the nurse who delegates
is still responsible for ensuring the task is completed correctly and
that the outcomes are appropriate .
4. The nurse manager observes a social media post by a staff
nurse that discusses the care of a client. Which action should
the nurse manager take?
A. Report the post to a supervisor
B. Ignore the post to avoid conflict
C. Ask the nurse to remove the post immediately
D. Reprimand the nurse in front of other staff
Answer: A. Report the post to a supervisor
Rationale: Discussing client care on social media is a violation of
HIPAA. The nurse manager's appropriate action is to report the
breach to a supervisor, as it involves a serious breach of client
confidentiality .
5. The nurse manager tells a newly hired nurse that the unit
practices functional nursing. What is the best description of
functional nursing?
, A. One nurse is responsible for planning the care for a group of
patients.
B. Nursing tasks are divided among staff members based on their
specific skills.
C. The same nurse cares for the same patient throughout the
hospital stay.
D. A team of nursing staff provides care for a group of patients.
Answer: B. Nursing tasks are divided among staff members
based on their specific skills.
Rationale: Functional nursing is a task-oriented approach in
which care is compartmentalized, and each staff member
performs specific tasks (e.g., one nurse gives medications, another
does treatments) .
6. The nurse manager is preparing a budget using the
incremental method for an existing cardiac care unit. Which
action should the nurse manager take?
A. Verify that the revenue would generate from the care of one
client.
B. Calculate the expense of taking care of one client.
C. Determine the expected increase in salaries from the previous
year.
D. Identify the cost of providing care for a specific diagnosis.
Answer: C. Determine the expected increase in salaries from
the previous year.
Rationale: The incremental method for creating a budget involves
adjusting the previous year's budget for anticipated changes in
the coming year. The most common factor to determine is the
