HESI Comprehensive Leadership &
Management Final Exam
2026-2028 Testing Cycle | Newly Released
55 Q & A| Grade A+ | Guaranteed Pass
100% Correct Verified Solutions - Fortis
Q1: The RN is making assignments for the shift. Which patient is most appropriate to assign to
the LPN?
A. A patient with an acute GI bleed requiring frequent vital sign monitoring
B. A stable patient requiring a routine colostomy pouch change [CORRECT]
C. A patient on a continuous heparin infusion with fluctuating PTT levels
D. A newly admitted patient with new-onset seizure activity
Correct Answer: B
Rationale: Correct because the LPN can perform routine procedures on stable patients; unstable
or acute patients require RN assessment and evaluation.
Q2: The nurse manager is explaining the "TAPE" rule to new charge nurses. Which of the
following nursing functions can never be delegated? (Select all that apply.)
A. Teaching a patient about a new medication [CORRECT]
B. Performing a routine dressing change
C. Assessing a patient's postoperative pain level [CORRECT]
D. Planning the initial care for a newly admitted patient [CORRECT]
Correct Answer: A, C, D
Rationale: Correct because Teaching, Assessment, Planning, and Evaluation are non-delegable
under the TAPE rule; routine dressing changes can be delegated to LPNs.
,Q3: The nurse manager is preparing the capital budget for the upcoming fiscal year. Which of
the following purchases would be classified as a capital expense?
A. Monthly supply of IV start kits
B. A new telemetry monitoring system costing $25,000 with a 10-year lifespan [CORRECT]
C. Overtime pay for holiday coverage
D. Weekly order of wound care supplies
Correct Answer: B
Rationale: Correct because capital expenses are high-cost, long-term equipment purchases that
exceed a set threshold and last multiple years.
Q4: The RN is using SBAR to communicate with the provider. Which statement belongs in the
"Background" section?
A. "The patient is a 68-year-old male with a history of heart failure and COPD." [CORRECT]
B. "His oxygen saturation has dropped to 88% on room air."
C. "I recommend starting oxygen at 2 L and obtaining a stat chest X-ray."
D. "I am calling about Mr. Johnson in room 412."
Correct Answer: A
Rationale: Correct because Background includes the patient's history, admitting diagnosis, and
relevant context; current findings are Assessment.
Q5: Two nurses disagree about the best approach to wound care. The nurse manager brings them
together to discuss the evidence and reach a mutually agreeable solution. This conflict resolution
strategy is:
A. Avoiding
B. Competing
C. Collaborating [CORRECT]
D. Accommodating
Correct Answer: C
Rationale: Correct because collaboration involves open communication and joint problem-
solving to achieve a win-win resolution.
Q6: A Patient Classification System (PCS) is being validated on a medical unit. The nurse
manager knows that the primary purpose of a PCS is to:
A. Count the number of patients on the unit
B. Measure the acuity and nursing care intensity required by each patient [CORRECT]
C. Assign patients to rooms based on their diagnosis
D. Track the number of discharges per shift
, Correct Answer: B
Rationale: Correct because a PCS measures the complexity and time required for care, guiding
staffing decisions based on patient needs.
Q7: The quality improvement team is implementing a new hand hygiene protocol. They first
collect baseline compliance data and design the intervention. This stage of the PDSA cycle is:
A. Plan [CORRECT]
B. Do
C. Study
D. Act
Correct Answer: A
Rationale: Correct because the Plan phase involves identifying the problem, collecting baseline
data, and designing the intervention.
Q8: A sentinel event occurs on the unit. The hospital initiates a Root Cause Analysis (RCA).
What is the primary goal of an RCA?
A. Punish the individual responsible for the error
B. Identify systemic workflow failures that contributed to the event [CORRECT]
C. Assign blame to the department manager
D. Immediately change all hospital policies
Correct Answer: B
Rationale: Correct because RCA is a retrospective, non-punitive process designed to find system
vulnerabilities, not to blame individuals.
Q9: The nurse manager is fostering a Just Culture. A nurse makes an honest medication error due
to a look-alike/sound-alike drug confusion. Under Just Culture, this behavior is classified as:
A. Reckless behavior
B. At-risk behavior
C. Human error [CORRECT]
D. Intentional misconduct
Correct Answer: C
Rationale: Correct because human error is an unintentional slip or mistake; under Just Culture, it
is addressed through consolation and system redesign.
Management Final Exam
2026-2028 Testing Cycle | Newly Released
55 Q & A| Grade A+ | Guaranteed Pass
100% Correct Verified Solutions - Fortis
Q1: The RN is making assignments for the shift. Which patient is most appropriate to assign to
the LPN?
A. A patient with an acute GI bleed requiring frequent vital sign monitoring
B. A stable patient requiring a routine colostomy pouch change [CORRECT]
C. A patient on a continuous heparin infusion with fluctuating PTT levels
D. A newly admitted patient with new-onset seizure activity
Correct Answer: B
Rationale: Correct because the LPN can perform routine procedures on stable patients; unstable
or acute patients require RN assessment and evaluation.
Q2: The nurse manager is explaining the "TAPE" rule to new charge nurses. Which of the
following nursing functions can never be delegated? (Select all that apply.)
A. Teaching a patient about a new medication [CORRECT]
B. Performing a routine dressing change
C. Assessing a patient's postoperative pain level [CORRECT]
D. Planning the initial care for a newly admitted patient [CORRECT]
Correct Answer: A, C, D
Rationale: Correct because Teaching, Assessment, Planning, and Evaluation are non-delegable
under the TAPE rule; routine dressing changes can be delegated to LPNs.
,Q3: The nurse manager is preparing the capital budget for the upcoming fiscal year. Which of
the following purchases would be classified as a capital expense?
A. Monthly supply of IV start kits
B. A new telemetry monitoring system costing $25,000 with a 10-year lifespan [CORRECT]
C. Overtime pay for holiday coverage
D. Weekly order of wound care supplies
Correct Answer: B
Rationale: Correct because capital expenses are high-cost, long-term equipment purchases that
exceed a set threshold and last multiple years.
Q4: The RN is using SBAR to communicate with the provider. Which statement belongs in the
"Background" section?
A. "The patient is a 68-year-old male with a history of heart failure and COPD." [CORRECT]
B. "His oxygen saturation has dropped to 88% on room air."
C. "I recommend starting oxygen at 2 L and obtaining a stat chest X-ray."
D. "I am calling about Mr. Johnson in room 412."
Correct Answer: A
Rationale: Correct because Background includes the patient's history, admitting diagnosis, and
relevant context; current findings are Assessment.
Q5: Two nurses disagree about the best approach to wound care. The nurse manager brings them
together to discuss the evidence and reach a mutually agreeable solution. This conflict resolution
strategy is:
A. Avoiding
B. Competing
C. Collaborating [CORRECT]
D. Accommodating
Correct Answer: C
Rationale: Correct because collaboration involves open communication and joint problem-
solving to achieve a win-win resolution.
Q6: A Patient Classification System (PCS) is being validated on a medical unit. The nurse
manager knows that the primary purpose of a PCS is to:
A. Count the number of patients on the unit
B. Measure the acuity and nursing care intensity required by each patient [CORRECT]
C. Assign patients to rooms based on their diagnosis
D. Track the number of discharges per shift
, Correct Answer: B
Rationale: Correct because a PCS measures the complexity and time required for care, guiding
staffing decisions based on patient needs.
Q7: The quality improvement team is implementing a new hand hygiene protocol. They first
collect baseline compliance data and design the intervention. This stage of the PDSA cycle is:
A. Plan [CORRECT]
B. Do
C. Study
D. Act
Correct Answer: A
Rationale: Correct because the Plan phase involves identifying the problem, collecting baseline
data, and designing the intervention.
Q8: A sentinel event occurs on the unit. The hospital initiates a Root Cause Analysis (RCA).
What is the primary goal of an RCA?
A. Punish the individual responsible for the error
B. Identify systemic workflow failures that contributed to the event [CORRECT]
C. Assign blame to the department manager
D. Immediately change all hospital policies
Correct Answer: B
Rationale: Correct because RCA is a retrospective, non-punitive process designed to find system
vulnerabilities, not to blame individuals.
Q9: The nurse manager is fostering a Just Culture. A nurse makes an honest medication error due
to a look-alike/sound-alike drug confusion. Under Just Culture, this behavior is classified as:
A. Reckless behavior
B. At-risk behavior
C. Human error [CORRECT]
D. Intentional misconduct
Correct Answer: C
Rationale: Correct because human error is an unintentional slip or mistake; under Just Culture, it
is addressed through consolation and system redesign.
