HESI Leadership & Management
Comprehensive Final Exam
2026-2028 Testing Cycle | Newly Released
100 Q & A| Grade A+ | Guaranteed Pass
100% Correct Verified Solutions
Q1: The nurse manager is assigning patients for the upcoming shift. Which patient is most
appropriate to assign to the LPN?
A. A patient with acute respiratory distress requiring frequent assessment
B. A stable patient requiring a routine urinary catheter insertion [CORRECT]
C. A patient on a continuous heparin drip with fluctuating PTT levels
D. A newly admitted patient with new-onset atrial fibrillation
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 RN is delegating tasks to the UAP. Which of the following tasks are appropriate for the
UAP? (Select all that apply.)
A. Assisting a stable patient with a bed bath [CORRECT]
B. Recording intake and output for a patient on fluid restriction [CORRECT]
C. Teaching a patient how to use an incentive spirometer
D. Measuring vital signs on a stable postoperative patient [CORRECT]
Correct Answer: A, B, D
Rationale: Correct because hygiene, I&O, and vital signs on stable patients are non-invasive
UAP tasks; teaching is an RN-only function under the TAPE rule.
,Q3: The nurse manager is preparing the unit budget. The purchase of a new portable X-ray
machine costing $50,000 with a 10-year lifespan is classified under which budget?
A. Operating budget
B. Personnel budget
C. Capital budget [CORRECT]
D. Contingency budget
Correct Answer: C
Rationale: Correct because capital budgets cover high-cost, long-term equipment purchases that
exceed a set threshold and last multiple years.
Q4: The RN is using SBAR to notify the provider of a patient's deteriorating condition. Which
statement belongs in the "Assessment" section?
A. "The patient is a 72-year-old with a history of COPD."
B. "The patient's oxygen saturation has dropped to 86% on 2 L nasal cannula." [CORRECT]
C. "I recommend starting the patient on 4 L and obtaining a stat ABG."
D. "The patient was admitted 3 days ago for pneumonia."
Correct Answer: B
Rationale: Correct because Assessment includes current objective clinical findings, such as vital
signs and physical exam data.
Q5: Two nurses are in conflict over holiday scheduling. The nurse manager brings them together
to identify common goals and creates a schedule that gives each nurse some preferred days off.
This approach 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 mutually acceptable solution.
, Q6: A unit uses a Patient Classification System (PCS) to determine staffing. Which of the
following is the primary purpose of a PCS?
A. Count the total number of patients on the unit
B. Measure the intensity of nursing care required by each patient [CORRECT]
C. Assign patients to rooms based on diagnosis
D. Track the number of admissions per shift
Correct Answer: B
Rationale: Correct because a PCS measures acuity and care intensity, guiding staffing decisions
based on patient needs rather than just census.
Q7: The quality improvement team is implementing a new fall prevention protocol. They first
collect baseline fall rates 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 similar-looking packaging. 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
Comprehensive Final Exam
2026-2028 Testing Cycle | Newly Released
100 Q & A| Grade A+ | Guaranteed Pass
100% Correct Verified Solutions
Q1: The nurse manager is assigning patients for the upcoming shift. Which patient is most
appropriate to assign to the LPN?
A. A patient with acute respiratory distress requiring frequent assessment
B. A stable patient requiring a routine urinary catheter insertion [CORRECT]
C. A patient on a continuous heparin drip with fluctuating PTT levels
D. A newly admitted patient with new-onset atrial fibrillation
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 RN is delegating tasks to the UAP. Which of the following tasks are appropriate for the
UAP? (Select all that apply.)
A. Assisting a stable patient with a bed bath [CORRECT]
B. Recording intake and output for a patient on fluid restriction [CORRECT]
C. Teaching a patient how to use an incentive spirometer
D. Measuring vital signs on a stable postoperative patient [CORRECT]
Correct Answer: A, B, D
Rationale: Correct because hygiene, I&O, and vital signs on stable patients are non-invasive
UAP tasks; teaching is an RN-only function under the TAPE rule.
,Q3: The nurse manager is preparing the unit budget. The purchase of a new portable X-ray
machine costing $50,000 with a 10-year lifespan is classified under which budget?
A. Operating budget
B. Personnel budget
C. Capital budget [CORRECT]
D. Contingency budget
Correct Answer: C
Rationale: Correct because capital budgets cover high-cost, long-term equipment purchases that
exceed a set threshold and last multiple years.
Q4: The RN is using SBAR to notify the provider of a patient's deteriorating condition. Which
statement belongs in the "Assessment" section?
A. "The patient is a 72-year-old with a history of COPD."
B. "The patient's oxygen saturation has dropped to 86% on 2 L nasal cannula." [CORRECT]
C. "I recommend starting the patient on 4 L and obtaining a stat ABG."
D. "The patient was admitted 3 days ago for pneumonia."
Correct Answer: B
Rationale: Correct because Assessment includes current objective clinical findings, such as vital
signs and physical exam data.
Q5: Two nurses are in conflict over holiday scheduling. The nurse manager brings them together
to identify common goals and creates a schedule that gives each nurse some preferred days off.
This approach 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 mutually acceptable solution.
, Q6: A unit uses a Patient Classification System (PCS) to determine staffing. Which of the
following is the primary purpose of a PCS?
A. Count the total number of patients on the unit
B. Measure the intensity of nursing care required by each patient [CORRECT]
C. Assign patients to rooms based on diagnosis
D. Track the number of admissions per shift
Correct Answer: B
Rationale: Correct because a PCS measures acuity and care intensity, guiding staffing decisions
based on patient needs rather than just census.
Q7: The quality improvement team is implementing a new fall prevention protocol. They first
collect baseline fall rates 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 similar-looking packaging. 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
