NGN HESI Leadership and
Management Exam 2026/2027:
Questions & Answers Prep with
Rationales Guaranteed Pass
(GRADED A+)
Question 1
A charge nurse is assigning tasks to a licensed practical nurse (LPN).
Which client is most appropriate for the LPN?
A. A client requiring an initial admission assessment
B. A client with a new tracheostomy needing teaching
C. A stable client requiring routine wound care
D. A client with chest pain requiring evaluation
Answer: C. A stable client requiring routine wound care
Rationale: LPNs can provide care for stable clients and perform routine
procedures within their scope of practice. Initial assessments, teaching,
and evaluation of unstable conditions require RN-level judgment.
Question 2
Which task is appropriate for the RN to delegate to unlicensed assistive
personnel (UAP)?
,A. Assessing pain after medication administration
B. Assisting a client with ambulation
C. Developing a nursing care plan
D. Teaching a client about a new medication
Answer: B. Assisting a client with ambulation
Rationale: UAPs may perform routine, noninvasive tasks such as
ambulation. Assessment, planning, and teaching remain responsibilities
of the RN.
Question 3
A nurse receives report on four clients. Which client should be assessed
first?
A. A client awaiting discharge instructions
B. A client with chronic arthritis reporting pain of 4/10
C. A client experiencing sudden shortness of breath
D. A client requesting assistance to the bathroom
Answer: C. A client experiencing sudden shortness of breath
Rationale: Airway and breathing concerns take priority according to
ABC principles. Sudden shortness of breath may indicate a life-
threatening complication.
Question 4
After delegating a task, the RN remains responsible for:
A. Performing the task personally
B. Documenting only positive outcomes
,C. Supervising and evaluating the outcome
D. Transferring accountability to the delegatee
Answer: C. Supervising and evaluating the outcome
Rationale: Delegation transfers responsibility for performing the task
but not accountability. The RN must ensure appropriate completion and
client safety.
Question 5
A nurse manager notices increasing medication errors on the unit. What
is the best initial action?
A. Terminate involved staff members
B. Investigate contributing factors and trends
C. Report staff to the licensing board
D. Ignore isolated incidents
Answer: B. Investigate contributing factors and trends
Rationale: Quality improvement begins with data collection and
analysis to identify root causes before implementing corrective actions.
Question 6
Which statement best reflects transformational leadership?
A. "Follow policies exactly as written."
B. "Complete assigned tasks before leaving."
C. "Let's work together to improve patient outcomes."
D. "Employees will be disciplined for mistakes."
Answer: C. "Let's work together to improve patient outcomes."
, Rationale: Transformational leaders inspire teamwork, innovation, and
professional growth while focusing on shared goals.
Question 7
Two nurses disagree regarding patient assignments. What is the best
action by the charge nurse?
A. Ignore the disagreement
B. Reassign both nurses immediately
C. Facilitate open discussion to resolve the issue
D. Report both nurses to administration
Answer: C. Facilitate open discussion to resolve the issue
Rationale: Effective conflict resolution encourages communication,
collaboration, and mutual problem-solving.
Question 8
A nurse suspects a colleague is diverting narcotics. What should the
nurse do first?
A. Confront the colleague publicly
B. Document observations and follow policy
C. Ignore the suspicion
D. Inform patients immediately
Answer: B. Document observations and follow policy
Rationale: Objective documentation and adherence to organizational
procedures ensure appropriate investigation while protecting patient
safety.
Management Exam 2026/2027:
Questions & Answers Prep with
Rationales Guaranteed Pass
(GRADED A+)
Question 1
A charge nurse is assigning tasks to a licensed practical nurse (LPN).
Which client is most appropriate for the LPN?
A. A client requiring an initial admission assessment
B. A client with a new tracheostomy needing teaching
C. A stable client requiring routine wound care
D. A client with chest pain requiring evaluation
Answer: C. A stable client requiring routine wound care
Rationale: LPNs can provide care for stable clients and perform routine
procedures within their scope of practice. Initial assessments, teaching,
and evaluation of unstable conditions require RN-level judgment.
Question 2
Which task is appropriate for the RN to delegate to unlicensed assistive
personnel (UAP)?
,A. Assessing pain after medication administration
B. Assisting a client with ambulation
C. Developing a nursing care plan
D. Teaching a client about a new medication
Answer: B. Assisting a client with ambulation
Rationale: UAPs may perform routine, noninvasive tasks such as
ambulation. Assessment, planning, and teaching remain responsibilities
of the RN.
Question 3
A nurse receives report on four clients. Which client should be assessed
first?
A. A client awaiting discharge instructions
B. A client with chronic arthritis reporting pain of 4/10
C. A client experiencing sudden shortness of breath
D. A client requesting assistance to the bathroom
Answer: C. A client experiencing sudden shortness of breath
Rationale: Airway and breathing concerns take priority according to
ABC principles. Sudden shortness of breath may indicate a life-
threatening complication.
Question 4
After delegating a task, the RN remains responsible for:
A. Performing the task personally
B. Documenting only positive outcomes
,C. Supervising and evaluating the outcome
D. Transferring accountability to the delegatee
Answer: C. Supervising and evaluating the outcome
Rationale: Delegation transfers responsibility for performing the task
but not accountability. The RN must ensure appropriate completion and
client safety.
Question 5
A nurse manager notices increasing medication errors on the unit. What
is the best initial action?
A. Terminate involved staff members
B. Investigate contributing factors and trends
C. Report staff to the licensing board
D. Ignore isolated incidents
Answer: B. Investigate contributing factors and trends
Rationale: Quality improvement begins with data collection and
analysis to identify root causes before implementing corrective actions.
Question 6
Which statement best reflects transformational leadership?
A. "Follow policies exactly as written."
B. "Complete assigned tasks before leaving."
C. "Let's work together to improve patient outcomes."
D. "Employees will be disciplined for mistakes."
Answer: C. "Let's work together to improve patient outcomes."
, Rationale: Transformational leaders inspire teamwork, innovation, and
professional growth while focusing on shared goals.
Question 7
Two nurses disagree regarding patient assignments. What is the best
action by the charge nurse?
A. Ignore the disagreement
B. Reassign both nurses immediately
C. Facilitate open discussion to resolve the issue
D. Report both nurses to administration
Answer: C. Facilitate open discussion to resolve the issue
Rationale: Effective conflict resolution encourages communication,
collaboration, and mutual problem-solving.
Question 8
A nurse suspects a colleague is diverting narcotics. What should the
nurse do first?
A. Confront the colleague publicly
B. Document observations and follow policy
C. Ignore the suspicion
D. Inform patients immediately
Answer: B. Document observations and follow policy
Rationale: Objective documentation and adherence to organizational
procedures ensure appropriate investigation while protecting patient
safety.
