LEADERSHIP HESI QUESTIONS AND ANSWERS
A new graduate nurse is employed in a small community hospital. The nurse notices
practices which seem to be very physician driven and that patients have little input into
their care. Families are seen as a nuisance rather than as partners in potential care
provision. What is the best approach for the new nurse to use for improving care in this
setting?
a)Do nothing. They are too new to the organization to make change.
b)Share with the physician the recommendations from various IOM reports.
c)Share with their team members what they know about the aims of providing health
care.
d)Report the team members to the chief nursing officer who is unlikely to know the lack
of details on this unit. - Answers-C
Mr. Grandion was admitted to a rehabilitation center after discharge from a hospital. He
has not walked in the 5 days while he was hospitalized and is provided a wheelchair.
Dining with other residents is expected, and staffing is limited on a holiday weekend.
What is the best strategy to ensure Mr. Grandion has sufficient nutrition and exercise?
a)Tell Mr. Grandion to stay in bed and someone will bring a tray to his room because
the staff can't get him to the dining room in time for dinner
b)Assist Mr. Grandion into his wheelchair and remind him that in 2 hours he must be in
the dining room if he wishes to eat.
c)Request help from another unit before dinner and indicate the nature of help needed.
d)Order a life device to transfer Mr. Grandion from his bed to the wheelchair. - Answers-
c
When entering the postoperative care unit, the nurse manager notices that the
temporary agency nurse has incorrectly entered the rate of infusion for the patient's
vasopressor medication, and the arterial line blood pressure has a reading of 76/40
mmHg. After discontinuing the intravenous medication infusion, what is the nurse
manager's next intervention?
a)Notify the nurse in charge of the unit.
b)Ask if there is an assigned resource nurse to serve as mentor for the temporary
nurse.
c)Ask if there are standing orders for interventions for hypotension.
d)Ask if the temporary nurse has had an orientation to the unit. - Answers-C
An incident report of the incident described in the previous question needs to be
completed. What is the appropriate wording to be included in the incident report?
a)"Patient was noted to have a low arterial blood pressure (76/40), and the vasopressor
medication was discontinued."
, b)"Patient's vasopressor medication was infusing at a higher rate than ordered and the
medication was discontinued when the patient's blood pressure dropped to 76/40."
c)"Nurse M.J. started the vasopressor medication, the patient subsequently was noted
to have a blood pressure reading of 76/40, the medication was discontinued, and the
physician was also notified."
d)"Patient receiving vasopressor medication intravenously, blood pressure noted to be
76/40, and intravenous infusion discontinued. Physician notified and orders received for
500 mL normal saline administered for hypotension." - Answers-D
The nurse is needing to provide information for Foley catheter insertion to a patient in
the patient's primary language. Which action would the nurse follow for the best
outcome in this situation?
a) Assume the process of translating "word for word" is sufficient when a treatment is
ordered for a culturally diverse patient.
b) Request an English-speaking family member to provide the translation to the patient
about the treatment.
c) Create a cross-cultural semantic or word equivalency vocabulary list for the nursing
unit to use with patient.
D. Request a healthcare professional translator to translate verbally the source
language to the target language with the patient regarding the procedure. - Answers-D
A new nurse works on a busy medical-surgical unit. While the charge nurse keeps the
unit organized and running smoothly, the nurse notices that another experienced nurse
is the nurse to whom most of the other nurses ask questions and seek information. How
does the new nurse view this experienced nurse?
a)A formal leader
b)A positional leader
c)An official leader
d)An informal leader - Answers-D
A new nurse sees a flyer for a workshop on healthcare relationship building and
recognizes that relationship building with those in current leadership positions is
challenging for her. She decides to attend. By making the decision to attend what is the
new nurse demonstrating?
a)Social awareness
b)Self management
c)Strengths-based learning
d)Personal leadership - Answers-B
Emotional intelligence (EI) is a quality critical to the development of a new leader. This
trait should inspire those who follow a leader whom demonstrates high levels of EI.
What is the BEST example which illustrates emotional intelligence?
A new graduate nurse is employed in a small community hospital. The nurse notices
practices which seem to be very physician driven and that patients have little input into
their care. Families are seen as a nuisance rather than as partners in potential care
provision. What is the best approach for the new nurse to use for improving care in this
setting?
a)Do nothing. They are too new to the organization to make change.
b)Share with the physician the recommendations from various IOM reports.
c)Share with their team members what they know about the aims of providing health
care.
d)Report the team members to the chief nursing officer who is unlikely to know the lack
of details on this unit. - Answers-C
Mr. Grandion was admitted to a rehabilitation center after discharge from a hospital. He
has not walked in the 5 days while he was hospitalized and is provided a wheelchair.
Dining with other residents is expected, and staffing is limited on a holiday weekend.
What is the best strategy to ensure Mr. Grandion has sufficient nutrition and exercise?
a)Tell Mr. Grandion to stay in bed and someone will bring a tray to his room because
the staff can't get him to the dining room in time for dinner
b)Assist Mr. Grandion into his wheelchair and remind him that in 2 hours he must be in
the dining room if he wishes to eat.
c)Request help from another unit before dinner and indicate the nature of help needed.
d)Order a life device to transfer Mr. Grandion from his bed to the wheelchair. - Answers-
c
When entering the postoperative care unit, the nurse manager notices that the
temporary agency nurse has incorrectly entered the rate of infusion for the patient's
vasopressor medication, and the arterial line blood pressure has a reading of 76/40
mmHg. After discontinuing the intravenous medication infusion, what is the nurse
manager's next intervention?
a)Notify the nurse in charge of the unit.
b)Ask if there is an assigned resource nurse to serve as mentor for the temporary
nurse.
c)Ask if there are standing orders for interventions for hypotension.
d)Ask if the temporary nurse has had an orientation to the unit. - Answers-C
An incident report of the incident described in the previous question needs to be
completed. What is the appropriate wording to be included in the incident report?
a)"Patient was noted to have a low arterial blood pressure (76/40), and the vasopressor
medication was discontinued."
, b)"Patient's vasopressor medication was infusing at a higher rate than ordered and the
medication was discontinued when the patient's blood pressure dropped to 76/40."
c)"Nurse M.J. started the vasopressor medication, the patient subsequently was noted
to have a blood pressure reading of 76/40, the medication was discontinued, and the
physician was also notified."
d)"Patient receiving vasopressor medication intravenously, blood pressure noted to be
76/40, and intravenous infusion discontinued. Physician notified and orders received for
500 mL normal saline administered for hypotension." - Answers-D
The nurse is needing to provide information for Foley catheter insertion to a patient in
the patient's primary language. Which action would the nurse follow for the best
outcome in this situation?
a) Assume the process of translating "word for word" is sufficient when a treatment is
ordered for a culturally diverse patient.
b) Request an English-speaking family member to provide the translation to the patient
about the treatment.
c) Create a cross-cultural semantic or word equivalency vocabulary list for the nursing
unit to use with patient.
D. Request a healthcare professional translator to translate verbally the source
language to the target language with the patient regarding the procedure. - Answers-D
A new nurse works on a busy medical-surgical unit. While the charge nurse keeps the
unit organized and running smoothly, the nurse notices that another experienced nurse
is the nurse to whom most of the other nurses ask questions and seek information. How
does the new nurse view this experienced nurse?
a)A formal leader
b)A positional leader
c)An official leader
d)An informal leader - Answers-D
A new nurse sees a flyer for a workshop on healthcare relationship building and
recognizes that relationship building with those in current leadership positions is
challenging for her. She decides to attend. By making the decision to attend what is the
new nurse demonstrating?
a)Social awareness
b)Self management
c)Strengths-based learning
d)Personal leadership - Answers-B
Emotional intelligence (EI) is a quality critical to the development of a new leader. This
trait should inspire those who follow a leader whom demonstrates high levels of EI.
What is the BEST example which illustrates emotional intelligence?
