HESI RN LEADERSHIP /MANAGEMENT EXIT
EXAM 2024/2025 TEST BANK 120
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) Latest Update
Which actions of the nurse exhibit transactional leadership? Select all that apply.
1 Motivating or inspiring the employees
2 Meeting the targets within the deadline
3 Working according to organizational rules
4 Correcting the errors in a reactive manner
5 Increasing the employee commitment of an organization
✓ 2, 3, 4
✓
✓ The characteristics of transactional leadership include valuing the orders and structures of
an organization. The nurse who exhibits transactional leadership will meet the targets
within the deadline given by the organization. The nurse will also follow the rules of an
organization and will correct the errors of an employee in a reactive manner.
✓
✓ Motivating or inspiring the employees and increasing employee commitment are the
characteristics of transformational leadership.
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The unit nurse manager comes to work obviously intoxicated. Which action is the staff nurse
ethically obligated to take?
1 Call the security guard.
2 Tell the nurse manager to go home.
3 Have the supervisor validate the observation.
4 Offer the nurse manager a large cup of coffee
✓ 3 Have the supervisor validate the observation.
✓
✓ The staff nurse should call the hospital supervisor to confirm and handle the problem. The
security guard has no authority in this situation. Although sending the nurse manager
home removes the nurse manager from the clinical setting, this action misses an
opportunity for documenting the situation and the nurse manager is in no condition to
drive safely. Drinking coffee does not make a person less intoxicated.
Which aspects are considered when determining the willingness of a nursing assistant before
delegating a task? Select all that apply.
1 Ability
2 Attitude
3 Personality
4 Confidence
5 Commitment
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✓ 2, 4, 5
✓
✓ An individual's willingness is related to attitude, confidence, and commitment.
✓
✓ Ability is related to knowledge and skills in a specific situation. Personality characteristics
can influence the effectiveness of the delegator.
Which performance appraisal method is used by nurse managers to measure the performance
of the nurse both qualitatively and quantitatively?
1 Narrative method
2 Critical incidents method
3 Graphic rating scale form
4 Behaviorally anchored rating scales
✓ 4
✓ The behaviorally anchored rating scale is a performance appraisal method that provides
an overview of nursing standards by determining performance both qualitatively and
quantitatively.
✓
✓ The narrative method requires a manager to write a statement about the nurse's
performance. The critical incidents type is a performance appraisal method in which a
manager keeps a written record of positive and negative performance. The graphic rating
scale form is a performance appraisal checklist on which a manager rates the nurse's
performance on a continuum such as excellent, good, average, and poor.
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The healthcare team is caring for clients in an emergency department. How soon should the
clients triaged as an emergency severity index-3 (ESI-3) be seen by the physician according
to the five level triage system?
1 Immediately
2 Within 1 hour
3 Could be delayed
4 Within 10 minutes
✓ 2 Within 1 hour
✓
✓ The clients triaged as an ESI-3 should be seen by the physician within an hour.
✓
✓ The clients with life-threatening problems are triaged as ESI-1, and they should be
provided with immediate care. The care of the clients in ESI-4 and ESI-5 can be delayed
for some time because the condition of the clients in this level is stable. Clients with major
injuries are triaged as an ESI-2 and require treatment within 10 minutes.
Which question does the registered nurse recognize as related to the right of circumstance
when delegating?
1 "Is the delegation appropriate to the situation?"
2 "Is the task within the delegatee's scope of practice?"
3 "Is the prospective delegate a willing and able employee?"
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