HESI Exit Exam Leadership and
Management Practice Questions - Set 2
80 Multiple-Choice Questions for Exam Preparation
Topics: Delegation, Prioritization, Legal/Ethical Issues, Conflict Resolution,
Scope of Practice
May 31, 2025
Instructions
This document contains 80 HESI Exit Exam-style multiple-choice questions focused on Lead-
ership and Management in Nursing. Each question includes four answer choices (AD), with the
correct answer clearly indicated. Topics include delegation, prioritization, legal/ethical issues,
conflict resolution, and scope of practice. Use this practice test to evaluate your leadership and
management skills in clinical scenarios. Good luck!
Practice Questions
A charge nurse is delegating tasks to a licensed practical nurse (LPN). Which task is within the
LPNs scope of practice?
A) Performing a comprehensive admission assessment
A) B) Administering oral antihypertensive medication
C) Developing a discharge teaching plan
D) Interpreting a clients cardiac rhythm
Correct Answer: B
A nurse has multiple clients with urgent needs. Which client should be prioritized?
A) A client with a respiratory rate of 32 breaths/min
B) A client requesting a medication refill
B)
C) A client with a scheduled diagnostic test
D) A client needing assistance with hygiene
Correct Answer: A
1
, A nurse discovers a coworker administered the wrong medication dose. What is the nurses first
action?
A) Document the error in the clients chart
C) B) Assess the client for adverse effects
C) Confront the coworker immediately
D) Notify the pharmacy
Correct Answer: B
A client refuses a procedure due to cultural beliefs. What should the nurse do?
A) Proceed with the procedure
B) Respect the clients decision and inform the provider
D)
C) Convince the client to consent
D) Ask the family to make the decision
Correct Answer: B
Two staff members are arguing in the nurses station. What should the charge nurse do first?
A) Report the argument to the supervisor
B) Ask the staff to discuss the issue in private
E)
C) Ignore the argument and continue working
D) Assign them to different shifts
Correct Answer: B
Which task can a nurse delegate to an unlicensed assistive personnel (UAP)?
A) Administering a subcutaneous injection
B) Measuring a clients intake and output
F)
C) Evaluating a clients response to therapy
D) Teaching a client about medication side effects
Correct Answer: B
A nurse is assigned four clients. Which client should the nurse assess first?
A) A client with a blood pressure of 90/60 mmHg
B) A client awaiting a routine blood draw
G)
C) A client requesting a blanket
D) A client with a scheduled dressing change
Correct Answer: A
2
Management Practice Questions - Set 2
80 Multiple-Choice Questions for Exam Preparation
Topics: Delegation, Prioritization, Legal/Ethical Issues, Conflict Resolution,
Scope of Practice
May 31, 2025
Instructions
This document contains 80 HESI Exit Exam-style multiple-choice questions focused on Lead-
ership and Management in Nursing. Each question includes four answer choices (AD), with the
correct answer clearly indicated. Topics include delegation, prioritization, legal/ethical issues,
conflict resolution, and scope of practice. Use this practice test to evaluate your leadership and
management skills in clinical scenarios. Good luck!
Practice Questions
A charge nurse is delegating tasks to a licensed practical nurse (LPN). Which task is within the
LPNs scope of practice?
A) Performing a comprehensive admission assessment
A) B) Administering oral antihypertensive medication
C) Developing a discharge teaching plan
D) Interpreting a clients cardiac rhythm
Correct Answer: B
A nurse has multiple clients with urgent needs. Which client should be prioritized?
A) A client with a respiratory rate of 32 breaths/min
B) A client requesting a medication refill
B)
C) A client with a scheduled diagnostic test
D) A client needing assistance with hygiene
Correct Answer: A
1
, A nurse discovers a coworker administered the wrong medication dose. What is the nurses first
action?
A) Document the error in the clients chart
C) B) Assess the client for adverse effects
C) Confront the coworker immediately
D) Notify the pharmacy
Correct Answer: B
A client refuses a procedure due to cultural beliefs. What should the nurse do?
A) Proceed with the procedure
B) Respect the clients decision and inform the provider
D)
C) Convince the client to consent
D) Ask the family to make the decision
Correct Answer: B
Two staff members are arguing in the nurses station. What should the charge nurse do first?
A) Report the argument to the supervisor
B) Ask the staff to discuss the issue in private
E)
C) Ignore the argument and continue working
D) Assign them to different shifts
Correct Answer: B
Which task can a nurse delegate to an unlicensed assistive personnel (UAP)?
A) Administering a subcutaneous injection
B) Measuring a clients intake and output
F)
C) Evaluating a clients response to therapy
D) Teaching a client about medication side effects
Correct Answer: B
A nurse is assigned four clients. Which client should the nurse assess first?
A) A client with a blood pressure of 90/60 mmHg
B) A client awaiting a routine blood draw
G)
C) A client requesting a blanket
D) A client with a scheduled dressing change
Correct Answer: A
2
