Hesi Leadership Exit Exam Combined
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
What should a nurse leader do first when staff members report feeling unsafe due to inadequate
lighting in the parking lot?
✔✔Report the safety concern to administration and advocate for improved lighting.
What is the nurse leader’s priority when a medication error occurs and is reported immediately?
✔✔Ensure patient safety, complete an incident report, and review contributing factors.
What is the best action for the nurse leader when a conflict arises between two nurses during a
shift?
✔✔Facilitate private communication to resolve the conflict professionally.
What should the nurse leader emphasize when orienting new nurses to delegation?
✔✔Delegation transfers the task but not the accountability.
1
,What is the most effective way for a nurse leader to encourage staff to adopt evidence-based
practice?
✔✔Provide access to resources and create opportunities for staff education.
What should the nurse leader do when a staff nurse refuses to perform a task within their scope?
✔✔Clarify expectations and provide support or training if needed.
What is the most important responsibility of the nurse leader in disaster planning?
✔✔Ensure staff are aware of roles and responsibilities in the disaster plan.
What should the nurse leader do when staff frequently complain about unfair assignments?
✔✔Review and adjust assignments based on patient acuity and staff competency.
What is the best leadership action when patient satisfaction scores are declining?
✔✔Gather feedback from patients and staff, then implement improvement strategies.
What should the nurse leader do when a staff member consistently arrives late?
✔✔Address the issue privately and set clear expectations for punctuality.
2
,What is the best response when a nurse expresses moral distress about caring for a dying patient?
✔✔Provide emotional support and refer to counseling or debriefing services.
What should the nurse leader do when a UAP is performing a task outside their role?
✔✔Stop the task immediately and provide education on scope of practice.
What is the nurse leader’s first step when investigating frequent falls on the unit?
✔✔Conduct a root cause analysis to identify patterns and contributing factors.
What should the nurse leader do when family members complain about inconsistent information
from staff?
✔✔Standardize communication and reinforce consistent updates to families.
What is the best way for a nurse leader to encourage teamwork on a busy unit?
✔✔Promote open communication and shared responsibility among staff.
What is the nurse leader’s role when an ethical dilemma arises in patient care?
3
, ✔✔Facilitate discussion and involve the ethics committee if necessary.
What should the nurse leader do when staffing shortages threaten patient safety?
✔✔Reassign tasks based on priority and advocate for additional resources.
What is the best leadership response when staff morale is low?
✔✔Recognize staff contributions and provide opportunities for input.
What is the nurse leader’s first step when a patient’s family alleges neglect?
✔✔Investigate the concern promptly and objectively.
What should the nurse leader do when a staff nurse demonstrates poor hand hygiene?
✔✔Provide immediate correction and reinforce infection control education.
What is the nurse leader’s role when a sentinel event occurs?
✔✔Ensure patient safety, report according to policy, and participate in root cause analysis.
What should the nurse leader do when staff express confusion about new policies?
4
Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
What should a nurse leader do first when staff members report feeling unsafe due to inadequate
lighting in the parking lot?
✔✔Report the safety concern to administration and advocate for improved lighting.
What is the nurse leader’s priority when a medication error occurs and is reported immediately?
✔✔Ensure patient safety, complete an incident report, and review contributing factors.
What is the best action for the nurse leader when a conflict arises between two nurses during a
shift?
✔✔Facilitate private communication to resolve the conflict professionally.
What should the nurse leader emphasize when orienting new nurses to delegation?
✔✔Delegation transfers the task but not the accountability.
1
,What is the most effective way for a nurse leader to encourage staff to adopt evidence-based
practice?
✔✔Provide access to resources and create opportunities for staff education.
What should the nurse leader do when a staff nurse refuses to perform a task within their scope?
✔✔Clarify expectations and provide support or training if needed.
What is the most important responsibility of the nurse leader in disaster planning?
✔✔Ensure staff are aware of roles and responsibilities in the disaster plan.
What should the nurse leader do when staff frequently complain about unfair assignments?
✔✔Review and adjust assignments based on patient acuity and staff competency.
What is the best leadership action when patient satisfaction scores are declining?
✔✔Gather feedback from patients and staff, then implement improvement strategies.
What should the nurse leader do when a staff member consistently arrives late?
✔✔Address the issue privately and set clear expectations for punctuality.
2
,What is the best response when a nurse expresses moral distress about caring for a dying patient?
✔✔Provide emotional support and refer to counseling or debriefing services.
What should the nurse leader do when a UAP is performing a task outside their role?
✔✔Stop the task immediately and provide education on scope of practice.
What is the nurse leader’s first step when investigating frequent falls on the unit?
✔✔Conduct a root cause analysis to identify patterns and contributing factors.
What should the nurse leader do when family members complain about inconsistent information
from staff?
✔✔Standardize communication and reinforce consistent updates to families.
What is the best way for a nurse leader to encourage teamwork on a busy unit?
✔✔Promote open communication and shared responsibility among staff.
What is the nurse leader’s role when an ethical dilemma arises in patient care?
3
, ✔✔Facilitate discussion and involve the ethics committee if necessary.
What should the nurse leader do when staffing shortages threaten patient safety?
✔✔Reassign tasks based on priority and advocate for additional resources.
What is the best leadership response when staff morale is low?
✔✔Recognize staff contributions and provide opportunities for input.
What is the nurse leader’s first step when a patient’s family alleges neglect?
✔✔Investigate the concern promptly and objectively.
What should the nurse leader do when a staff nurse demonstrates poor hand hygiene?
✔✔Provide immediate correction and reinforce infection control education.
What is the nurse leader’s role when a sentinel event occurs?
✔✔Ensure patient safety, report according to policy, and participate in root cause analysis.
What should the nurse leader do when staff express confusion about new policies?
4
