HESI LEADERSHIP EXAM WITH VERIFIED
QUESTIONS AND ANSWERS|| ALREADY
GRADED A+ || GUARANTEED PASS || LATEST
VERSION 2025
Which factor would be considered when delegating a task to the
licensed practical nurse (LPN)? Select all that apply. One, some, or
all responses may be correct.
a. Client's condition
b. Complexity of the task
c. Number of LPNs available
d. Predictability of outcomes
e. Relationship status between the delegatee and delegator
ANSWER- a. Client's condition
b. Complexity of the task
d. Predictability of outcomes
rationale: The decisions for delegation should be based on multiple factors such
as the client's condition, complexity of the task, and predictability of outcomes.
The number of LPNs may not be important information while assigning the
tasks. Relationship status between the delegatee and the delegator is not an
important consideration for delegating a task to the LPN effectively.
Which prescription for a child with a tentative diagnosis of Wilms
tumor would the nurse question?
a. Renal biopsy
b. Abdominal ultrasound
c. Computed tomography scan
d. Magnetic resonance imaging
,ANSWER- a. Renal biopsy
rationale: A renal biopsy is an invasive procedure. In the early stages, Wilms
tumor is encapsulated. Any disruption of the tumor capsule may precipitate
metastasis. Magnetic resonance imaging, computed tomography, and abdominal
ultrasound are all helpful in making the diagnosis.
Which quality is crucial for the nurse to have in order to accomplish
the delegation of care for clients affected by flooding thoroughly and
on time? Select all that apply. One, some, or all responses may be
correct.
a. Treats each staff member as an adult
b. Experienced in handling crisis conditions
c. Adapts to the needs of the work group
d. Quick in making decisions and taking actions
e. Firm in assigning the defined tasks to the staff
ANSWER- b. Experienced in handling crisis conditions
d. Quick in making decisions and taking actions
e. Firm in assigning the defined tasks to the staff
rationale: An autocratic leader is an expert in handling crisis conditions such as
natural disasters (floods) and is often reputed for being able to skillfully handle
difficult assignments. An autocratic leader is firm, insistent, dominating, and
quick at making decisions and taking necessary actions. This type of leader
clearly assigns defined tasks to the working group to complete the work on
time. A democratic leader involves staff members in the decision-making
process. A situational leader manages tasks by adapting to the needs of the work
group, which enables professional growth.
Which model of nursing care would include working "within the
walls" as well as "beyond the walls" of the hospital?
a. Primary nursing method
b. Practice partnership model
,c. Patient-focused care model
d. Nursing case-management model
ANSWER- d. Nursing case-management model
rationale: In the nursing case-management model, the nurse needs to provide
care for a client in nurse-managed centers, home health agencies, urgent care
centers, schools, and rural settings. In the primary nursing method, a single
nurse cares for a client while that client is in the hospital. In the practice
partnership model, a registered nurse (RN) is paired with an unlicensed nursing
personnel. In the patient-focused care model, a RN is paired with a crosstrained
technician who provides patient-side care.
Which service would be provided by an organization that provides secondary
care for clients with cancer?
a. Providing long-term care for fatigue
b. Providing treatment for pain management
c. Teaching the client about prevention of infection
d. Teaching the client about adverse effects of the therapy
ANSWER- c. Teaching the client about prevention of infection
rationale: Secondary care involves the prevention of disease complications.
Therefore, teaching clients about the prevention of infection would help prevent
complications as cancer clients are at high risk for infection. Long-term care for
fatigue would be included as primary or tertiary care, not secondary care.
Treatment for chronic care, such as pain management in clients diagnosed with
cancer, is a type of primary care. Primary care involves health maintenance
measures such as teaching the client about adverse effects of the therapy.
Which statement about the modified patient-focused care model indicates more
teaching is needed?
a. "It improves client satisfaction."
b. "It improves worker job satisfaction."
c. "It increases the efficiency of the hospital."
d. "It requires a technician to provide client care."
ANSWER- d. "It requires a technician to provide client care."
, rationale: The original patient-focused model required the use of cross-trained
technicians who provided patient-side care. The modified model, however,
includes team members providing direct care activities. In this model there is
improved client satisfaction and worker job satisfaction. This, in turn, increases
the efficiency of the hospital.
While providing feedback to staff, the nurse leader warns an
employee that he or she needs to improve performance. Which
leadership style is the nurse leader using?
a. Autocratic
b. Situational
c. Democratic
d. Laissez-faireAutocratic
ANSWER- a. Autocratic
rationale: An autocratic leader stresses prompt and orderly performance. This
type of leadership puts pressure on employees who fail to adhere to
expectations. Situational leadership provides flexibility to the manager in
adapting to the needs of the work group. A democratic leader does not pressure
employees; instead, he or she allows employees more control and individual
participation in decision-making. A laissez-faire leader avoids responsibility
and delegates all decision-making to the group.
While trying to define a problem, the nurse leader determines the
external and internal constraints for implementing a solution. Which
problem-defining process is the leader nurse performing?
a. Justifying the need
b. Writing the problem
c. Establishing the need
d. Contextualizing the problem
ANSWER- d. Contextualizing the problem
rationale: As per the problem-definition process, while contextualizing a
problem, a nurse leader will determine the external and internal constraints of
QUESTIONS AND ANSWERS|| ALREADY
GRADED A+ || GUARANTEED PASS || LATEST
VERSION 2025
Which factor would be considered when delegating a task to the
licensed practical nurse (LPN)? Select all that apply. One, some, or
all responses may be correct.
a. Client's condition
b. Complexity of the task
c. Number of LPNs available
d. Predictability of outcomes
e. Relationship status between the delegatee and delegator
ANSWER- a. Client's condition
b. Complexity of the task
d. Predictability of outcomes
rationale: The decisions for delegation should be based on multiple factors such
as the client's condition, complexity of the task, and predictability of outcomes.
The number of LPNs may not be important information while assigning the
tasks. Relationship status between the delegatee and the delegator is not an
important consideration for delegating a task to the LPN effectively.
Which prescription for a child with a tentative diagnosis of Wilms
tumor would the nurse question?
a. Renal biopsy
b. Abdominal ultrasound
c. Computed tomography scan
d. Magnetic resonance imaging
,ANSWER- a. Renal biopsy
rationale: A renal biopsy is an invasive procedure. In the early stages, Wilms
tumor is encapsulated. Any disruption of the tumor capsule may precipitate
metastasis. Magnetic resonance imaging, computed tomography, and abdominal
ultrasound are all helpful in making the diagnosis.
Which quality is crucial for the nurse to have in order to accomplish
the delegation of care for clients affected by flooding thoroughly and
on time? Select all that apply. One, some, or all responses may be
correct.
a. Treats each staff member as an adult
b. Experienced in handling crisis conditions
c. Adapts to the needs of the work group
d. Quick in making decisions and taking actions
e. Firm in assigning the defined tasks to the staff
ANSWER- b. Experienced in handling crisis conditions
d. Quick in making decisions and taking actions
e. Firm in assigning the defined tasks to the staff
rationale: An autocratic leader is an expert in handling crisis conditions such as
natural disasters (floods) and is often reputed for being able to skillfully handle
difficult assignments. An autocratic leader is firm, insistent, dominating, and
quick at making decisions and taking necessary actions. This type of leader
clearly assigns defined tasks to the working group to complete the work on
time. A democratic leader involves staff members in the decision-making
process. A situational leader manages tasks by adapting to the needs of the work
group, which enables professional growth.
Which model of nursing care would include working "within the
walls" as well as "beyond the walls" of the hospital?
a. Primary nursing method
b. Practice partnership model
,c. Patient-focused care model
d. Nursing case-management model
ANSWER- d. Nursing case-management model
rationale: In the nursing case-management model, the nurse needs to provide
care for a client in nurse-managed centers, home health agencies, urgent care
centers, schools, and rural settings. In the primary nursing method, a single
nurse cares for a client while that client is in the hospital. In the practice
partnership model, a registered nurse (RN) is paired with an unlicensed nursing
personnel. In the patient-focused care model, a RN is paired with a crosstrained
technician who provides patient-side care.
Which service would be provided by an organization that provides secondary
care for clients with cancer?
a. Providing long-term care for fatigue
b. Providing treatment for pain management
c. Teaching the client about prevention of infection
d. Teaching the client about adverse effects of the therapy
ANSWER- c. Teaching the client about prevention of infection
rationale: Secondary care involves the prevention of disease complications.
Therefore, teaching clients about the prevention of infection would help prevent
complications as cancer clients are at high risk for infection. Long-term care for
fatigue would be included as primary or tertiary care, not secondary care.
Treatment for chronic care, such as pain management in clients diagnosed with
cancer, is a type of primary care. Primary care involves health maintenance
measures such as teaching the client about adverse effects of the therapy.
Which statement about the modified patient-focused care model indicates more
teaching is needed?
a. "It improves client satisfaction."
b. "It improves worker job satisfaction."
c. "It increases the efficiency of the hospital."
d. "It requires a technician to provide client care."
ANSWER- d. "It requires a technician to provide client care."
, rationale: The original patient-focused model required the use of cross-trained
technicians who provided patient-side care. The modified model, however,
includes team members providing direct care activities. In this model there is
improved client satisfaction and worker job satisfaction. This, in turn, increases
the efficiency of the hospital.
While providing feedback to staff, the nurse leader warns an
employee that he or she needs to improve performance. Which
leadership style is the nurse leader using?
a. Autocratic
b. Situational
c. Democratic
d. Laissez-faireAutocratic
ANSWER- a. Autocratic
rationale: An autocratic leader stresses prompt and orderly performance. This
type of leadership puts pressure on employees who fail to adhere to
expectations. Situational leadership provides flexibility to the manager in
adapting to the needs of the work group. A democratic leader does not pressure
employees; instead, he or she allows employees more control and individual
participation in decision-making. A laissez-faire leader avoids responsibility
and delegates all decision-making to the group.
While trying to define a problem, the nurse leader determines the
external and internal constraints for implementing a solution. Which
problem-defining process is the leader nurse performing?
a. Justifying the need
b. Writing the problem
c. Establishing the need
d. Contextualizing the problem
ANSWER- d. Contextualizing the problem
rationale: As per the problem-definition process, while contextualizing a
problem, a nurse leader will determine the external and internal constraints of
