LEADERSHIP MGMT HESI EAQ
QUESTIONS AND ANSWERS 2025-2026
The registered nurse of a disaster management team teaches the staff nurse about
Ebola. Which statements made by the staff nurse requires further teaching? Select all
that apply. - ANSWER-Antiviral drug therapy is not yet available for Ebola infection, so it
cannot be treated. Ebola is transmitted by direct contact with body fluids of the affected
client. The vaccine for Ebola is not yet approved by the FDA for use in the market.
Isolation of a client with Ebola is required to prevent the spread of the virus. The Ebola
infection is suspected if the client experiences unexplained bleeding.
Which two factors would the nurse state influence the effectiveness of the leader?
Select all that apply. - ANSWER-Readiness and assessment are two of the factors that
influence the effectiveness of the leader. Ability and willingness are the two factors that
need to be assessed to determine the level of the leader's readiness. The attitude is
related to the individual's willingness.
The registered nurse is assigning a task to an unlicensed nursing personnel (UNP).
Which key elements are considered while assessing the UNP's ability to perform work?
Select all that apply. - ANSWER-While assessing the work to be assigned to an
unlicensed nursing personnel (UNPs), the registered nurse should consider the
elements of safety, stability, and critical thinking. Attitude is one of the multiple factors
that influences the effectiveness of the leader. Ethnicity is not a factor that plays a role
in the process of delegation.
In which situation would activation of the emergency preparedness plan be necessary?
Select all that apply. - ANSWER-When the number of casualties exceeds the usual
resource capabilities, a disaster situation exists. The pleasure boat victims are being
taken to a community hospital on a Saturday night when staffing is typically lower.
Likewise, the victims of a manufacturing plant explosion are being taken to an urban
hospital during the time of lower staffing. The victims of a bus accident are being taken
to a community hospital on a holiday, during which staffing is generally lower. The
number of victims from a senior citizen's housing facility fire is large and could
overwhelm available resources at the community hospital. The victims of food poisoning
can easily be taken care of by existing staff and resources at an urban hospital on a
weekday afternoon.
The nurse is caring for a client with breathing difficulty and is unable to auscultate any
breath sounds on one side. Which action should be implemented first by the nurse? -
ANSWER-The priority care for clients with breathing difficulties who present with absent
breath sounds is a needle thoracostomy. This procedure involves removing the fluid or
abnormal air from the pleural space. Intubation is done for the client in severe
respiratory distress. Supplemental oxygen should be given to the client with decreased
,oxygen saturation levels. Ventilation with a bag valve mask is given to clients if
respirations are inadequate or absent.
ANSWER-Providing clear direction to the delegatee aids accomplishment of the
specified task in the given time. Understanding the specific skill set and capabilities of
the delegatee is a crucial element in the delegation process. Selecting a delegatee with
the specific skill set for the particular task is more productive than just selecting a
competent individual. Maintaining an open line of communication with the delegatee,
without any derogatory or offensive comments, yields a collaborative and productive
work environment. Providing verbal attack feedback may not produce effective change
and could undermine any long-term working relationship. Creating a working
environment is an essential and easy delegation task that is essential to promoting
positive work output.
The nurse is teaching a group of students about the manifestation of alkalosis in the
central nervous system. Which statements by a student nurse are accurate? Select all
that apply. - ANSWER-If clients suffer from the alkalosis, the manifestation in the
nervous system would involve paresthesias. The client will also have a positive
Trousseau sign and have anxiety and irritability. The Chvostek sign would also be
positive, not negative. The client would show signs of anxiety and irritability. The central
nervous system should have increased activity with alkalosis, not decreased.
A hospital's emergency power generators were accidentally destroyed. The hospital
management has decided to move the clients to another hospital. Which staff
interventions are appropriate to ensure client safety? Select all that apply. - ANSWER-
Damage to power generators is an example of an internal disaster that can pose danger
to clients. Shifting clients to another hospital can help reduce the risk. Hospital staff
should carry flashlights to ensure adequate lighting during the move and avoid injuries
to clients and themselves. The hospital staff should use staircases to shift clients as the
elevators would be non-functional due to power loss. The hospital staff would ideally
wear headlamps if they are available as these can provide hands-free lighting. Glow
sticks provide lighting and can be used while shifting clients. As previously mentioned,
elevators are nonfunctional in the event of power loss and would not be used.
Which priority interventions should be followed by the nurse when caring for a client with
malignant hyperthermia? Select all that apply. - ANSWER-The client should be
ventilated with 100% oxygen using the highest possible flow rate when malignant
hyperthermia is evident. The client should be intubated immediately with an
endotracheal tube. All inhalation anesthetic agents should be stopped immediately as
the client's condition may worsen. The core body temperature should be monitored on
an ongoing basis (wrong). An indwelling urinary catheter is inserted to monitor urine
output, which is part of ongoing monitoring (wrong).
The nurse is assisting the registered nurse with delegation decisions regarding
management of a client with shortness of breath. Which action by the nurse indicates a
need for correction? - ANSWER-The nurse may not provide constructive feedback
, about the client care management during delegation decisions. The nurse may,
however, provide constructive feedback to the delegatee to maximize the efficiency of
the client care. The nurse may assist other registered nurses with delegation decisions
by using three strategies: asking, offering, and doing. Asking involves inquiring about
the client care problems and issues such as the respiratory rate. Offering involves
suggesting ways to achieve desirable client care outcomes, such as asking the client to
perform breathing exercises regularly. Doing involves demonstrating the specific task to
improve client care—for instance, administering oxygen to the client.
A nursing student compares the pathophysiology of submersion injury in victims of
freshwater drowning and victims of saltwater drowning. Which statement made by the
nursing student indicates effective learning? - ANSWER-There is a difference in tonicity
of both saltwater and freshwater with that of normal body fluids. When either saltwater
or freshwater is aspirated by the submerged victim, the osmotic gradient caused by the
aspirated fluid causes fluid imbalances in the body. Freshwater is hypotonic and
saltwater is hypertonic. Only hypertonic saltwater draws fluid from the vascular space
into the alveoli. Destruction of surfactant and alveolar-capillary membrane occurs in
case of both saltwater and freshwater aspiration.
While caring for a client who was injured in a tornado, the nurse finds that the client is
disoriented. Which is the most appropriate nursing intervention to prevent injury in the
client? - ANSWER-Asking a family member or significant person who cares for the client
to remain with the client will help to reduce confusion in the client. It is the most
important intervention to prevent injury in the client. Keeping rails up on the stretcher will
help to prevent injury in the client but it is not the most appropriate intervention. Keeping
the stretcher in the lowest position will prevent injury but it is not the most appropriate
intervention in clients. Maintaining adequate lighting in the room will help to prevent
injury from a fall but it is not the most appropriate intervention in case of disoriented or
confused clients.
What are the various challenges related to delegation? Select all that apply. -
What points should the nurse consider when delegating a task? Select all that apply. -
ANSWER-Before selecting a delegatee for any particular task, it is important to
understand the skill set and capabilities of the delegatee because selection of
delegatees is based on specific skill sets. Selecting a delegatee based on his or her
competency is an important aspect of delegation. Being certain about the capabilities is
a crucial element of delegation. Willingness is not a crucial element for selecting a
delegatee. In a rural setting the generally longer tenures of employees may make the
delegation process easier.
A client with tongue occlusion has loss of gag reflex and alterations in level of
consciousness. The blood gas test shows oxygen saturation as 40mm Hg and carbon
dioxide saturation as 75 mm Hg. Which type of support provides immediate relief to the
client? - ANSWER-Upper airway obstruction may occur with tongue occlusion, which is
associated with loss of gag reflex and alterations in the level of consciousness. The
QUESTIONS AND ANSWERS 2025-2026
The registered nurse of a disaster management team teaches the staff nurse about
Ebola. Which statements made by the staff nurse requires further teaching? Select all
that apply. - ANSWER-Antiviral drug therapy is not yet available for Ebola infection, so it
cannot be treated. Ebola is transmitted by direct contact with body fluids of the affected
client. The vaccine for Ebola is not yet approved by the FDA for use in the market.
Isolation of a client with Ebola is required to prevent the spread of the virus. The Ebola
infection is suspected if the client experiences unexplained bleeding.
Which two factors would the nurse state influence the effectiveness of the leader?
Select all that apply. - ANSWER-Readiness and assessment are two of the factors that
influence the effectiveness of the leader. Ability and willingness are the two factors that
need to be assessed to determine the level of the leader's readiness. The attitude is
related to the individual's willingness.
The registered nurse is assigning a task to an unlicensed nursing personnel (UNP).
Which key elements are considered while assessing the UNP's ability to perform work?
Select all that apply. - ANSWER-While assessing the work to be assigned to an
unlicensed nursing personnel (UNPs), the registered nurse should consider the
elements of safety, stability, and critical thinking. Attitude is one of the multiple factors
that influences the effectiveness of the leader. Ethnicity is not a factor that plays a role
in the process of delegation.
In which situation would activation of the emergency preparedness plan be necessary?
Select all that apply. - ANSWER-When the number of casualties exceeds the usual
resource capabilities, a disaster situation exists. The pleasure boat victims are being
taken to a community hospital on a Saturday night when staffing is typically lower.
Likewise, the victims of a manufacturing plant explosion are being taken to an urban
hospital during the time of lower staffing. The victims of a bus accident are being taken
to a community hospital on a holiday, during which staffing is generally lower. The
number of victims from a senior citizen's housing facility fire is large and could
overwhelm available resources at the community hospital. The victims of food poisoning
can easily be taken care of by existing staff and resources at an urban hospital on a
weekday afternoon.
The nurse is caring for a client with breathing difficulty and is unable to auscultate any
breath sounds on one side. Which action should be implemented first by the nurse? -
ANSWER-The priority care for clients with breathing difficulties who present with absent
breath sounds is a needle thoracostomy. This procedure involves removing the fluid or
abnormal air from the pleural space. Intubation is done for the client in severe
respiratory distress. Supplemental oxygen should be given to the client with decreased
,oxygen saturation levels. Ventilation with a bag valve mask is given to clients if
respirations are inadequate or absent.
ANSWER-Providing clear direction to the delegatee aids accomplishment of the
specified task in the given time. Understanding the specific skill set and capabilities of
the delegatee is a crucial element in the delegation process. Selecting a delegatee with
the specific skill set for the particular task is more productive than just selecting a
competent individual. Maintaining an open line of communication with the delegatee,
without any derogatory or offensive comments, yields a collaborative and productive
work environment. Providing verbal attack feedback may not produce effective change
and could undermine any long-term working relationship. Creating a working
environment is an essential and easy delegation task that is essential to promoting
positive work output.
The nurse is teaching a group of students about the manifestation of alkalosis in the
central nervous system. Which statements by a student nurse are accurate? Select all
that apply. - ANSWER-If clients suffer from the alkalosis, the manifestation in the
nervous system would involve paresthesias. The client will also have a positive
Trousseau sign and have anxiety and irritability. The Chvostek sign would also be
positive, not negative. The client would show signs of anxiety and irritability. The central
nervous system should have increased activity with alkalosis, not decreased.
A hospital's emergency power generators were accidentally destroyed. The hospital
management has decided to move the clients to another hospital. Which staff
interventions are appropriate to ensure client safety? Select all that apply. - ANSWER-
Damage to power generators is an example of an internal disaster that can pose danger
to clients. Shifting clients to another hospital can help reduce the risk. Hospital staff
should carry flashlights to ensure adequate lighting during the move and avoid injuries
to clients and themselves. The hospital staff should use staircases to shift clients as the
elevators would be non-functional due to power loss. The hospital staff would ideally
wear headlamps if they are available as these can provide hands-free lighting. Glow
sticks provide lighting and can be used while shifting clients. As previously mentioned,
elevators are nonfunctional in the event of power loss and would not be used.
Which priority interventions should be followed by the nurse when caring for a client with
malignant hyperthermia? Select all that apply. - ANSWER-The client should be
ventilated with 100% oxygen using the highest possible flow rate when malignant
hyperthermia is evident. The client should be intubated immediately with an
endotracheal tube. All inhalation anesthetic agents should be stopped immediately as
the client's condition may worsen. The core body temperature should be monitored on
an ongoing basis (wrong). An indwelling urinary catheter is inserted to monitor urine
output, which is part of ongoing monitoring (wrong).
The nurse is assisting the registered nurse with delegation decisions regarding
management of a client with shortness of breath. Which action by the nurse indicates a
need for correction? - ANSWER-The nurse may not provide constructive feedback
, about the client care management during delegation decisions. The nurse may,
however, provide constructive feedback to the delegatee to maximize the efficiency of
the client care. The nurse may assist other registered nurses with delegation decisions
by using three strategies: asking, offering, and doing. Asking involves inquiring about
the client care problems and issues such as the respiratory rate. Offering involves
suggesting ways to achieve desirable client care outcomes, such as asking the client to
perform breathing exercises regularly. Doing involves demonstrating the specific task to
improve client care—for instance, administering oxygen to the client.
A nursing student compares the pathophysiology of submersion injury in victims of
freshwater drowning and victims of saltwater drowning. Which statement made by the
nursing student indicates effective learning? - ANSWER-There is a difference in tonicity
of both saltwater and freshwater with that of normal body fluids. When either saltwater
or freshwater is aspirated by the submerged victim, the osmotic gradient caused by the
aspirated fluid causes fluid imbalances in the body. Freshwater is hypotonic and
saltwater is hypertonic. Only hypertonic saltwater draws fluid from the vascular space
into the alveoli. Destruction of surfactant and alveolar-capillary membrane occurs in
case of both saltwater and freshwater aspiration.
While caring for a client who was injured in a tornado, the nurse finds that the client is
disoriented. Which is the most appropriate nursing intervention to prevent injury in the
client? - ANSWER-Asking a family member or significant person who cares for the client
to remain with the client will help to reduce confusion in the client. It is the most
important intervention to prevent injury in the client. Keeping rails up on the stretcher will
help to prevent injury in the client but it is not the most appropriate intervention. Keeping
the stretcher in the lowest position will prevent injury but it is not the most appropriate
intervention in clients. Maintaining adequate lighting in the room will help to prevent
injury from a fall but it is not the most appropriate intervention in case of disoriented or
confused clients.
What are the various challenges related to delegation? Select all that apply. -
What points should the nurse consider when delegating a task? Select all that apply. -
ANSWER-Before selecting a delegatee for any particular task, it is important to
understand the skill set and capabilities of the delegatee because selection of
delegatees is based on specific skill sets. Selecting a delegatee based on his or her
competency is an important aspect of delegation. Being certain about the capabilities is
a crucial element of delegation. Willingness is not a crucial element for selecting a
delegatee. In a rural setting the generally longer tenures of employees may make the
delegation process easier.
A client with tongue occlusion has loss of gag reflex and alterations in level of
consciousness. The blood gas test shows oxygen saturation as 40mm Hg and carbon
dioxide saturation as 75 mm Hg. Which type of support provides immediate relief to the
client? - ANSWER-Upper airway obstruction may occur with tongue occlusion, which is
associated with loss of gag reflex and alterations in the level of consciousness. The
