HESI RN LEADERSHIP /MANAGEMENT EXIT
EXAM 2025/2026 TEST BANK 120 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
(VERIFIED ANSWERS)
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
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
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
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
,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
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?"
4 "Is the delegator able to monitor and evaluate the client appropriately?"
Which factors does the registered nurse consider in the decision to delegate
process? Select all that apply.
1 Evaluation
2 Nursing judgment
3 Predictability of outcomes
4 Pervasive functions of assessment
5 Complexity of the task to be performed
Under a leader, a team of followers has failed to achieve success in conducting
research. What does an effective leader do in this situation?
1 Criticizes the team members for failure
2 Provides excuses for the negative outcome
3 Refuses to take the responsibility for failure
4 Accepts failure and gains experience from it
The nursing manager wants to implement transformational leadership qualities.
Which actions best describe this style of leadership? Select all that apply.
1 Providing intellectual stimulation
2 Intervening only when problems exist
3 Performing experiments with system redesign
4 Using motivator factors to inspire work performance
5 Monitoring performance and taking action to correct
Which component of delegation is defined as the ability to perform duties in a
specific role?
,1 Authority
2 Supervision
3 Responsibility
4 Accountability
The healthcare team is caring for a client with neutropenia. Which task is
delegated to unlicensed assistive personnel?
1 Administering antibiotics
2 Assisting with personal hygiene
3 Monitoring for signs and symptoms of infection
4 Teaching the client and caregivers about how to avoid infection
A client's serum potassium level has increased to 5.8 mEq/L (5.8 mmol/L). What
action should the nurse implement first?
1 Call the laboratory to repeat the test.
2 Take vital signs and notify the healthcare provider.
3 Inform the cardiac arrest team to place them on alert.
4 Take an electrocardiogram and have lidocaine available.
The nurse has accepted a position as a navigator. What should the nurse expect
to learn during training for this role? Select all that apply.
1 Approaches to reduce the cost of health care
2 Learning ways to work through the health systems
3 Strategies to teach clients about disease, including prevention and treatment
4 Assessing barriers that clients have encountered while attempting to receive
care
5 Helping clients cope with delays in receiving treatment until barriers are
overcome
What aspect of total client care needs to be taken into consideration if used on a
24-bed care area?
1 Cost of nurses
2 Training needs
3 Documentation
4 Time commitment
For which situations would total client care be an appropriate delivery system?
Select all that apply.
1 Client scheduled for lithotripsy for renal calculi
2 Client with an endotracheal tube for pulmonary sepsis
3 Client recovering from cardiovascular bypass graft surgery
, 4 Client recovering from the placement of a cerebrospinal fluid shunt
5 Client transferring to a rehabilitation unit after total hip replacement surgery
Which intervention should the charge nurse perform to manage a task when the
unlicensed nursing personal (UNP) is lacking competence?
1 Provide constructive feedback and assign another task.
2 Provide open vocal feedback and withdraw the UNP from task.
3 Provide additional support and temporarily lower expectations.
4 Provide accountability to the organization and undergo training again.
Which statement would most likely be made by a client who is receiving care
through the functional method?
1 "My nurse's name is Amy."
2 "Susan will be caring for me until 7 pm."
3 "I have to wait until the medication nurse is available for a pain pill."
4 "Barbara coordinated all of my care but I might receive the care from other
nurses."
Which constructive aspects of conflict does the nurse leader identify? Select all
that apply.
1 Polarizes groups
2 Releases pent-up emotions
3 Promotes ineffective communication
4 Helps individuals grow personally
5 Builds cohesiveness among people
When does delegation become more challenging? Select all that apply.
1 When the client is stable
2 When the client is pregnant
3 When the geographic area is small
4 When the resources are abundant
5 When school children are receiving care
A client reports severe pain 2 days after surgery. After assessing the
characteristics of the pain, which initial action should the nurse take next?
1 Encourage rest.
2 Obtain vital signs.
3 Administer the prescribed analgesic.
4 Document the client's pain response.
EXAM 2025/2026 TEST BANK 120 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
(VERIFIED ANSWERS)
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
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
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
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
,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
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?"
4 "Is the delegator able to monitor and evaluate the client appropriately?"
Which factors does the registered nurse consider in the decision to delegate
process? Select all that apply.
1 Evaluation
2 Nursing judgment
3 Predictability of outcomes
4 Pervasive functions of assessment
5 Complexity of the task to be performed
Under a leader, a team of followers has failed to achieve success in conducting
research. What does an effective leader do in this situation?
1 Criticizes the team members for failure
2 Provides excuses for the negative outcome
3 Refuses to take the responsibility for failure
4 Accepts failure and gains experience from it
The nursing manager wants to implement transformational leadership qualities.
Which actions best describe this style of leadership? Select all that apply.
1 Providing intellectual stimulation
2 Intervening only when problems exist
3 Performing experiments with system redesign
4 Using motivator factors to inspire work performance
5 Monitoring performance and taking action to correct
Which component of delegation is defined as the ability to perform duties in a
specific role?
,1 Authority
2 Supervision
3 Responsibility
4 Accountability
The healthcare team is caring for a client with neutropenia. Which task is
delegated to unlicensed assistive personnel?
1 Administering antibiotics
2 Assisting with personal hygiene
3 Monitoring for signs and symptoms of infection
4 Teaching the client and caregivers about how to avoid infection
A client's serum potassium level has increased to 5.8 mEq/L (5.8 mmol/L). What
action should the nurse implement first?
1 Call the laboratory to repeat the test.
2 Take vital signs and notify the healthcare provider.
3 Inform the cardiac arrest team to place them on alert.
4 Take an electrocardiogram and have lidocaine available.
The nurse has accepted a position as a navigator. What should the nurse expect
to learn during training for this role? Select all that apply.
1 Approaches to reduce the cost of health care
2 Learning ways to work through the health systems
3 Strategies to teach clients about disease, including prevention and treatment
4 Assessing barriers that clients have encountered while attempting to receive
care
5 Helping clients cope with delays in receiving treatment until barriers are
overcome
What aspect of total client care needs to be taken into consideration if used on a
24-bed care area?
1 Cost of nurses
2 Training needs
3 Documentation
4 Time commitment
For which situations would total client care be an appropriate delivery system?
Select all that apply.
1 Client scheduled for lithotripsy for renal calculi
2 Client with an endotracheal tube for pulmonary sepsis
3 Client recovering from cardiovascular bypass graft surgery
, 4 Client recovering from the placement of a cerebrospinal fluid shunt
5 Client transferring to a rehabilitation unit after total hip replacement surgery
Which intervention should the charge nurse perform to manage a task when the
unlicensed nursing personal (UNP) is lacking competence?
1 Provide constructive feedback and assign another task.
2 Provide open vocal feedback and withdraw the UNP from task.
3 Provide additional support and temporarily lower expectations.
4 Provide accountability to the organization and undergo training again.
Which statement would most likely be made by a client who is receiving care
through the functional method?
1 "My nurse's name is Amy."
2 "Susan will be caring for me until 7 pm."
3 "I have to wait until the medication nurse is available for a pain pill."
4 "Barbara coordinated all of my care but I might receive the care from other
nurses."
Which constructive aspects of conflict does the nurse leader identify? Select all
that apply.
1 Polarizes groups
2 Releases pent-up emotions
3 Promotes ineffective communication
4 Helps individuals grow personally
5 Builds cohesiveness among people
When does delegation become more challenging? Select all that apply.
1 When the client is stable
2 When the client is pregnant
3 When the geographic area is small
4 When the resources are abundant
5 When school children are receiving care
A client reports severe pain 2 days after surgery. After assessing the
characteristics of the pain, which initial action should the nurse take next?
1 Encourage rest.
2 Obtain vital signs.
3 Administer the prescribed analgesic.
4 Document the client's pain response.
