HESI LEADERSHIP EXAM 2025/2026 WITH ALL 200
QUESTIONS AND CORRECT ANSWERS GRADED
A+/ RN H, Exams of Nursing
Data are standardized and use structured terminology, which enables cross-site comparisons.
In preparation for redesignation as a MagnetTM Hospital, how would you prepare?
a. Commit staff resources over a 6-month period to updating procedure manuals.
b. Educate staff through meetings and training sessions regarding appropriate answers to
questions.
c. Prepare a manual that outlines orientation procedures and ensure that all safety issues are
addressed.
d. Ensure that there are empirical data to support review of patient outcomes, actions taken,
and results of actions. ANS: D
Through the MagnetTM model, organizations must demonstrate how they provide excellence in
five areas. Between designation and redesignation as a MagnetTM organization, greater
emphasis is placed on empirical quality results.
With the rise in workplace violence in the emergency department, the nurse manager decides
that she should work with the risk manager in violence prevention. The nurse manager should:
a.Request all staff to accept new risk management practices.
b.Hold staff accountable for safe practices.
c.Document inappropriate behavior.
d.Hire more police security Hold staff accountable for safe practices
Active involvement of staff in risk management activities is key to prevention of adverse events.
Nursing has a primary role in leadership in optimizing patient outcomes, preventing patient care
issues, and mitigating adverse events. Accountability for safety can be one aspect of
performance evaluations.
1|Page
,10. At 3 AM, a man walks into your emergency department. He paces back and forth in the
waiting area before he approaches staff to ask if he can see his wife, who is a patient on another
floor. He speaks rapidly, his face is flushed, he glances around often, and he keeps his hand in his
jacket pocket. A best initial response would be to:
a. Assess your situation and your surroundings.
b. Ask two or three staff to assist in confronting the individual.
c. Ask what floor his wife is on and remind him that visiting hours are closed.
d. Remain calm as there is no potential for violence here. ANS: A
The behavior of the individual (flushed appearance, furtive glances, speed of speech) and the
hand in his pocket suggest the potential for violence or aggression. The first step is to quickly
assess your surroundings for others who might assist and for safety alarms.
10. Leaders in nursing must advocate for information and knowledge systems that support
nursing practice. This is best accomplished by:
a. Participating in organizational information technology committees.
b. Submitting written requests for needed information systems.
c. Requesting budgetary funds needed for systems.
d. Sending staff nurses to conferences that discuss cutting-edge technologies. a.
Participating in organizational information technology committees.
ANS: A
Nurse leaders and direct care nurses must be members of the selection team, participate
actively, and have a voice in the selection decision. The information system must make sense to
the people who use it and fit effectively with the processes for providing patient care.
A healthcare organization is committed to improving patient outcomes as part of the quality
improvement (QI) process and examines its executive structure and organizational design. This
approach recognizes which model of QI?
2|Page
,a.Donabedian
b.Benchmarking
c.Employee involvement and innovation
d. QSEN Donabedian
The IOM Health Professions Education report highlighted patient safety concerns as:
a. A normal risk in professional practice.
b. A result of disciplinary silos.
c. A reflection of frontline staff.
d. Related to systems errors. ANS: B
The IOM Health Professions Education report (2004) highlighted the education of health
disciplines in silos as a major concern in patient safety and endorsed five recommendations.
In an effort to control costs and maximize revenues, the Rehabilitation Unit at Cross Hospital
reduced the number of its managers and increased the number of units for which each manager
was responsible. Within a year, the number of adverse events on the units had doubled. This
may be attributable to:
a. The overload of staff nurses.
b. Resistance to change by staff.
c. A change in reporting systems.
d. Fewer clinical leaders to remove barriers to care. ANS: D
Eliminating barriers to the implementation of best practices is the role of managers and leaders.
When there are insufficient resources for leadership to encourage a culture in which evidence-
based practice is embraced, frontline nurses recognize this as a stumbling block for delivering
quality care.
11. Linda, a staff nurse on nights, yells at Ali, another RN, and tells Ali that she is stupid and
can't get anything right. In responding to this situation as head nurse, it is critical that you:
a. Require that Linda attend anger management classes.
b. Investigate to see if Ali did anything to aggravate Linda.
c. Call both immediately into the office in the morning to discuss the situation.
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, d. Respond to Linda in a way that is consistent with organizational processes and with similar
situations. ANS: D
Erratic or arbitrary discipline, favoritism, or behavior that undermines the dignity of either
individual undermines efforts at curbing workplace violence. Disciplinary actions must be
proportionate, consistent, reasonable, and fair.
11. You are in the process of designing a patient education program that will provide education
and monitoring for patients with hypertension. To support your planning, you draw out and
present patient data from:
a. A clinical database.
b. Biomedical technologies.
c. E-mail.
d. Internet sources. a.
A clinical database.
ANS: A
Clinical databases are collections of elements organized and structured for the processing,
organization, and presentation of data for interpretation as information, which, in this particular
instance, includes outpatient data.
Hospital ABCD is a Magnet™ hospital. This designation has been applied to Hospital ABCD
because it:
a. Facilitates active staff participation in decision making related to quality nursing care.
b. Has implemented a graduate nurse orientation program.
c. Espouses commitment to excellence in patient care.
d. Is establishing career ladders for nurses. Facilitates active staff participation in decision
making related to quality nursing care
4|Page
QUESTIONS AND CORRECT ANSWERS GRADED
A+/ RN H, Exams of Nursing
Data are standardized and use structured terminology, which enables cross-site comparisons.
In preparation for redesignation as a MagnetTM Hospital, how would you prepare?
a. Commit staff resources over a 6-month period to updating procedure manuals.
b. Educate staff through meetings and training sessions regarding appropriate answers to
questions.
c. Prepare a manual that outlines orientation procedures and ensure that all safety issues are
addressed.
d. Ensure that there are empirical data to support review of patient outcomes, actions taken,
and results of actions. ANS: D
Through the MagnetTM model, organizations must demonstrate how they provide excellence in
five areas. Between designation and redesignation as a MagnetTM organization, greater
emphasis is placed on empirical quality results.
With the rise in workplace violence in the emergency department, the nurse manager decides
that she should work with the risk manager in violence prevention. The nurse manager should:
a.Request all staff to accept new risk management practices.
b.Hold staff accountable for safe practices.
c.Document inappropriate behavior.
d.Hire more police security Hold staff accountable for safe practices
Active involvement of staff in risk management activities is key to prevention of adverse events.
Nursing has a primary role in leadership in optimizing patient outcomes, preventing patient care
issues, and mitigating adverse events. Accountability for safety can be one aspect of
performance evaluations.
1|Page
,10. At 3 AM, a man walks into your emergency department. He paces back and forth in the
waiting area before he approaches staff to ask if he can see his wife, who is a patient on another
floor. He speaks rapidly, his face is flushed, he glances around often, and he keeps his hand in his
jacket pocket. A best initial response would be to:
a. Assess your situation and your surroundings.
b. Ask two or three staff to assist in confronting the individual.
c. Ask what floor his wife is on and remind him that visiting hours are closed.
d. Remain calm as there is no potential for violence here. ANS: A
The behavior of the individual (flushed appearance, furtive glances, speed of speech) and the
hand in his pocket suggest the potential for violence or aggression. The first step is to quickly
assess your surroundings for others who might assist and for safety alarms.
10. Leaders in nursing must advocate for information and knowledge systems that support
nursing practice. This is best accomplished by:
a. Participating in organizational information technology committees.
b. Submitting written requests for needed information systems.
c. Requesting budgetary funds needed for systems.
d. Sending staff nurses to conferences that discuss cutting-edge technologies. a.
Participating in organizational information technology committees.
ANS: A
Nurse leaders and direct care nurses must be members of the selection team, participate
actively, and have a voice in the selection decision. The information system must make sense to
the people who use it and fit effectively with the processes for providing patient care.
A healthcare organization is committed to improving patient outcomes as part of the quality
improvement (QI) process and examines its executive structure and organizational design. This
approach recognizes which model of QI?
2|Page
,a.Donabedian
b.Benchmarking
c.Employee involvement and innovation
d. QSEN Donabedian
The IOM Health Professions Education report highlighted patient safety concerns as:
a. A normal risk in professional practice.
b. A result of disciplinary silos.
c. A reflection of frontline staff.
d. Related to systems errors. ANS: B
The IOM Health Professions Education report (2004) highlighted the education of health
disciplines in silos as a major concern in patient safety and endorsed five recommendations.
In an effort to control costs and maximize revenues, the Rehabilitation Unit at Cross Hospital
reduced the number of its managers and increased the number of units for which each manager
was responsible. Within a year, the number of adverse events on the units had doubled. This
may be attributable to:
a. The overload of staff nurses.
b. Resistance to change by staff.
c. A change in reporting systems.
d. Fewer clinical leaders to remove barriers to care. ANS: D
Eliminating barriers to the implementation of best practices is the role of managers and leaders.
When there are insufficient resources for leadership to encourage a culture in which evidence-
based practice is embraced, frontline nurses recognize this as a stumbling block for delivering
quality care.
11. Linda, a staff nurse on nights, yells at Ali, another RN, and tells Ali that she is stupid and
can't get anything right. In responding to this situation as head nurse, it is critical that you:
a. Require that Linda attend anger management classes.
b. Investigate to see if Ali did anything to aggravate Linda.
c. Call both immediately into the office in the morning to discuss the situation.
3|Page
, d. Respond to Linda in a way that is consistent with organizational processes and with similar
situations. ANS: D
Erratic or arbitrary discipline, favoritism, or behavior that undermines the dignity of either
individual undermines efforts at curbing workplace violence. Disciplinary actions must be
proportionate, consistent, reasonable, and fair.
11. You are in the process of designing a patient education program that will provide education
and monitoring for patients with hypertension. To support your planning, you draw out and
present patient data from:
a. A clinical database.
b. Biomedical technologies.
c. E-mail.
d. Internet sources. a.
A clinical database.
ANS: A
Clinical databases are collections of elements organized and structured for the processing,
organization, and presentation of data for interpretation as information, which, in this particular
instance, includes outpatient data.
Hospital ABCD is a Magnet™ hospital. This designation has been applied to Hospital ABCD
because it:
a. Facilitates active staff participation in decision making related to quality nursing care.
b. Has implemented a graduate nurse orientation program.
c. Espouses commitment to excellence in patient care.
d. Is establishing career ladders for nurses. Facilitates active staff participation in decision
making related to quality nursing care
4|Page
