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NGN HESI Leadership and Management Exam |
2026/2027 Edition | High-Quality Actual Q&A |
Verified Study Resource | A+
The student nurse is shadowing on a medical/surgical unit and observes the duties of the charge
nurse. Which of the following would the student identify as a quality attributed to a nurse in a
leadership role?
A. Delays admission from emergency department until staff has appropriately educated a newly
diagnosed diabetic patient on insulin administration.
B. Spends time with a newly diagnosed lung cancer patient to allow him to communicate his
future health concerns.
C. Reevaluates staffing needs after one RN "calls in sick."
D. Counsels a UAP (unlicensed assistive personnel) after arriving late for work the third time
that week.
B. Spends time with a newly diagnosed lung cancer patient to allow him to communicate his
future health concerns.
Rationale:
Leaders do the right thing.
Therefore focus on effectiveness whereas a manager focuses on efficiencies.
Which of the following is NOT a task or responsibility of the first-level manager?
Staff assignments for patient care during shifts
Conducting staff meetings
Making daily patient rounds
Initiate changes to unit policies based on current evidence
Initiate changes to unit policies based on current evidence
Rationale:
Initiating change to the unit policies based on current evidence is done by the middle-level
manage. The other options describe tasks of the first-level manager.
A new nurse is interviewed at a facility where various models of patient care delivery are used.
The nurse is interested in developing clinical decision-making skills. After the interview, the
nurse determines the best position for enhancing those skills is the unit that uses which of the
following models?
Primary nursing
Team nursing
Functional nursing
Case management
, Primary Nursing
In primary nursing, clinical decision making is focused at the bedside by the nurse administering
the care. The other options are a patient care delivery model whose focus is not bedside decision
making.
Which of the following is NOT an example of the behavioral theory of leadership?
Democratic leader
Republican leader
Laissez faire leader
Bureaucratic leader
Republican Leader
Republican is a political party not a behavioral characteristic. The others are behavioral
characteristics.
An agency nurse is assigned to work on a unit that uses the team nursing model of health care
delivery. The nurse understands that the advantage to patient care delivery in this model is that
the nurse
must make all patient care decisions.
can delegate patient care to other team members.
begins working on discharge plans at the time of admission.
administers all medications to the team patients.
Can delegate patient care
The advantage to the team nursing patient care delivery model is that UAPs are used to assist the
RN and tasks can be delegated to them. The other options are examples of the primary nursing
delivery model.
In a primary care delivery model, which of the following would be an expected assignment for a
staff member for the day?
Two UAPs taking vital signs and blood sugars on all patients
Two LPNs administering medications to all patients
RN verifies new order for patient started on Lopressor (metoprolol) with a history of asthma.
RN holds morning dose of Lopressor (metoprolol) on a patient scheduled for an exercise stress
test today.
Hold lopressor
In a primary care delivery model, the nurse acts autonomously. Options A and B indicate
functional nursing. Option C should be seen in any delivery system.
Key tasks that the care manager may perform including all of the following EXCEPT
deal with personal issues arising during a shift.
use resources efficiently.
observe whether unit policies and objectives are meeting the needs of the patients and staff.
perform staff evaluations.
NGN HESI Leadership and Management Exam |
2026/2027 Edition | High-Quality Actual Q&A |
Verified Study Resource | A+
The student nurse is shadowing on a medical/surgical unit and observes the duties of the charge
nurse. Which of the following would the student identify as a quality attributed to a nurse in a
leadership role?
A. Delays admission from emergency department until staff has appropriately educated a newly
diagnosed diabetic patient on insulin administration.
B. Spends time with a newly diagnosed lung cancer patient to allow him to communicate his
future health concerns.
C. Reevaluates staffing needs after one RN "calls in sick."
D. Counsels a UAP (unlicensed assistive personnel) after arriving late for work the third time
that week.
B. Spends time with a newly diagnosed lung cancer patient to allow him to communicate his
future health concerns.
Rationale:
Leaders do the right thing.
Therefore focus on effectiveness whereas a manager focuses on efficiencies.
Which of the following is NOT a task or responsibility of the first-level manager?
Staff assignments for patient care during shifts
Conducting staff meetings
Making daily patient rounds
Initiate changes to unit policies based on current evidence
Initiate changes to unit policies based on current evidence
Rationale:
Initiating change to the unit policies based on current evidence is done by the middle-level
manage. The other options describe tasks of the first-level manager.
A new nurse is interviewed at a facility where various models of patient care delivery are used.
The nurse is interested in developing clinical decision-making skills. After the interview, the
nurse determines the best position for enhancing those skills is the unit that uses which of the
following models?
Primary nursing
Team nursing
Functional nursing
Case management
, Primary Nursing
In primary nursing, clinical decision making is focused at the bedside by the nurse administering
the care. The other options are a patient care delivery model whose focus is not bedside decision
making.
Which of the following is NOT an example of the behavioral theory of leadership?
Democratic leader
Republican leader
Laissez faire leader
Bureaucratic leader
Republican Leader
Republican is a political party not a behavioral characteristic. The others are behavioral
characteristics.
An agency nurse is assigned to work on a unit that uses the team nursing model of health care
delivery. The nurse understands that the advantage to patient care delivery in this model is that
the nurse
must make all patient care decisions.
can delegate patient care to other team members.
begins working on discharge plans at the time of admission.
administers all medications to the team patients.
Can delegate patient care
The advantage to the team nursing patient care delivery model is that UAPs are used to assist the
RN and tasks can be delegated to them. The other options are examples of the primary nursing
delivery model.
In a primary care delivery model, which of the following would be an expected assignment for a
staff member for the day?
Two UAPs taking vital signs and blood sugars on all patients
Two LPNs administering medications to all patients
RN verifies new order for patient started on Lopressor (metoprolol) with a history of asthma.
RN holds morning dose of Lopressor (metoprolol) on a patient scheduled for an exercise stress
test today.
Hold lopressor
In a primary care delivery model, the nurse acts autonomously. Options A and B indicate
functional nursing. Option C should be seen in any delivery system.
Key tasks that the care manager may perform including all of the following EXCEPT
deal with personal issues arising during a shift.
use resources efficiently.
observe whether unit policies and objectives are meeting the needs of the patients and staff.
perform staff evaluations.
