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Next Generation (NGN) HESI Leadership &
Management Exam | Latest 2026/2027
Update | Practice Questions & Verified
Answers | A+ Grade Study Guide
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
2, 3, 4
The characteristics of transactional leadership include valuing the orders and structures of an
organization. The nurse who exhibits transactional leadership will meet the targets within the
deadline given by the organization. The nurse will also follow the rules of an organization and
will correct the errors of an employee in a reactive manner.
Motivating or inspiring the employees and increasing employee commitment are the
characteristics of transformational leadership.
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
3 Have the supervisor validate the observation.
The staff nurse should call the hospital supervisor to confirm and handle the problem. The
security guard has no authority in this situation. Although sending the nurse manager home
removes the nurse manager from the clinical setting, this action misses an opportunity for
documenting the situation and the nurse manager is in no condition to drive safely. Drinking
coffee does not make a person less intoxicated.
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
,2, 4, 5
An individual's willingness is related to attitude, confidence, and commitment.
Ability is related to knowledge and skills in a specific situation. Personality characteristics can
influence the effectiveness of the delegator.
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
4
The behaviorally anchored rating scale is a performance appraisal method that provides an
overview of nursing standards by determining performance both qualitatively and quantitatively.
The narrative method requires a manager to write a statement about the nurse's performance. The
critical incidents type is a performance appraisal method in which a manager keeps a written
record of positive and negative performance. The graphic rating scale form is a performance
appraisal checklist on which a manager rates the nurse's performance on a continuum such as
excellent, good, average, and poor.
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
2 Within 1 hour
The clients triaged as an ESI-3 should be seen by the physician within an hour.
The clients with life-threatening problems are triaged as ESI-1, and they should be provided with
immediate care. The care of the clients in ESI-4 and ESI-5 can be delayed for some time because
the condition of the clients in this level is stable. Clients with major injuries are triaged as an
ESI-2 and require treatment 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?"
1 "Is the delegation appropriate to the situation?"
The question, "Is the delegation appropriate to the situation?" is related to right circumstance.
,The question, "Is the task within the delegatee's scope of practice?" is related to right task. The
question, "Is the prospective delegate a willing and able employee?" is related to right person.
The question, "Is the delegator able to monitor and evaluate the client appropriately?" is related
to right supervision.
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
3, 5
Two factors responsible for the decision to delegate process are predictability of outcomes and
complexity of the task to be performed.
Evaluation, nursing judgment, and pervasive functions are not factors in the decision to delegate
process.
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
4 Accepts failure and gains experience from it
An effective leader should accept the failure and gain experience from it to avoid repetition of
the same errors.
The effective leader should counsel and motivate the team members for future success and
should not criticize them. Making excuses for the negative outcome is not the correct action of
the effective leader. The effective leader should take responsibility for the failure and the growth
he or she will gain 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
1, 3, 4
Transformational leaders provide intellectual stimulation and encourage follower creativity.
They experiment with systems redesign, empower staff, create enthusiasm for practice, and
promote scholarship of practice in client care. They use motivator factors liberally to inspire
work performance.
, Intervening only when problems exist is a behavior related to transactional leadership.
Monitoring performance and taking corrective action is a transactional leadership quality.
Which component of delegation is defined as the ability to perform duties in a specific role?
1 Authority
2 Supervision
3 Responsibility
4 Accountability
1
Authority is the ability to perform duties in a specific role.
Supervision is the provision of guidance and oversight of a delegated task. Responsibility refers
to reliability, dependability, and obligation to accomplish work. Accountability involves
determining whether the actions are appropriate and providing a detailed explanation of what has
occurred.
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
2
Unlicensed assistive personnel assisting with the client's personal hygiene.
The licensed practical nurse administers antibiotics. Monitoring for signs and symptoms is
performed by the licensed practical nurse. The registered nurse teaches the client and caregivers
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.
2
Vital signs monitor cardiorespiratory status; hyperkalemia causes cardiac dysrhythmias. The
healthcare provider should be notified because medical intervention may be necessary.
A repeat laboratory test will take time and probably reaffirm the original results; the client needs
immediate attention. The cardiac arrest team is always on alert and will respond when called for
a cardiac arrest. Taking an electrocardiogram and having lidocaine available are insufficient
interventions.
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.
Next Generation (NGN) HESI Leadership &
Management Exam | Latest 2026/2027
Update | Practice Questions & Verified
Answers | A+ Grade Study Guide
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
2, 3, 4
The characteristics of transactional leadership include valuing the orders and structures of an
organization. The nurse who exhibits transactional leadership will meet the targets within the
deadline given by the organization. The nurse will also follow the rules of an organization and
will correct the errors of an employee in a reactive manner.
Motivating or inspiring the employees and increasing employee commitment are the
characteristics of transformational leadership.
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
3 Have the supervisor validate the observation.
The staff nurse should call the hospital supervisor to confirm and handle the problem. The
security guard has no authority in this situation. Although sending the nurse manager home
removes the nurse manager from the clinical setting, this action misses an opportunity for
documenting the situation and the nurse manager is in no condition to drive safely. Drinking
coffee does not make a person less intoxicated.
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
,2, 4, 5
An individual's willingness is related to attitude, confidence, and commitment.
Ability is related to knowledge and skills in a specific situation. Personality characteristics can
influence the effectiveness of the delegator.
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
4
The behaviorally anchored rating scale is a performance appraisal method that provides an
overview of nursing standards by determining performance both qualitatively and quantitatively.
The narrative method requires a manager to write a statement about the nurse's performance. The
critical incidents type is a performance appraisal method in which a manager keeps a written
record of positive and negative performance. The graphic rating scale form is a performance
appraisal checklist on which a manager rates the nurse's performance on a continuum such as
excellent, good, average, and poor.
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
2 Within 1 hour
The clients triaged as an ESI-3 should be seen by the physician within an hour.
The clients with life-threatening problems are triaged as ESI-1, and they should be provided with
immediate care. The care of the clients in ESI-4 and ESI-5 can be delayed for some time because
the condition of the clients in this level is stable. Clients with major injuries are triaged as an
ESI-2 and require treatment 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?"
1 "Is the delegation appropriate to the situation?"
The question, "Is the delegation appropriate to the situation?" is related to right circumstance.
,The question, "Is the task within the delegatee's scope of practice?" is related to right task. The
question, "Is the prospective delegate a willing and able employee?" is related to right person.
The question, "Is the delegator able to monitor and evaluate the client appropriately?" is related
to right supervision.
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
3, 5
Two factors responsible for the decision to delegate process are predictability of outcomes and
complexity of the task to be performed.
Evaluation, nursing judgment, and pervasive functions are not factors in the decision to delegate
process.
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
4 Accepts failure and gains experience from it
An effective leader should accept the failure and gain experience from it to avoid repetition of
the same errors.
The effective leader should counsel and motivate the team members for future success and
should not criticize them. Making excuses for the negative outcome is not the correct action of
the effective leader. The effective leader should take responsibility for the failure and the growth
he or she will gain 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
1, 3, 4
Transformational leaders provide intellectual stimulation and encourage follower creativity.
They experiment with systems redesign, empower staff, create enthusiasm for practice, and
promote scholarship of practice in client care. They use motivator factors liberally to inspire
work performance.
, Intervening only when problems exist is a behavior related to transactional leadership.
Monitoring performance and taking corrective action is a transactional leadership quality.
Which component of delegation is defined as the ability to perform duties in a specific role?
1 Authority
2 Supervision
3 Responsibility
4 Accountability
1
Authority is the ability to perform duties in a specific role.
Supervision is the provision of guidance and oversight of a delegated task. Responsibility refers
to reliability, dependability, and obligation to accomplish work. Accountability involves
determining whether the actions are appropriate and providing a detailed explanation of what has
occurred.
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
2
Unlicensed assistive personnel assisting with the client's personal hygiene.
The licensed practical nurse administers antibiotics. Monitoring for signs and symptoms is
performed by the licensed practical nurse. The registered nurse teaches the client and caregivers
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.
2
Vital signs monitor cardiorespiratory status; hyperkalemia causes cardiac dysrhythmias. The
healthcare provider should be notified because medical intervention may be necessary.
A repeat laboratory test will take time and probably reaffirm the original results; the client needs
immediate attention. The cardiac arrest team is always on alert and will respond when called for
a cardiac arrest. Taking an electrocardiogram and having lidocaine available are insufficient
interventions.
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.
