HESI RN LEADERSHIP /MANAGEMENT EXIT EXAM
2024/2025 TEST BANK 120 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (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 - answer-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.
,Which component of delegation is defined as the ability to perform duties in a
specific role?
1 Authority
2 Supervision
3 Responsibility
4 Accountability - answer-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 - answer-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. - answer-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.
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 - answer-2, 3, 4, 5
Navigators are responsible for overcoming health system barriers, providing
health education about diseases from prevention to treatment, addressing
barriers to care, and providing psychosocial support. These are the areas the
nurse should expect to focus on when being trained in the role.
Learning approaches to reduce the cost of health care would be appropriate for a
case manager to learn.
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 - answer-1 Cost of nurses
Since total client care is provided by a registered nurse (RN) it can be very
expensive and not realistic to use a highly skilled and extremely knowledgeable
professional nurse to provide all the care required in a unit of 24 clients.
There are no particular issues with training, documentation, or time commitment
with total client care.
2024/2025 TEST BANK 120 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (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 - answer-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.
,Which component of delegation is defined as the ability to perform duties in a
specific role?
1 Authority
2 Supervision
3 Responsibility
4 Accountability - answer-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 - answer-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. - answer-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.
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 - answer-2, 3, 4, 5
Navigators are responsible for overcoming health system barriers, providing
health education about diseases from prevention to treatment, addressing
barriers to care, and providing psychosocial support. These are the areas the
nurse should expect to focus on when being trained in the role.
Learning approaches to reduce the cost of health care would be appropriate for a
case manager to learn.
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 - answer-1 Cost of nurses
Since total client care is provided by a registered nurse (RN) it can be very
expensive and not realistic to use a highly skilled and extremely knowledgeable
professional nurse to provide all the care required in a unit of 24 clients.
There are no particular issues with training, documentation, or time commitment
with total client care.
