NCLEX RN leadership management EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

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HESI RN LEADERSHIP /MANAGEMENT EXIT EXAM / TES
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T BANK 120 QUESTIONS AND CORRECT DETAILED ANS
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WERS WITH RATIONALES (VERIFIED ANSWERS) 2026 A vc vc vc vc vc vc




+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIE
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D ANSWERS (1EEF5)
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QUESTION 1 vc




Term
ANSWER

Definition



QUESTION 2 vc




Which actions of the nurse exhibit transactional leadership? Select all that apply. 1 Motiv
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ating or inspiring the employees 2 Meeting the targets within the deadline 3 Working acc
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ording to organizational rules 4 Correcting the errors in a reactive manner 5 Increasing t
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he employee commitment of an organization
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ANSWER

2, 3, 4 The characteristics of transactional leadership include valuing the orders and structures of an org
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anization. The nurse who exhibits transactional leadership will meet the targets within the deadline give
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n by the organization. The nurse will also follow the rules of an organization and will correct the errors
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of an employee in a reactive manner. Motivating or inspiring the employees and increasing employee co
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mmitment are the characteristics of transformational leadership.
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QUESTION 3 vc




The unit nurse manager comes to work obviously intoxicated. Which action is the staff n
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urse ethically obligated to take? 1 Call the security guard. 2 Tell the nurse manager to go
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home. 3 Have the supervisor validate the observation. 4 Offer the nurse manager a large
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cup of coffee vc vc

,ANSWER

3 Have the supervisor validate the observation. The staff nurse should call the hospital supervisor to co
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nfirm and handle the problem. The security guard has no authority in this situation. Although sending t
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he nurse manager home removes the nurse manager from the clinical setting, this action misses an opp
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ortunity for documenting the situation and the nurse manager is in no condition to drive safely. Drinkin
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g coffee does not make a person less intoxicated.
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QUESTION 4 vc




Which aspects are considered when determining the willingness of a nursing assistant b
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efore delegating a task? Select all that apply. 1 Ability 2 Attitude 3 Personality 4 Confiden
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ce 5 Commitment
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ANSWER

2, 4, 5 An individual's willingness is related to attitude, confidence, and commitment. Ability is related t
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o knowledge and skills in a specific situation. Personality characteristics can influence the effectiveness
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of the delegator.
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QUESTION 5 vc




Which performance appraisal method is used by nurse managers to measure the perfor
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mance of the nurse both qualitatively and quantitatively? 1 Narrative method 2 Critical i
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ncidents method 3 Graphic rating scale form 4 Behaviorally anchored rating scales
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ANSWER

4 The behaviorally anchored rating scale is a performance appraisal method that provides an overview
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of nursing standards by determining performance both qualitatively and quantitatively. The narrative m
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ethod requires a manager to write a statement about the nurse's performance. The critical incidents typ
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e is a performance appraisal method in which a manager keeps a written record of positive and negativ
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e performance. The graphic rating scale form is a performance appraisal checklist on which a manager r
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ates the nurse's performance on a continuum such as excellent, good, average, and poor.
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QUESTION 6 vc




The healthcare team is caring for clients in an emergency department. How soon should
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the clients triaged as an emergency severity index-3 (ESI-
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3) be seen by the physician according to the five level triage system? 1 Immediately 2 Wi
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thin 1 hour 3 Could be delayed 4 Within 10 minutes
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ANSWER

2 Within 1 hour The clients triaged as an ESI-
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3 should be seen by the physician within an hour. The clients with life-
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threatening problems are triaged as ESI- vc vc vc vc vc



1, and they should be provided with immediate care. The care of the clients in ESI-4 and ESI-
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5 can be delayed for some time because the condition of the clients in this level is stable. Clients with m
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ajor injuries are triaged as an ESI-2 and require treatment within 10 minutes.
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, QUESTION 7 vc




Which question does the registered nurse recognize as related to the right of circumstan
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ce when delegating? 1 "Is the delegation appropriate to the situation?" 2 "Is the task with
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in the delegatee's scope of practice?" 3 "Is the prospective delegate a willing and able em
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ployee?" 4 "Is the delegator able to monitor and evaluate the client appropriately?"
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ANSWER

1 "Is the delegation appropriate to the situation?" The question, "Is the delegation appropriate to the sit
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uation?" is related to right circumstance. The question, "Is the task within the delegatee's scope of practi
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ce?" is related to right task. The question, "Is the prospective delegate a willing and able employee?" is r
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elated to right person. The question, "Is the delegator able to monitor and evaluate the client appropriat
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ely?" is related to right supervision.
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QUESTION 8 vc




Which factors does the registered nurse consider in the decision to delegate process? Sel
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ect all that apply. 1 Evaluation 2 Nursing judgment 3 Predictability of outcomes 4 Pervas
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ive functions of assessment 5 Complexity of the task to be performed
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ANSWER

3, 5 Two factors responsible for the decision to delegate process are predictability of outcomes and com
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plexity of the task to be performed. Evaluation, nursing judgment, and pervasive functions are not factor
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s in the decision to delegate process.
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QUESTION 9 vc




Under a leader, a team of followers has failed to achieve success in conducting research.
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What does an effective leader do in this situation? 1 Criticizes the team members for fail
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ure 2 Provides excuses for the negative outcome 3 Refuses to take the responsibility for f
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ailure 4 Accepts failure and gains experience from it
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ANSWER

4 Accepts failure and gains experience from it An effective leader should accept the failure and gain exp
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erience from it to avoid repetition of the same errors. The effective leader should counsel and motivate
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the team members for future success and should not criticize them. Making excuses for the negative out
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come is not the correct action of the effective leader. The effective leader should take responsibility for t
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he failure and the growth he or she will gain from it.
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QUESTION 10 vc




The nursing manager wants to implement transformational leadership qualities. Which
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actions best describe this style of leadership? Select all that apply. 1 Providing intellectu
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al stimulation 2 Intervening only when problems exist 3 Performing experiments with sy
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