HESI Leadership Exam Practice Test Bank 3
with 240 Questions and Correct Answers
with Rationales/HESI Leadership Exam Prep
Test Bank Latest 2026-2027 (New!)
1: A senior nurse finds that a nurse leader is implementing the dialogue method
while working along with the team. Which nurse leader's action supports the senior
nurse's finding?
A) Allowing team members with different perspectives to come together and find
common goals
B) Dictating the team's actions without input
C) Avoiding discussions with team members
D) Assigning tasks without explanation -ANSWER- A) Allowing team members
with different perspectives to come together and find common goals
Rationale: The dialogue method involves open communication where team
members with different perspectives come together to find common goals and
shared understanding.
2: The nurse as a leader obtains feedback from superiors, followers, and peers.
Which leadership theory is the nurse putting into practice?
A) Style theories
B) Trait theory
C) Situational-contingency theory
D) Transformational theory -ANSWER- A) Style theories
Rationale: Style theories focus on how leaders interact with followers and obtain
feedback from multiple sources (superiors, followers, peers) to assess leadership
effectiveness.
3: The nurse manager is teaching the licensed practical nurse (LPN) about
evidenced-based practice regarding the use of saline and low-dose heparin flush
solution for capped angiocatheters. Which statement by the LPN indicates they
understood the teaching? Select all that apply.
A) "The use of heparin flushes disappeared in the late 1990s."
B) "The use of high doses of heparin solutions is not recommended in adults."
1
,C) "Heparin flushes are still the standard of care for all angiocatheters."
D) "Saline flushes are never used for capped angiocatheters." -ANSWER- A) "The
use of heparin flushes disappeared in the late 1990s."; B) "The use of high doses of
heparin solutions is not recommended in adults."
Rationale: Evidence-based practice shows that heparin flushes largely disappeared
in the late 1990s, and high-dose heparin solutions are not recommended for adults
due to risks of bleeding and heparin-induced thrombocytopenia.
4: The nurse, as a leader, is planning to provide information about personal
hygiene to a group of clients. Which communication methods should the nurse use
to talk to the clients? Select all that apply.
A) Being sensitive to nonverbal communication
B) Providing the opportunity for dialogue and feedback
C) Presenting information that addresses the listener's self-interest
D) Using complex medical terminology -ANSWER- A) Being sensitive to
nonverbal communication; B) Providing the opportunity for dialogue and
feedback; C) Presenting information that addresses the listener's self-interest
Rationale: Effective communication involves sensitivity to nonverbal cues,
dialogue and feedback opportunities, and addressing the listener's self-interest to
enhance understanding and engagement.
5: Which objective is associated with creating urgency in Kotter's eight-step
model?
A) To generate open dialogue about external and internal realities
B) To form a powerful guiding coalition
C) To develop a vision and strategy
D) To empower broad-based action -ANSWER- A) To generate open dialogue
about external and internal realities
Rationale: Creating urgency involves generating open dialogue about external and
internal realities to help team members understand the need for change.
6: The nurse manager implements a change in the back care routine provided to
bedridden clients to help prevent pressure ulcers. The nurse manager observes a
decrease in the incidences of pressure ulcers in the unit and appreciates the efforts
of the team members who implemented the change. Which step of Kotter's eight-
step change model is reflected in this scenario?
A) Anchoring the changes in the culture
B) Creating urgency
2
,C) Forming a powerful coalition
D) Developing a vision -ANSWER- A) Anchoring the changes in the culture
Rationale: Anchoring changes in the culture involves reinforcing the change and
appreciating team members' efforts to make the change a permanent part of the
organizational culture.
7: The senior nurse advises a newly promoted nurse concerning various aspects of
the leadership role. Which advice by the senior nurse would the newly promoted
nurse most likely consider as leading by example?
A) "Try to be a participant in political activity in the local community."
B) "Focus only on administrative tasks."
C) "Avoid interacting with other staff members."
D) "Delegate all responsibilities to others." -ANSWER- A) "Try to be a participant
in political activity in the local community."
Rationale: Leading by example involves being actively involved in activities that
benefit the community and profession, demonstrating commitment and
engagement.
8: Which topics being taught by the nurse belong to Covey's characteristics of
leadership? Select all that apply.
A) Believing in other people
B) Radiating positive energy
C) Engaging in lifelong learning
D) Focusing only on personal gain -ANSWER- A) Believing in other people; B)
Radiating positive energy; C) Engaging in lifelong learning
Rationale: Covey's characteristics of leadership include believing in others,
radiating positive energy, and engaging in lifelong learning, which foster trust and
growth.
9: The nurse leader is focused on recognizing the dynamic, complex, and
interdependent nature of systems in an organization. Which nursing action
indicates an effective implementation of this principle of systems thinking theory?
A) Identifying and understanding the relationships between clients, families,
communities, and local economies
B) Focusing only on individual client care
C) Ignoring the impact of external factors on healthcare delivery
D) Working in isolation from other departments -ANSWER- A) Identifying and
understanding the relationships between clients, families, communities, and local
3
, economies
Rationale: Systems thinking involves recognizing the interconnectedness of
various components within and outside the organization, including clients,
families, communities, and economies.
10: Which aspect relates to the quality of relationships while assessing the degree
of conflict resolution in nursing leadership? Select all that apply.
A) Generation of empathy
B) Understanding being created
C) Increased hostility
D) Avoidance of communication -ANSWER- A) Generation of empathy; B)
Understanding being created
Rationale: Quality relationships in conflict resolution involve generating empathy
and creating mutual understanding between parties, fostering positive outcomes.
11: The nurse as a leader explains ethical principles to the student nurse. Which
example does the leader give for autonomy?
A) Accepting the client's wish to donate his/her organs after death
B) Administering medication without client consent
C) Making all decisions for the client without input
D) Withholding information from the client -ANSWER- A) Accepting the client's
wish to donate his/her organs after death
Rationale: Autonomy respects the client's right to make their own decisions,
including decisions about organ donation.
12: A client requires emergency cardiac surgery. The leader nurse wants to make
the client aware of the situation and wants the client to decide what should be
done. Which ethical model does the leader nurse follow here?
A) Autonomy model
B) Paternalistic model
C) Utilitarian model
D) Deontological model -ANSWER- A) Autonomy model
Rationale: The autonomy model respects the client's right to make informed
decisions about their own care, even in emergency situations.
13: Which transformational leadership practices are involved when a leader
empowers people and offers praise for the work done by one of the team members?
Select all that apply.
A) Enabling
4
with 240 Questions and Correct Answers
with Rationales/HESI Leadership Exam Prep
Test Bank Latest 2026-2027 (New!)
1: A senior nurse finds that a nurse leader is implementing the dialogue method
while working along with the team. Which nurse leader's action supports the senior
nurse's finding?
A) Allowing team members with different perspectives to come together and find
common goals
B) Dictating the team's actions without input
C) Avoiding discussions with team members
D) Assigning tasks without explanation -ANSWER- A) Allowing team members
with different perspectives to come together and find common goals
Rationale: The dialogue method involves open communication where team
members with different perspectives come together to find common goals and
shared understanding.
2: The nurse as a leader obtains feedback from superiors, followers, and peers.
Which leadership theory is the nurse putting into practice?
A) Style theories
B) Trait theory
C) Situational-contingency theory
D) Transformational theory -ANSWER- A) Style theories
Rationale: Style theories focus on how leaders interact with followers and obtain
feedback from multiple sources (superiors, followers, peers) to assess leadership
effectiveness.
3: The nurse manager is teaching the licensed practical nurse (LPN) about
evidenced-based practice regarding the use of saline and low-dose heparin flush
solution for capped angiocatheters. Which statement by the LPN indicates they
understood the teaching? Select all that apply.
A) "The use of heparin flushes disappeared in the late 1990s."
B) "The use of high doses of heparin solutions is not recommended in adults."
1
,C) "Heparin flushes are still the standard of care for all angiocatheters."
D) "Saline flushes are never used for capped angiocatheters." -ANSWER- A) "The
use of heparin flushes disappeared in the late 1990s."; B) "The use of high doses of
heparin solutions is not recommended in adults."
Rationale: Evidence-based practice shows that heparin flushes largely disappeared
in the late 1990s, and high-dose heparin solutions are not recommended for adults
due to risks of bleeding and heparin-induced thrombocytopenia.
4: The nurse, as a leader, is planning to provide information about personal
hygiene to a group of clients. Which communication methods should the nurse use
to talk to the clients? Select all that apply.
A) Being sensitive to nonverbal communication
B) Providing the opportunity for dialogue and feedback
C) Presenting information that addresses the listener's self-interest
D) Using complex medical terminology -ANSWER- A) Being sensitive to
nonverbal communication; B) Providing the opportunity for dialogue and
feedback; C) Presenting information that addresses the listener's self-interest
Rationale: Effective communication involves sensitivity to nonverbal cues,
dialogue and feedback opportunities, and addressing the listener's self-interest to
enhance understanding and engagement.
5: Which objective is associated with creating urgency in Kotter's eight-step
model?
A) To generate open dialogue about external and internal realities
B) To form a powerful guiding coalition
C) To develop a vision and strategy
D) To empower broad-based action -ANSWER- A) To generate open dialogue
about external and internal realities
Rationale: Creating urgency involves generating open dialogue about external and
internal realities to help team members understand the need for change.
6: The nurse manager implements a change in the back care routine provided to
bedridden clients to help prevent pressure ulcers. The nurse manager observes a
decrease in the incidences of pressure ulcers in the unit and appreciates the efforts
of the team members who implemented the change. Which step of Kotter's eight-
step change model is reflected in this scenario?
A) Anchoring the changes in the culture
B) Creating urgency
2
,C) Forming a powerful coalition
D) Developing a vision -ANSWER- A) Anchoring the changes in the culture
Rationale: Anchoring changes in the culture involves reinforcing the change and
appreciating team members' efforts to make the change a permanent part of the
organizational culture.
7: The senior nurse advises a newly promoted nurse concerning various aspects of
the leadership role. Which advice by the senior nurse would the newly promoted
nurse most likely consider as leading by example?
A) "Try to be a participant in political activity in the local community."
B) "Focus only on administrative tasks."
C) "Avoid interacting with other staff members."
D) "Delegate all responsibilities to others." -ANSWER- A) "Try to be a participant
in political activity in the local community."
Rationale: Leading by example involves being actively involved in activities that
benefit the community and profession, demonstrating commitment and
engagement.
8: Which topics being taught by the nurse belong to Covey's characteristics of
leadership? Select all that apply.
A) Believing in other people
B) Radiating positive energy
C) Engaging in lifelong learning
D) Focusing only on personal gain -ANSWER- A) Believing in other people; B)
Radiating positive energy; C) Engaging in lifelong learning
Rationale: Covey's characteristics of leadership include believing in others,
radiating positive energy, and engaging in lifelong learning, which foster trust and
growth.
9: The nurse leader is focused on recognizing the dynamic, complex, and
interdependent nature of systems in an organization. Which nursing action
indicates an effective implementation of this principle of systems thinking theory?
A) Identifying and understanding the relationships between clients, families,
communities, and local economies
B) Focusing only on individual client care
C) Ignoring the impact of external factors on healthcare delivery
D) Working in isolation from other departments -ANSWER- A) Identifying and
understanding the relationships between clients, families, communities, and local
3
, economies
Rationale: Systems thinking involves recognizing the interconnectedness of
various components within and outside the organization, including clients,
families, communities, and economies.
10: Which aspect relates to the quality of relationships while assessing the degree
of conflict resolution in nursing leadership? Select all that apply.
A) Generation of empathy
B) Understanding being created
C) Increased hostility
D) Avoidance of communication -ANSWER- A) Generation of empathy; B)
Understanding being created
Rationale: Quality relationships in conflict resolution involve generating empathy
and creating mutual understanding between parties, fostering positive outcomes.
11: The nurse as a leader explains ethical principles to the student nurse. Which
example does the leader give for autonomy?
A) Accepting the client's wish to donate his/her organs after death
B) Administering medication without client consent
C) Making all decisions for the client without input
D) Withholding information from the client -ANSWER- A) Accepting the client's
wish to donate his/her organs after death
Rationale: Autonomy respects the client's right to make their own decisions,
including decisions about organ donation.
12: A client requires emergency cardiac surgery. The leader nurse wants to make
the client aware of the situation and wants the client to decide what should be
done. Which ethical model does the leader nurse follow here?
A) Autonomy model
B) Paternalistic model
C) Utilitarian model
D) Deontological model -ANSWER- A) Autonomy model
Rationale: The autonomy model respects the client's right to make informed
decisions about their own care, even in emergency situations.
13: Which transformational leadership practices are involved when a leader
empowers people and offers praise for the work done by one of the team members?
Select all that apply.
A) Enabling
4
