HESI LEADERSHIP AND MANAGEMENT
EXAM / EVOLVE HESI LEADERSHIP \ MANAGEMENT
ACTUAL EXAM 2024-2025 WITH COMPLETE QUESTIONS
WITH WELL ELABORATED ANSWERS WITH RATIONALES
(COMPLETE VERIFIED SOLUTIONS) A NEW UPDATED
VERSION | ALREADY GRADED A+
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 - Answer-1, 3, 4
Rationale: 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 - Answer-1
Rationale: 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
,Rationale: 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
Rationale: 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
Rationale: 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
EXAM / EVOLVE HESI LEADERSHIP \ MANAGEMENT
ACTUAL EXAM 2024-2025 WITH COMPLETE QUESTIONS
WITH WELL ELABORATED ANSWERS WITH RATIONALES
(COMPLETE VERIFIED SOLUTIONS) A NEW UPDATED
VERSION | ALREADY GRADED A+
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 - Answer-1, 3, 4
Rationale: 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 - Answer-1
Rationale: 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
,Rationale: 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
Rationale: 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
Rationale: 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
