HESI RN LEADERSHIP/MANAGEMENT REAL FINAL EXAM TESTBANK 150+ QUESTIONS
AND ANSWERS WITH RATIONALES 2025-2026|WELL STRUCTURED|100% PASS
QUESTIONS ANSWERS
2, 3, 4
Which actions of the nurse exhibit transactional leadership? Se-
The characteristics of transactional leadership include valuing the
lect all that apply.
orders and structures of an organization. The nurse who exhibits
transactional leadership will meet the targets within the deadline
1 Motivating or inspiring the employees
given by the organization. The nurse will also follow the rules of
2 Meeting the targets within the deadline
an organization and will correct the errors of an employee in a
3 Working according to organizational rules
reactive manner.
4 Correcting the errors in a reactive manner
5 Increasing the employee commitment of an organization
Motivating or inspiring the employees and increasing employee
commitment are the characteristics of transformational leadership.
3 Have the supervisor validate the observation.
The unit nurse manager comes to work obviously intoxicated.
Which action is the staff nurse ethically obligated to take? The staff nurse should call the hospital supervisor to confirm and
handle the problem. The security guard has no authority in this
1 Call the security guard. situation. Although sending the nurse manager home removes
2 Tell the nurse manager to go home. the nurse manager from the clinical setting, this action misses an
3 Have the supervisor validate the observation. opportunity for documenting the situation and the nurse manager
4 Offer the nurse manager a large cup of coffee is in no condition to drive safely. Drinking coffee does not make a
person less intoxicated.
Which aspects are considered when determining the willingness
2, 4, 5
of a nursing assistant before delegating a task? Select all that
apply.
An individual's willingness is related to attitude, confidence, and
commitment.
1 Ability
2 Attitude
Ability is related to knowledge and skills in a specific situation.
3 Personality
Personality characteristics can influence the effectiveness of the
4 Confidence
delegator.
5 Commitment
4
The behaviorally anchored rating scale is a performance appraisal
Which performance appraisal method is used by nurse managers method that provides an overview of nursing standards by deter-
to measure the performance of the nurse both qualitatively and mining performance both qualitatively and quantitatively.
quantitatively?
The narrative method requires a manager to write a statement
1 Narrative method about the nurse's performance. The critical incidents type is a
2 Critical incidents method performance appraisal method in which a manager keeps a writ-
3 Graphic rating scale form ten record of positive and negative performance. The graphic
4 Behaviorally anchored rating scales 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.
2 Within 1 hour
The healthcare team is caring for clients in an emergency de-
partment. How soon should the clients triaged as an emergency The clients triaged as an ESI-3 should be seen by the physician
severity index-3 (ESI-3) be seen by the physician according to the within an hour.
five level triage system?
The clients with life-threatening problems are triaged as ESI-1,
1 Immediately and they should be provided with immediate care. The care of the
2 Within 1 hour clients in ESI-4 and ESI-5 can be delayed for some time because
3 Could be delayed the condition of the clients in this level is stable. Clients with major
4 Within 10 minutes injuries are triaged as an ESI-2 and require treatment within 10
minutes.
1 "Is the delegation appropriate to the situation?"
Which question does the registered nurse recognize as related to
the right of circumstance when delegating?
The question, "Is the delegation appropriate to the situation?" is
related to right circumstance.
1 "Is the delegation appropriate to the situation?"
, HESI RN LEADERSHIP/MANAGEMENT REAL FINAL EXAM TESTBANK 150+ QUESTIONS
AND ANSWERS WITH RATIONALES 2025-2026|WELL STRUCTURED|100% PASS
QUESTIONS ANSWERS
The question, "Is the task within the delegatee's scope of prac-
2 "Is the task within the delegatee's scope of practice?"
tice?" is related to right task. The question, "Is the prospective
3 "Is the prospective delegate a willing and able employee?"
delegate a willing and able employee?" is related to right person.
4 "Is the delegator able to monitor and evaluate the client appro-
The question, "Is the delegator able to monitor and evaluate the
priately?"
client appropriately?" is related to right supervision.
Which factors does the registered nurse consider in the decision
3, 5
to delegate process? Select all that apply.
Two factors responsible for the decision to delegate process are
predictability of outcomes and complexity of the task to be per-
1 Evaluation
formed.
2 Nursing judgment
3 Predictability of outcomes
Evaluation, nursing judgment, and pervasive functions are not
4 Pervasive functions of assessment
factors in the decision to delegate process.
5 Complexity of the task to be performed
4 Accepts failure and gains experience from it
Under a leader, a team of followers has failed to achieve success
in conducting research. What does an effective leader do in this An effective leader should accept the failure and gain experience
situation? from it to avoid repetition of the same errors.
1 Criticizes the team members for failure The effective leader should counsel and motivate the team mem-
2 Provides excuses for the negative outcome bers for future success and should not criticize them. Making
3 Refuses to take the responsibility for failure excuses for the negative outcome is not the correct action of the
4 Accepts failure and gains experience from it effective leader. The effective leader should take responsibility for
the failure and the growth he or she will gain from it.
1, 3, 4
The nursing manager wants to implement transformational lead-
Transformational leaders provide intellectual stimulation and en-
ership qualities. Which actions best describe this style of leader-
courage follower creativity. They experiment with systems re-
ship? Select all that apply.
design, empower staff, create enthusiasm for practice, and pro-
mote scholarship of practice in client care. They use motivator
1 Providing intellectual stimulation
factors liberally to inspire work performance.
2 Intervening only when problems exist
3 Performing experiments with system redesign
Intervening only when problems exist is a behavior related to
4 Using motivator factors to inspire work performance
transactional leadership. Monitoring performance and taking cor-
5 Monitoring performance and taking action to correct
rective action is a transactional leadership quality.
1
Which component of delegation is defined as the ability to perform
Authority is the ability to perform duties in a specific role.
duties in a specific role?
Supervision is the provision of guidance and oversight of a del-
1 Authority
egated task. Responsibility refers to reliability, dependability, and
2 Supervision
obligation to accomplish work. Accountability involves determin-
3 Responsibility
ing whether the actions are appropriate and providing a detailed
4 Accountability
explanation of what has occurred.
2
The healthcare team is caring for a client with neutropenia. Which
Unlicensed assistive personnel assisting with the client's personal
task is delegated to unlicensed assistive personnel?
hygiene.
1 Administering antibiotics
The licensed practical nurse administers antibiotics. Monitoring for
2 Assisting with personal hygiene
signs and symptoms is performed by the licensed practical nurse.
3 Monitoring for signs and symptoms of infection
The registered nurse teaches the client and caregivers how to
4 Teaching the client and caregivers about how to avoid infection
avoid infection.
2
Vital signs monitor cardiorespiratory status; hyperkalemia causes
A client's serum potassium level has increased to 5.8 mEq/L (5.8
cardiac dysrhythmias. The healthcare provider should be notified
mmol/L). What action should the nurse implement first?
because medical intervention may be necessary.
1 Call the laboratory to repeat the test.
A repeat laboratory test will take time and probably reaffirm the
2 Take vital signs and notify the healthcare provider.
original results; the client needs immediate attention. The cardiac
arrest team is always on alert and will respond when called for a
, HESI RN LEADERSHIP/MANAGEMENT REAL FINAL EXAM TESTBANK 150+ QUESTIONS
AND ANSWERS WITH RATIONALES 2025-2026|WELL STRUCTURED|100% PASS
QUESTIONS ANSWERS
3 Inform the cardiac arrest team to place them on alert. cardiac arrest. Taking an electrocardiogram and having lidocaine
4 Take an electrocardiogram and have lidocaine available. 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
2, 3, 4, 5
that apply.
Navigators are responsible for overcoming health system barriers,
providing health education about diseases from prevention to
1 Approaches to reduce the cost of health care
treatment, addressing barriers to care, and providing psychosocial
2 Learning ways to work through the health systems
support. These are the areas the nurse should expect to focus on
3 Strategies to teach clients about disease, including prevention
when being trained in the role.
and treatment
4 Assessing barriers that clients have encountered while attempt-
Learning approaches to reduce the cost of health care would be
ing to receive care
appropriate for a case manager to learn.
5 Helping clients cope with delays in receiving treatment until
barriers are overcome
1 Cost of nurses
What aspect of total client care needs to be taken into consider-
ation if used on a 24-bed care area? Since total client care is provided by a registered nurse (RN) it
can be very expensive and not realistic to use a highly skilled
1 Cost of nurses and extremely knowledgeable professional nurse to provide all the
2 Training needs care required in a unit of 24 clients.
3 Documentation
4 Time commitment There are no particular issues with training, documentation, or
time commitment with total client care.
2, 3, 4
For which situations would total client care be an appropriate Total client care is used in critical care settings where one nurse
delivery system? Select all that apply. provides total care to one or two critically ill clients. The client
with an endotracheal tube for pulmonary sepsis and the client re-
1 Client scheduled for lithotripsy for renal calculi covering from cardiovascular bypass graft surgery are considered
2 Client with an endotracheal tube for pulmonary sepsis acutely ill and will be receiving care in a critical care area. The
3 Client recovering from cardiovascular bypass graft surgery client recovering from cranial surgery to place a cerebrospinal fluid
4 Client recovering from the placement of a cerebrospinal fluid shunt would be appropriate for total client care.
shunt
5 Client transferring to a rehabilitation unit after total hip replace- Total client care would not be an ideal care approach for the
ment surgery client scheduled for lithotripsy or the client being transferred to a
rehabilitation unit.
3 Provide additional support and temporarily lower expectations.
The charge nurse should manage a task by temporarily lowering
expectations and providing additional support to an unlicensed
Which intervention should the charge nurse perform to manage
nursing personal (UNP) who is lacking competence. This strategy
a task when the unlicensed nursing personal (UNP) is lacking
allows the UNP to build on strengths, minimize weaknesses, and
competence?
gain confidence.
1 Provide constructive feedback and assign another task.
Providing constructive feedback and assigning another task may
2 Provide open vocal feedback and withdraw the UNP from task.
not improve the strategy of the UNP and may affect the productivity
3 Provide additional support and temporarily lower expectations.
of the new task. Withdrawing the UNP from the task and providing
4 Provide accountability to the organization and undergo training
open vocal feedback may weaken the working relationship and the
again.
UNP may lose confidence or become frustrated. The charge nurse
should be aware of accountability to the organization in case of a
failure of the delegation, but assigning the UNP for further training
may lead to high risk for legal liability.
3 "I have to wait until the medication nurse is available for a pain
Which statement would most likely be made by a client who is pill."
receiving care through the functional method?
In the functional method, staff are assigned tasks according to
1 "My nurse's name is Amy." scope of practice. In this approach a medication nurse will be
identified.
AND ANSWERS WITH RATIONALES 2025-2026|WELL STRUCTURED|100% PASS
QUESTIONS ANSWERS
2, 3, 4
Which actions of the nurse exhibit transactional leadership? Se-
The characteristics of transactional leadership include valuing the
lect all that apply.
orders and structures of an organization. The nurse who exhibits
transactional leadership will meet the targets within the deadline
1 Motivating or inspiring the employees
given by the organization. The nurse will also follow the rules of
2 Meeting the targets within the deadline
an organization and will correct the errors of an employee in a
3 Working according to organizational rules
reactive manner.
4 Correcting the errors in a reactive manner
5 Increasing the employee commitment of an organization
Motivating or inspiring the employees and increasing employee
commitment are the characteristics of transformational leadership.
3 Have the supervisor validate the observation.
The unit nurse manager comes to work obviously intoxicated.
Which action is the staff nurse ethically obligated to take? The staff nurse should call the hospital supervisor to confirm and
handle the problem. The security guard has no authority in this
1 Call the security guard. situation. Although sending the nurse manager home removes
2 Tell the nurse manager to go home. the nurse manager from the clinical setting, this action misses an
3 Have the supervisor validate the observation. opportunity for documenting the situation and the nurse manager
4 Offer the nurse manager a large cup of coffee is in no condition to drive safely. Drinking coffee does not make a
person less intoxicated.
Which aspects are considered when determining the willingness
2, 4, 5
of a nursing assistant before delegating a task? Select all that
apply.
An individual's willingness is related to attitude, confidence, and
commitment.
1 Ability
2 Attitude
Ability is related to knowledge and skills in a specific situation.
3 Personality
Personality characteristics can influence the effectiveness of the
4 Confidence
delegator.
5 Commitment
4
The behaviorally anchored rating scale is a performance appraisal
Which performance appraisal method is used by nurse managers method that provides an overview of nursing standards by deter-
to measure the performance of the nurse both qualitatively and mining performance both qualitatively and quantitatively.
quantitatively?
The narrative method requires a manager to write a statement
1 Narrative method about the nurse's performance. The critical incidents type is a
2 Critical incidents method performance appraisal method in which a manager keeps a writ-
3 Graphic rating scale form ten record of positive and negative performance. The graphic
4 Behaviorally anchored rating scales 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.
2 Within 1 hour
The healthcare team is caring for clients in an emergency de-
partment. How soon should the clients triaged as an emergency The clients triaged as an ESI-3 should be seen by the physician
severity index-3 (ESI-3) be seen by the physician according to the within an hour.
five level triage system?
The clients with life-threatening problems are triaged as ESI-1,
1 Immediately and they should be provided with immediate care. The care of the
2 Within 1 hour clients in ESI-4 and ESI-5 can be delayed for some time because
3 Could be delayed the condition of the clients in this level is stable. Clients with major
4 Within 10 minutes injuries are triaged as an ESI-2 and require treatment within 10
minutes.
1 "Is the delegation appropriate to the situation?"
Which question does the registered nurse recognize as related to
the right of circumstance when delegating?
The question, "Is the delegation appropriate to the situation?" is
related to right circumstance.
1 "Is the delegation appropriate to the situation?"
, HESI RN LEADERSHIP/MANAGEMENT REAL FINAL EXAM TESTBANK 150+ QUESTIONS
AND ANSWERS WITH RATIONALES 2025-2026|WELL STRUCTURED|100% PASS
QUESTIONS ANSWERS
The question, "Is the task within the delegatee's scope of prac-
2 "Is the task within the delegatee's scope of practice?"
tice?" is related to right task. The question, "Is the prospective
3 "Is the prospective delegate a willing and able employee?"
delegate a willing and able employee?" is related to right person.
4 "Is the delegator able to monitor and evaluate the client appro-
The question, "Is the delegator able to monitor and evaluate the
priately?"
client appropriately?" is related to right supervision.
Which factors does the registered nurse consider in the decision
3, 5
to delegate process? Select all that apply.
Two factors responsible for the decision to delegate process are
predictability of outcomes and complexity of the task to be per-
1 Evaluation
formed.
2 Nursing judgment
3 Predictability of outcomes
Evaluation, nursing judgment, and pervasive functions are not
4 Pervasive functions of assessment
factors in the decision to delegate process.
5 Complexity of the task to be performed
4 Accepts failure and gains experience from it
Under a leader, a team of followers has failed to achieve success
in conducting research. What does an effective leader do in this An effective leader should accept the failure and gain experience
situation? from it to avoid repetition of the same errors.
1 Criticizes the team members for failure The effective leader should counsel and motivate the team mem-
2 Provides excuses for the negative outcome bers for future success and should not criticize them. Making
3 Refuses to take the responsibility for failure excuses for the negative outcome is not the correct action of the
4 Accepts failure and gains experience from it effective leader. The effective leader should take responsibility for
the failure and the growth he or she will gain from it.
1, 3, 4
The nursing manager wants to implement transformational lead-
Transformational leaders provide intellectual stimulation and en-
ership qualities. Which actions best describe this style of leader-
courage follower creativity. They experiment with systems re-
ship? Select all that apply.
design, empower staff, create enthusiasm for practice, and pro-
mote scholarship of practice in client care. They use motivator
1 Providing intellectual stimulation
factors liberally to inspire work performance.
2 Intervening only when problems exist
3 Performing experiments with system redesign
Intervening only when problems exist is a behavior related to
4 Using motivator factors to inspire work performance
transactional leadership. Monitoring performance and taking cor-
5 Monitoring performance and taking action to correct
rective action is a transactional leadership quality.
1
Which component of delegation is defined as the ability to perform
Authority is the ability to perform duties in a specific role.
duties in a specific role?
Supervision is the provision of guidance and oversight of a del-
1 Authority
egated task. Responsibility refers to reliability, dependability, and
2 Supervision
obligation to accomplish work. Accountability involves determin-
3 Responsibility
ing whether the actions are appropriate and providing a detailed
4 Accountability
explanation of what has occurred.
2
The healthcare team is caring for a client with neutropenia. Which
Unlicensed assistive personnel assisting with the client's personal
task is delegated to unlicensed assistive personnel?
hygiene.
1 Administering antibiotics
The licensed practical nurse administers antibiotics. Monitoring for
2 Assisting with personal hygiene
signs and symptoms is performed by the licensed practical nurse.
3 Monitoring for signs and symptoms of infection
The registered nurse teaches the client and caregivers how to
4 Teaching the client and caregivers about how to avoid infection
avoid infection.
2
Vital signs monitor cardiorespiratory status; hyperkalemia causes
A client's serum potassium level has increased to 5.8 mEq/L (5.8
cardiac dysrhythmias. The healthcare provider should be notified
mmol/L). What action should the nurse implement first?
because medical intervention may be necessary.
1 Call the laboratory to repeat the test.
A repeat laboratory test will take time and probably reaffirm the
2 Take vital signs and notify the healthcare provider.
original results; the client needs immediate attention. The cardiac
arrest team is always on alert and will respond when called for a
, HESI RN LEADERSHIP/MANAGEMENT REAL FINAL EXAM TESTBANK 150+ QUESTIONS
AND ANSWERS WITH RATIONALES 2025-2026|WELL STRUCTURED|100% PASS
QUESTIONS ANSWERS
3 Inform the cardiac arrest team to place them on alert. cardiac arrest. Taking an electrocardiogram and having lidocaine
4 Take an electrocardiogram and have lidocaine available. 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
2, 3, 4, 5
that apply.
Navigators are responsible for overcoming health system barriers,
providing health education about diseases from prevention to
1 Approaches to reduce the cost of health care
treatment, addressing barriers to care, and providing psychosocial
2 Learning ways to work through the health systems
support. These are the areas the nurse should expect to focus on
3 Strategies to teach clients about disease, including prevention
when being trained in the role.
and treatment
4 Assessing barriers that clients have encountered while attempt-
Learning approaches to reduce the cost of health care would be
ing to receive care
appropriate for a case manager to learn.
5 Helping clients cope with delays in receiving treatment until
barriers are overcome
1 Cost of nurses
What aspect of total client care needs to be taken into consider-
ation if used on a 24-bed care area? Since total client care is provided by a registered nurse (RN) it
can be very expensive and not realistic to use a highly skilled
1 Cost of nurses and extremely knowledgeable professional nurse to provide all the
2 Training needs care required in a unit of 24 clients.
3 Documentation
4 Time commitment There are no particular issues with training, documentation, or
time commitment with total client care.
2, 3, 4
For which situations would total client care be an appropriate Total client care is used in critical care settings where one nurse
delivery system? Select all that apply. provides total care to one or two critically ill clients. The client
with an endotracheal tube for pulmonary sepsis and the client re-
1 Client scheduled for lithotripsy for renal calculi covering from cardiovascular bypass graft surgery are considered
2 Client with an endotracheal tube for pulmonary sepsis acutely ill and will be receiving care in a critical care area. The
3 Client recovering from cardiovascular bypass graft surgery client recovering from cranial surgery to place a cerebrospinal fluid
4 Client recovering from the placement of a cerebrospinal fluid shunt would be appropriate for total client care.
shunt
5 Client transferring to a rehabilitation unit after total hip replace- Total client care would not be an ideal care approach for the
ment surgery client scheduled for lithotripsy or the client being transferred to a
rehabilitation unit.
3 Provide additional support and temporarily lower expectations.
The charge nurse should manage a task by temporarily lowering
expectations and providing additional support to an unlicensed
Which intervention should the charge nurse perform to manage
nursing personal (UNP) who is lacking competence. This strategy
a task when the unlicensed nursing personal (UNP) is lacking
allows the UNP to build on strengths, minimize weaknesses, and
competence?
gain confidence.
1 Provide constructive feedback and assign another task.
Providing constructive feedback and assigning another task may
2 Provide open vocal feedback and withdraw the UNP from task.
not improve the strategy of the UNP and may affect the productivity
3 Provide additional support and temporarily lower expectations.
of the new task. Withdrawing the UNP from the task and providing
4 Provide accountability to the organization and undergo training
open vocal feedback may weaken the working relationship and the
again.
UNP may lose confidence or become frustrated. The charge nurse
should be aware of accountability to the organization in case of a
failure of the delegation, but assigning the UNP for further training
may lead to high risk for legal liability.
3 "I have to wait until the medication nurse is available for a pain
Which statement would most likely be made by a client who is pill."
receiving care through the functional method?
In the functional method, staff are assigned tasks according to
1 "My nurse's name is Amy." scope of practice. In this approach a medication nurse will be
identified.
