HESI Exit Exam Leadership and Management
Practice Questions
80 Multiple-Choice Questions for Exam Preparation
Covering Delegation, Prioritization, Legal/Ethical Issues, Conflict Resolution, and Scope of
Practice
Practice Questions
Question 1: A charge nurse is delegating tasks to the nursing team. Which task can be dele-
gated to an unlicensed assistive personnel (UAP)?
A) Administering oral medications
B) Assisting a client with ambulation
C) Developing a clients plan of care
D) Performing a sterile dressing change
Correct Answer: B) Assisting a client with ambulation
Question 2: A nurse manager is prioritizing care during a busy shift. Which client should the
nurse assess first?
A) A client reporting mild abdominal pain
B) A client with a new onset of chest pain
C) A client awaiting discharge instructions
D) A client requesting a blanket
Correct Answer: B) A client with a new onset of chest pain
Question 3: A nurse witnesses a colleague documenting care not provided. What is the nurses
best action?
A) Ignore the incident to avoid conflict
B) Confront the colleague privately
C) Report the incident to the nurse manager
D) Correct the documentation without informing anyone
Correct Answer: C) Report the incident to the nurse manager
Question 4: A nurse is resolving a conflict between two team members arguing about shift
assignments. What is the best approach?
A) Assign both to different shifts immediately
B) Facilitate a discussion to address their concerns
C) Ignore the conflict and let them resolve it
D) Reprimand both team members publicly
Correct Answer: B) Facilitate a discussion to address their concerns
Question 5: A registered nurse (RN) is unsure if a task is within the scope of practice for a
licensed practical nurse (LPN). What should the RN do?
A) Assign the task and monitor the outcome
B) Consult the states nurse practice act
C) Ask another RN for their opinion
1
, D) Delegate the task to a UAP instead
Correct Answer: B) Consult the states nurse practice act
Question 6: A nurse is delegating tasks during a code. Which task can be assigned to a UAP?
A) Administering IV push medications
B) Obtaining emergency supplies
C) Performing chest compressions
D) Interpreting ECG rhythms
Correct Answer: B) Obtaining emergency supplies
Question 7: A nurse manager is addressing a staff shortage. Which client should receive care
first?
A) A client with stable vital signs awaiting transfer
B) A client with a blood pressure of 80/50 mmHg
C) A client requesting pain medication
D) A client scheduled for a dressing change
Correct Answer: B) A client with a blood pressure of 80/50 mmHg
Question 8: A client refuses a blood transfusion due to religious beliefs. What is the nurses
best action?
A) Administer the transfusion to save the clients life
B) Respect the clients decision and notify the provider
C) Convince the client to accept the transfusion
D) Document the refusal and proceed with the transfusion
Correct Answer: B) Respect the clients decision and notify the provider
Question 9: Two nurses disagree on a clients care plan. What should the charge nurse do?
A) Choose one nurses plan to avoid delay
B) Mediate a discussion to reach a consensus
C) Ignore the disagreement and proceed
D) Reassign one nurse to another client
Correct Answer: B) Mediate a discussion to reach a consensus
Question 10: A nurse is unsure if an LPN can administer IV push medications. What is the best
resource to clarify this?
A) Hospital policy manual
B) Another nurses experience
C) The LPNs job description
D) A medical textbook
Correct Answer: A) Hospital policy manual
Question 11: A charge nurse is delegating tasks. Which task is appropriate for an LPN?
A) Administering oral antibiotics
B) Creating a discharge plan
C) Performing a central line insertion
D) Evaluating a clients response to therapy
Correct Answer: A) Administering oral antibiotics
Question 12: A nurse must prioritize care for multiple clients. Which client should be seen
first?
A) A client with a fever of 100.4řF
2
Practice Questions
80 Multiple-Choice Questions for Exam Preparation
Covering Delegation, Prioritization, Legal/Ethical Issues, Conflict Resolution, and Scope of
Practice
Practice Questions
Question 1: A charge nurse is delegating tasks to the nursing team. Which task can be dele-
gated to an unlicensed assistive personnel (UAP)?
A) Administering oral medications
B) Assisting a client with ambulation
C) Developing a clients plan of care
D) Performing a sterile dressing change
Correct Answer: B) Assisting a client with ambulation
Question 2: A nurse manager is prioritizing care during a busy shift. Which client should the
nurse assess first?
A) A client reporting mild abdominal pain
B) A client with a new onset of chest pain
C) A client awaiting discharge instructions
D) A client requesting a blanket
Correct Answer: B) A client with a new onset of chest pain
Question 3: A nurse witnesses a colleague documenting care not provided. What is the nurses
best action?
A) Ignore the incident to avoid conflict
B) Confront the colleague privately
C) Report the incident to the nurse manager
D) Correct the documentation without informing anyone
Correct Answer: C) Report the incident to the nurse manager
Question 4: A nurse is resolving a conflict between two team members arguing about shift
assignments. What is the best approach?
A) Assign both to different shifts immediately
B) Facilitate a discussion to address their concerns
C) Ignore the conflict and let them resolve it
D) Reprimand both team members publicly
Correct Answer: B) Facilitate a discussion to address their concerns
Question 5: A registered nurse (RN) is unsure if a task is within the scope of practice for a
licensed practical nurse (LPN). What should the RN do?
A) Assign the task and monitor the outcome
B) Consult the states nurse practice act
C) Ask another RN for their opinion
1
, D) Delegate the task to a UAP instead
Correct Answer: B) Consult the states nurse practice act
Question 6: A nurse is delegating tasks during a code. Which task can be assigned to a UAP?
A) Administering IV push medications
B) Obtaining emergency supplies
C) Performing chest compressions
D) Interpreting ECG rhythms
Correct Answer: B) Obtaining emergency supplies
Question 7: A nurse manager is addressing a staff shortage. Which client should receive care
first?
A) A client with stable vital signs awaiting transfer
B) A client with a blood pressure of 80/50 mmHg
C) A client requesting pain medication
D) A client scheduled for a dressing change
Correct Answer: B) A client with a blood pressure of 80/50 mmHg
Question 8: A client refuses a blood transfusion due to religious beliefs. What is the nurses
best action?
A) Administer the transfusion to save the clients life
B) Respect the clients decision and notify the provider
C) Convince the client to accept the transfusion
D) Document the refusal and proceed with the transfusion
Correct Answer: B) Respect the clients decision and notify the provider
Question 9: Two nurses disagree on a clients care plan. What should the charge nurse do?
A) Choose one nurses plan to avoid delay
B) Mediate a discussion to reach a consensus
C) Ignore the disagreement and proceed
D) Reassign one nurse to another client
Correct Answer: B) Mediate a discussion to reach a consensus
Question 10: A nurse is unsure if an LPN can administer IV push medications. What is the best
resource to clarify this?
A) Hospital policy manual
B) Another nurses experience
C) The LPNs job description
D) A medical textbook
Correct Answer: A) Hospital policy manual
Question 11: A charge nurse is delegating tasks. Which task is appropriate for an LPN?
A) Administering oral antibiotics
B) Creating a discharge plan
C) Performing a central line insertion
D) Evaluating a clients response to therapy
Correct Answer: A) Administering oral antibiotics
Question 12: A nurse must prioritize care for multiple clients. Which client should be seen
first?
A) A client with a fever of 100.4řF
2
