HESI RN LEADERSHIP & MANAGEMENT EXIT EXAM
VERSION WITH CORRECT VERIFIED ANSWERS
2025/2026
1. A nurse is prioritizing clients. Which client should be seen first?
A. A client with controlled asthma
B. A client reporting new-onset chest pain
C. A client scheduled for discharge
D. A client requesting pain medication
*Correct Answer: B — New chest pain is a potential life-threatening emergency
requiring immediate assessment.
2. Which task can the RN delegate to the UAP?
A. Teaching insulin administration
B. Assessing lung sounds
C. Feeding a stable client
D. Adjusting oxygen flow
*Correct Answer: C — UAPs may perform non-invasive, routine care on stable
clients.
3. A nurse manager observes conflict between two nurses. What should the
manager do first?
A. Discipline the nurses
B. Ignore the conflict
C. Bring both nurses together to discuss the issue
D. Report to administration
*Correct Answer: C — The first step in conflict resolution is open communication
between involved parties.
4. Which action demonstrates transformational leadership?
A. Giving strict orders
B. Motivating staff to achieve shared goals
, C. Punishing mistakes
D. Avoiding staff interaction
*Correct Answer: B — Transformational leaders inspire and motivate toward a
shared vision.
5. A nurse is delegating to an LPN. Which task is appropriate?
A. Initial client assessment
B. IV push medications
C. Monitoring a stable post-op client
D. Creating a care plan
*Correct Answer: C — LPNs can monitor stable clients but cannot perform initial
assessments.
6. In ethical decision-making, which principle refers to “doing good”?
A. Autonomy
B. Beneficence
C. Justice
D. Fidelity
*Correct Answer: B — Beneficence means promoting good for the client.
7. A client refuses medication. What should the RN do?
A. Force administration
B. Call security
C. Notify the provider and document refusal
D. Discharge the client
*Correct Answer: C — Respecting autonomy requires allowing refusal and
notifying the provider.
8. Which scenario requires an incident report?
A. Client refuses treatment
B. Nurse gives the wrong medication dose
C. Family complains about meal
D. Client refuses vital signs
*Correct Answer: B — Medication errors always require an incident report.
VERSION WITH CORRECT VERIFIED ANSWERS
2025/2026
1. A nurse is prioritizing clients. Which client should be seen first?
A. A client with controlled asthma
B. A client reporting new-onset chest pain
C. A client scheduled for discharge
D. A client requesting pain medication
*Correct Answer: B — New chest pain is a potential life-threatening emergency
requiring immediate assessment.
2. Which task can the RN delegate to the UAP?
A. Teaching insulin administration
B. Assessing lung sounds
C. Feeding a stable client
D. Adjusting oxygen flow
*Correct Answer: C — UAPs may perform non-invasive, routine care on stable
clients.
3. A nurse manager observes conflict between two nurses. What should the
manager do first?
A. Discipline the nurses
B. Ignore the conflict
C. Bring both nurses together to discuss the issue
D. Report to administration
*Correct Answer: C — The first step in conflict resolution is open communication
between involved parties.
4. Which action demonstrates transformational leadership?
A. Giving strict orders
B. Motivating staff to achieve shared goals
, C. Punishing mistakes
D. Avoiding staff interaction
*Correct Answer: B — Transformational leaders inspire and motivate toward a
shared vision.
5. A nurse is delegating to an LPN. Which task is appropriate?
A. Initial client assessment
B. IV push medications
C. Monitoring a stable post-op client
D. Creating a care plan
*Correct Answer: C — LPNs can monitor stable clients but cannot perform initial
assessments.
6. In ethical decision-making, which principle refers to “doing good”?
A. Autonomy
B. Beneficence
C. Justice
D. Fidelity
*Correct Answer: B — Beneficence means promoting good for the client.
7. A client refuses medication. What should the RN do?
A. Force administration
B. Call security
C. Notify the provider and document refusal
D. Discharge the client
*Correct Answer: C — Respecting autonomy requires allowing refusal and
notifying the provider.
8. Which scenario requires an incident report?
A. Client refuses treatment
B. Nurse gives the wrong medication dose
C. Family complains about meal
D. Client refuses vital signs
*Correct Answer: B — Medication errors always require an incident report.
