2026 HESI RN LEADERSHIP & MANAGEMENT
EXIT EXAM 120 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(GUARANTEED SUCCESS!!)
A nurse is assisting another registered nurse in the intensive care unit who is
caring for a client with uncontrolled blood pressure. Which action on the part
of the nurse indicates "offering" during delegation decisions?
1 "Did you check the client's blood pressure this morning?"
2 "You can use this stethoscope and sphygmomanometer to take the blood
pressure."
3 "Would you fetch me the client's laboratory reports? I'll record the blood
pressure."
4 "How is the client doing this morning? Let me look at yesterday's blood
pressure report."
2 "You can use this stethoscope and sphygmomanometer to take the blood
pressure."
The nurse is caring for a pregnant client with hypertension. Which client care
tasks are most suitable to be delegated to the patient care associate (PCA)?
1 Recording the vital signs
2 Monitoring the blood pressure
3 Administering intravenous fluids
4 Administering antihypertensive medications
1 Recording the vital signs
The registered nurse assigns a task to a newly hired licensed practical nurse
(LPN) to monitor a client's blood pressure. Which is relevant to the delegator
in this situation?
1 Requires explanation
,2 Requires little guidance
3 Requires more guidance
4 Requires creating mutual expectations
3 Requires more guidance
The registered nurse is evaluating the statements made by a student nurse
after teaching about the delegation communication template. Which statement
made by the student nurse indicates a need for correction?
1 "The delegation communication template should identify the priorities."
2 "The delegation communication template should specify the deviations."
3 "The delegation communication template should identify the appropriate
resources."
4 "The delegation communication template should include only the work that
is to be delegated."
4 "The delegation communication template should include only the work that is to
be delegated."
Which actions of the nurse exhibit transactional leadership? Select all that
apply.
1 Motivating or inspiring the employees
2 Meeting the targets within the deadline
3 Working according to organizational rules
4 Correcting the errors in a reactive manner
5 Increasing the employee commitment of an organization
2 Meeting the targets within the deadline
3 Working according to organizational rules
4 Correcting the errors in a reactive manner
The unit nurse manager comes to work obviously intoxicated. Which action is
the staff nurse ethically obligated to take?
, 1 Call the security guard.
2 Tell the nurse manager to go home.
3 Have the supervisor validate the observation.
4 Offer the nurse manager a large cup of coffee
3 Have the supervisor validate the observation.
Which aspects are considered when determining the willingness of a nursing
assistant before delegating a task? Select all that apply.
1 Ability
2 Attitude
3 Personality
4 Confidence
5 Commitment
2 Attitude
4 Confidence
5 Commitment
Which performance appraisal method is used by nurse managers to measure
the performance of the nurse both qualitatively and quantitatively?
1 Narrative method
2 Critical incidents method
3 Graphic rating scale form
4 Behaviorally anchored rating scales
4 behaviorally anchored rating scales
The healthcare team is caring for clients in an emergency department. How
soon should the clients triaged as an emergency severity index-3 (ESI-3) be
seen by the physician according to the five level triage system?
1 Immediately
2 Within 1 hour
3 Could be delayed
4 Within 10 minutes
EXIT EXAM 120 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
(GUARANTEED SUCCESS!!)
A nurse is assisting another registered nurse in the intensive care unit who is
caring for a client with uncontrolled blood pressure. Which action on the part
of the nurse indicates "offering" during delegation decisions?
1 "Did you check the client's blood pressure this morning?"
2 "You can use this stethoscope and sphygmomanometer to take the blood
pressure."
3 "Would you fetch me the client's laboratory reports? I'll record the blood
pressure."
4 "How is the client doing this morning? Let me look at yesterday's blood
pressure report."
2 "You can use this stethoscope and sphygmomanometer to take the blood
pressure."
The nurse is caring for a pregnant client with hypertension. Which client care
tasks are most suitable to be delegated to the patient care associate (PCA)?
1 Recording the vital signs
2 Monitoring the blood pressure
3 Administering intravenous fluids
4 Administering antihypertensive medications
1 Recording the vital signs
The registered nurse assigns a task to a newly hired licensed practical nurse
(LPN) to monitor a client's blood pressure. Which is relevant to the delegator
in this situation?
1 Requires explanation
,2 Requires little guidance
3 Requires more guidance
4 Requires creating mutual expectations
3 Requires more guidance
The registered nurse is evaluating the statements made by a student nurse
after teaching about the delegation communication template. Which statement
made by the student nurse indicates a need for correction?
1 "The delegation communication template should identify the priorities."
2 "The delegation communication template should specify the deviations."
3 "The delegation communication template should identify the appropriate
resources."
4 "The delegation communication template should include only the work that
is to be delegated."
4 "The delegation communication template should include only the work that is to
be delegated."
Which actions of the nurse exhibit transactional leadership? Select all that
apply.
1 Motivating or inspiring the employees
2 Meeting the targets within the deadline
3 Working according to organizational rules
4 Correcting the errors in a reactive manner
5 Increasing the employee commitment of an organization
2 Meeting the targets within the deadline
3 Working according to organizational rules
4 Correcting the errors in a reactive manner
The unit nurse manager comes to work obviously intoxicated. Which action is
the staff nurse ethically obligated to take?
, 1 Call the security guard.
2 Tell the nurse manager to go home.
3 Have the supervisor validate the observation.
4 Offer the nurse manager a large cup of coffee
3 Have the supervisor validate the observation.
Which aspects are considered when determining the willingness of a nursing
assistant before delegating a task? Select all that apply.
1 Ability
2 Attitude
3 Personality
4 Confidence
5 Commitment
2 Attitude
4 Confidence
5 Commitment
Which performance appraisal method is used by nurse managers to measure
the performance of the nurse both qualitatively and quantitatively?
1 Narrative method
2 Critical incidents method
3 Graphic rating scale form
4 Behaviorally anchored rating scales
4 behaviorally anchored rating scales
The healthcare team is caring for clients in an emergency department. How
soon should the clients triaged as an emergency severity index-3 (ESI-3) be
seen by the physician according to the five level triage system?
1 Immediately
2 Within 1 hour
3 Could be delayed
4 Within 10 minutes
