HESI RN LEADERSHIP /MANAGEMENT EXIT EXAM
2026-2027 LATEST VERSION QUESTIONS AND
VERIFIED CORRECT ANSWERS JUST RELEASED
Which type of behavior by the registered nurse results in a low-to-stable level of
commitment?
1 Punitive
2 Charismatic
3 Inspirational
4 Intellectual stimulation - answer>>>1
Punitive behavior is a type of transactional leadership behavior that results in a low-to-
stable level of commitment as an organizational outcome.
Charismatic, inspirational, and intellectual stimulation are transformational leadership
behaviors that result in increased commitment as an organizational outcome.
The leader encounters a situation where the nursing outcomes are unpredictable.
Which attributes or approaches should the leader utilize to navigate this situation?
Select all that apply.
1 Creativity
2 Experience
3 Enthusiasm
4 Group process
5 Independent decision making - answer>>>1 Creativity, 2 Experience, 4 Group process
A situation with unpredictable results requires creativity, experience, and group
process.
Enthusiasm is an important quality of a follower but it would be a secondary factor to be
considered in this situation. Independent decision making would not be appropriate to
this situation. Rather, the leader should seek expert opinion and involve key
stakeholders.
The nurse manager orders the direct care nurse to assist in providing tertiary care to a
client. Which type of treatment would the direct care nurse be involved in?
,1 Chronic care
2 Rehabilitation
3 Health maintenance
4 Prevention of disease complications - answer>>>2
Tertiary care includes rehabilitation.
Chronic care and health maintenance are considered primary care, and prevention of
disease complications is classified as secondary care.
The nurse leader arranges a meeting with the staff members to learn how satisfied they
are with their jobs. Which approach by the nurse leader would outline effective
leadership? Select all that apply.
1 Seeking feedback from the team
2 Allotting work schedules to the team
3 Penalizing the team for poor performance
4 Motivating the team to reach the desired goals
5 Asking the team to participate in decision making - answer>>>1, 4, 5
Seeking feedback from the team will help the team members in reaching the
organizational goals and a shared vision. The most important leadership quality is to
motivate the team members in such a way that they are satisfied with their jobs and
helped in reaching their goals. Asking team members to participate in decision making
will improve their job satisfaction.
Allotting the work schedules and penalizing team members for poor performance are
the duties of a nurse manager.
During a peer review, the manager finds that a newly appointed nurse leader
encourages "bottom up" interaction among the workers. To which statement of the
staff does the manager relate this?
1 "He/she accepts responsibility willingly."
2 "He/she is empathetic to the experiences of others."
3 "He/she involves us in shaping policies for client care."
4 "He/she believes in unleashing constructive energy rather than constraining energy." -
answer>>>3 "He/she involves us in shaping policies for client care."
,"Bottom-up" interaction values every nurse as a human resource with rich perspective.
Therefore involving peers in shaping policies is an example of a "bottom-up" interaction.
Willingness to accept responsibility is a generally desired attribute. Empathy to others'
experiences shows emotional intelligence. A leader who unleashes constructive energy
demonstrates the concept of focus on emergence.
The registered nurse (RN) is getting ready to leave the client care unit for a lunch break.
The RN asks the LPN to take care of a client during the lunch break. Which concept is
emphasized in this situation?
1 Leadership
2 Delegation
3 Supervision
4 Assignment - answer>>>2
Delegation is the concept of a transfer of authority between two people to perform
some type of task, e.g., between an RN and licensed staff.
Leadership is the action of leading a group or an organization. Supervision is defined as
the active process of directing, guiding, and influencing the outcome of an individual's
performance. Assignment is the transfer of both accountability and responsibility.
A healthcare team is caring for a client with diabetes insipidus. According to the
functional model, which healthcare personnel would the nurse state is qualified to
perform all hygienic tasks?
1 Registered nurse
2 Licensed practical nurse
3 Licensed vocational nurse
4 Unlicensed assistive personnel - answer>>>4 Unlicensed assistive personnel
Unlicensed assistive personnel perform all the hygiene tasks. Per the functional model,
intravenous (IV) medication administration is provided by the registered nurse. The
licensed practical nurse and a licensed vocational nurse may be permitted to give IV
administration of medications, but they maybe limited to giving oral medications.
, The registered nurse is teaching a newly hired nurse about communicating with
delegatees during delegation. Which statement made by the newly hired nurse
indicates the need for further learning?
1 "I should identify priorities."
2 "I should specify deviations."
3 "I should provide examples of each delegation."
4 "I should specify any performance limitations to the delegatee." - answer>>>3 "I
should provide examples of each delegation."
The delegator should ask the delegatee to provide examples of each delegation in order
to understand his or her knowledge level. The delegator should identify priorities before
delegating the task to the delegatee. The delegator should specify deviations, such as
when the delegatee must take an immediate action while performing the task. The
delegator should specify the performance limitations to the delegatee, which can help
in performing the task effectively.
Before assigning a task, the registered nurse makes sure that the prospective delegatee
is willing to complete the task. Which delegation right does this situation reference?
1 Person
2 Supervision
3 Circumstance
4 Communication - answer>>>1 Person
Ensuring that the prospective delegatee is willing to complete the task refers to the
delegation right person. Knowing whether the delegator is able to monitor and evaluate
the client appropriately refers to the delegation right supervision. Ensuring whether the
equipment and resources are available to complete the delegation process refers to
circumstance. Ensuring whether the delegator and delegatee understand a common
work-related language refers to the delegation right communication.
A registered nurse (RN) is sent to a rehabilitation center because of chemical
impairment issues. Which member of the healthcare team will be asked to provide
feedback about the RN's progress?
1 Nurse manager
2 Healthcare provider
2026-2027 LATEST VERSION QUESTIONS AND
VERIFIED CORRECT ANSWERS JUST RELEASED
Which type of behavior by the registered nurse results in a low-to-stable level of
commitment?
1 Punitive
2 Charismatic
3 Inspirational
4 Intellectual stimulation - answer>>>1
Punitive behavior is a type of transactional leadership behavior that results in a low-to-
stable level of commitment as an organizational outcome.
Charismatic, inspirational, and intellectual stimulation are transformational leadership
behaviors that result in increased commitment as an organizational outcome.
The leader encounters a situation where the nursing outcomes are unpredictable.
Which attributes or approaches should the leader utilize to navigate this situation?
Select all that apply.
1 Creativity
2 Experience
3 Enthusiasm
4 Group process
5 Independent decision making - answer>>>1 Creativity, 2 Experience, 4 Group process
A situation with unpredictable results requires creativity, experience, and group
process.
Enthusiasm is an important quality of a follower but it would be a secondary factor to be
considered in this situation. Independent decision making would not be appropriate to
this situation. Rather, the leader should seek expert opinion and involve key
stakeholders.
The nurse manager orders the direct care nurse to assist in providing tertiary care to a
client. Which type of treatment would the direct care nurse be involved in?
,1 Chronic care
2 Rehabilitation
3 Health maintenance
4 Prevention of disease complications - answer>>>2
Tertiary care includes rehabilitation.
Chronic care and health maintenance are considered primary care, and prevention of
disease complications is classified as secondary care.
The nurse leader arranges a meeting with the staff members to learn how satisfied they
are with their jobs. Which approach by the nurse leader would outline effective
leadership? Select all that apply.
1 Seeking feedback from the team
2 Allotting work schedules to the team
3 Penalizing the team for poor performance
4 Motivating the team to reach the desired goals
5 Asking the team to participate in decision making - answer>>>1, 4, 5
Seeking feedback from the team will help the team members in reaching the
organizational goals and a shared vision. The most important leadership quality is to
motivate the team members in such a way that they are satisfied with their jobs and
helped in reaching their goals. Asking team members to participate in decision making
will improve their job satisfaction.
Allotting the work schedules and penalizing team members for poor performance are
the duties of a nurse manager.
During a peer review, the manager finds that a newly appointed nurse leader
encourages "bottom up" interaction among the workers. To which statement of the
staff does the manager relate this?
1 "He/she accepts responsibility willingly."
2 "He/she is empathetic to the experiences of others."
3 "He/she involves us in shaping policies for client care."
4 "He/she believes in unleashing constructive energy rather than constraining energy." -
answer>>>3 "He/she involves us in shaping policies for client care."
,"Bottom-up" interaction values every nurse as a human resource with rich perspective.
Therefore involving peers in shaping policies is an example of a "bottom-up" interaction.
Willingness to accept responsibility is a generally desired attribute. Empathy to others'
experiences shows emotional intelligence. A leader who unleashes constructive energy
demonstrates the concept of focus on emergence.
The registered nurse (RN) is getting ready to leave the client care unit for a lunch break.
The RN asks the LPN to take care of a client during the lunch break. Which concept is
emphasized in this situation?
1 Leadership
2 Delegation
3 Supervision
4 Assignment - answer>>>2
Delegation is the concept of a transfer of authority between two people to perform
some type of task, e.g., between an RN and licensed staff.
Leadership is the action of leading a group or an organization. Supervision is defined as
the active process of directing, guiding, and influencing the outcome of an individual's
performance. Assignment is the transfer of both accountability and responsibility.
A healthcare team is caring for a client with diabetes insipidus. According to the
functional model, which healthcare personnel would the nurse state is qualified to
perform all hygienic tasks?
1 Registered nurse
2 Licensed practical nurse
3 Licensed vocational nurse
4 Unlicensed assistive personnel - answer>>>4 Unlicensed assistive personnel
Unlicensed assistive personnel perform all the hygiene tasks. Per the functional model,
intravenous (IV) medication administration is provided by the registered nurse. The
licensed practical nurse and a licensed vocational nurse may be permitted to give IV
administration of medications, but they maybe limited to giving oral medications.
, The registered nurse is teaching a newly hired nurse about communicating with
delegatees during delegation. Which statement made by the newly hired nurse
indicates the need for further learning?
1 "I should identify priorities."
2 "I should specify deviations."
3 "I should provide examples of each delegation."
4 "I should specify any performance limitations to the delegatee." - answer>>>3 "I
should provide examples of each delegation."
The delegator should ask the delegatee to provide examples of each delegation in order
to understand his or her knowledge level. The delegator should identify priorities before
delegating the task to the delegatee. The delegator should specify deviations, such as
when the delegatee must take an immediate action while performing the task. The
delegator should specify the performance limitations to the delegatee, which can help
in performing the task effectively.
Before assigning a task, the registered nurse makes sure that the prospective delegatee
is willing to complete the task. Which delegation right does this situation reference?
1 Person
2 Supervision
3 Circumstance
4 Communication - answer>>>1 Person
Ensuring that the prospective delegatee is willing to complete the task refers to the
delegation right person. Knowing whether the delegator is able to monitor and evaluate
the client appropriately refers to the delegation right supervision. Ensuring whether the
equipment and resources are available to complete the delegation process refers to
circumstance. Ensuring whether the delegator and delegatee understand a common
work-related language refers to the delegation right communication.
A registered nurse (RN) is sent to a rehabilitation center because of chemical
impairment issues. Which member of the healthcare team will be asked to provide
feedback about the RN's progress?
1 Nurse manager
2 Healthcare provider
