NGN HESI Leadership and Management Exam | 2026/2027 Edition | High-Quality Actual Q&A |, Exams of Medicine

NGN HESI Leadership and Management Exam | 2026/2027 Edition | High-Quality Actual Q&A | Verified Study Resource | A+

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NGN HESI Leadership and Management Exam |
2026/2027 Edition | High-Quality Actual Q&A |
Verified Study Resource | A+
The student nurse is shadowing on a medical/surgical unit and observes the duties of the charge
nurse. Which of the following would the student identify as a quality attributed to a nurse in a
leadership role?
A. Delays admission from emergency department until staff has appropriately educated a newly
diagnosed diabetic patient on insulin administration.
B. Spends time with a newly diagnosed lung cancer patient to allow him to communicate his
future health concerns.
C. Reevaluates staffing needs after one RN "calls in sick."
D. Counsels a UAP (unlicensed assistive personnel) after arriving late for work the third time
that week.
B. Spends time with a newly diagnosed lung cancer patient to allow him to communicate his
future health concerns.
Rationale:
Leaders do the right thing.
Therefore focus on effectiveness whereas a manager focuses on efficiencies.
Which of the following is NOT a task or responsibility of the first-level manager?
Staff assignments for patient care during shifts
Conducting staff meetings
Making daily patient rounds
Initiate changes to unit policies based on current evidence
Initiate changes to unit policies based on current evidence
Rationale:
Initiating change to the unit policies based on current evidence is done by the middle-level
manage. The other options describe tasks of the first-level manager.
A new nurse is interviewed at a facility where various models of patient care delivery are used.
The nurse is interested in developing clinical decision-making skills. After the interview, the
nurse determines the best position for enhancing those skills is the unit that uses which of the
following models?
Primary nursing
Team nursing
Functional nursing
Case management
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NGN HESI Leadership and Management Exam |

2026/2027 Edition | High-Quality Actual Q&A |

Verified Study Resource | A+

The student nurse is shadowing on a medical/surgical unit and observes the duties of the charge nurse. Which of the following would the student identify as a quality attributed to a nurse in a leadership role? A. Delays admission from emergency department until staff has appropriately educated a newly diagnosed diabetic patient on insulin administration. B. Spends time with a newly diagnosed lung cancer patient to allow him to communicate his future health concerns. C. Reevaluates staffing needs after one RN "calls in sick." D. Counsels a UAP (unlicensed assistive personnel) after arriving late for work the third time that week. B. Spends time with a newly diagnosed lung cancer patient to allow him to communicate his future health concerns. Rationale: Leaders do the right thing. Therefore focus on effectiveness whereas a manager focuses on efficiencies. Which of the following is NOT a task or responsibility of the first-level manager? Staff assignments for patient care during shifts Conducting staff meetings Making daily patient rounds Initiate changes to unit policies based on current evidence Initiate changes to unit policies based on current evidence Rationale: Initiating change to the unit policies based on current evidence is done by the middle-level manage. The other options describe tasks of the first-level manager. A new nurse is interviewed at a facility where various models of patient care delivery are used. The nurse is interested in developing clinical decision-making skills. After the interview, the nurse determines the best position for enhancing those skills is the unit that uses which of the following models? Primary nursing Team nursing Functional nursing Case management

Primary Nursing In primary nursing, clinical decision making is focused at the bedside by the nurse administering the care. The other options are a patient care delivery model whose focus is not bedside decision making. Which of the following is NOT an example of the behavioral theory of leadership? Democratic leader Republican leader Laissez faire leader Bureaucratic leader Republican Leader Republican is a political party not a behavioral characteristic. The others are behavioral characteristics. An agency nurse is assigned to work on a unit that uses the team nursing model of health care delivery. The nurse understands that the advantage to patient care delivery in this model is that the nurse must make all patient care decisions. can delegate patient care to other team members. begins working on discharge plans at the time of admission. administers all medications to the team patients. Can delegate patient care The advantage to the team nursing patient care delivery model is that UAPs are used to assist the RN and tasks can be delegated to them. The other options are examples of the primary nursing delivery model. In a primary care delivery model, which of the following would be an expected assignment for a staff member for the day? Two UAPs taking vital signs and blood sugars on all patients Two LPNs administering medications to all patients RN verifies new order for patient started on Lopressor (metoprolol) with a history of asthma. RN holds morning dose of Lopressor (metoprolol) on a patient scheduled for an exercise stress test today. Hold lopressor In a primary care delivery model, the nurse acts autonomously. Options A and B indicate functional nursing. Option C should be seen in any delivery system. Key tasks that the care manager may perform including all of the following EXCEPT deal with personal issues arising during a shift. use resources efficiently. observe whether unit policies and objectives are meeting the needs of the patients and staff. perform staff evaluations.

Emotional Stimulation (EI) Spiritual Motivation (SM) Idealized Influence (II) Individualized Courtesy (IC) Idealized Influence is one of the four core components of transformational leadership. Intellectual Stimulation, Inspirational Motivation, and Individualized Consideration are additional components of transformational leadership. After attending a nursing management course, a student nurse understands that the most effective managers must develop communication and interpersonal skills. periodically promote nurses based on time employed by agency. promote the use of self-scheduling. develop methods for patient satisfaction. Option A is essential as a manager to communicate with staff and therefore either should possess or acquire these skills. The other options are not examples of effective management. Transformational leadership is a leadership theory used in nursing practice. The nurse understands that the type of nursing practiced in this environment would be most beneficial to financial compensation. tuition reimbursement. personal empowerment. best practice. Personal empowerment is a basic component of transformational leadership. Options A, B, and D are not necessarily a component of transformational leadership. The student nurse is shadowing on a medical/surgical unit and observes the duties of the charge nurse. Which of the following would the student identify as qualities attributed to a nurse in a management role? (Select all that apply.) Arranges time schedule so that all staff can attend their mandatory skills day Councils a staff member regarding personal family issues Attends organizational meetings for the surgical service Counsels a UAP after arriving late for work the third time that week Participates in delivering care to a client who has returned from the recovery room Speaks with family members who are concerned about extended care for their family member Managers' responsibilities include the daily running of the unit which encompasses the first four options. Options E and F are tasks that a leader would perform. By what authority may RNs delegate nursing care to others? State Nurse Practice Act A UAP may perform care that falls within which component of the nursing process? Implementation Which type of communication is necessary to implement a democratic leadership style? Assertive communication skills

What are the five rights of delegation? A. Right task B. Right circumstance C. Right person D. Right direction or communication E. Right supervision Which of the following tasks can be delegated to a UAP? A) Inserting a Foley catheter B) Measuring and recording the client's output through a Foley C) Teaching a client how to care for a catheter after discharge D) Assessing the symptoms of a urinary tract infection A) Is a sterile invasive procedure and should not be delegated to a UAP *B) Falls within the implementation phase of the nursing process and does not require nursing judgment. Evaluation of the I&O must be done by the nurse C) Client teaching requires the abilities of a nurse and should not be delegated. The USP may be instructed to report anything unusual that is observed and any symptoms reported by the client, but this does not replace assessment by the nurse D) Assessment must be performed by the nurse and should not be delegated. The UAP may be instructed to report anything unusual that is observed or any symptoms reported by the client, but this does not replace assessment by the nurse. What are the essential steps of effective supervision? Direction, evaluation, and follow-up Which of the following is an example of assertive communication? A) "You need to improve the way you spend your time so that all of your care gets performed." B) "I've noticed that many of your clients did not get their care today." A) This is an aggressive communication, which causes anger, hostility, and defensive attitude. B) Assertive communication begins with "I" rather than "You" and clearly states the problem. What are common signs of substance (nurse substance abuse)? Common signs of substance (nurse substance abuse) are clients complaining that pain medication foes not relieve pain when administered by a certain nurse, frequent inaccuracies of controlled medication counts for a specific nurse, and client reports not taking pain medication but several doses are signed out for that client. Describe common characteristics of incivility/bullying among nurses. Common characteristics of incivility/bullying are refusing to work with others, yelling or cursing at peers, making degrading comments, and verbal abuse. Workplace violence contributes to high staff turnover rate and decline in client care. HESI Hint # Motivation comes from within an individual. A nurse leader can provide an environment that will promote motivation through positive feedback, respect, and seeking input. Look for responses that demonstrate these behaviors.

The nurse manager must analyze all the desired outcomes involved when assigning rooms for clients or assigning client care responsibilities. For example, a client with an infection should not be assigned to share a room with a surgical or immunocompromised client. A nurse's client care management should be based on the nurse's abilities, the individual client's needs, and the needs of the entire group of assigned clients. Safety and infection control are high priorities HESI Hint # Change causes anxiety. An effective nurse change agent uses problem-solving skills to recognize factors such as anxiety that contribute to resistance to change and uses decision making and interpersonal skills to overcome that resistance. Intervention that demonstrate these skills include seeking input, showing respect, valuing opinions, and building trust. HESI Hint # The Interprofessional Education Collaborative Expert Panel (PEC) recommended development of four core competencies for interprofessional collaborative practice. Those competency domains among health care professionals include: 1) values/ethics for interprofessional practice;

  1. roles/responsibilities; 3) interprofessional communication; and 4) teams and teamwork