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

Pennsylvania State University - CarlisleMedicine

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

Typology: Exams

2025/2026

Available from 02/14/2026

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NGN HESI Leadership and Management
Exam | 2026/2027 Edition | High-Quality
Practice Q&A | Verified Study Resource |
A+ Prep
A new graduate nurse is employed in a small community hospital. The nurse notices practices
which seem to be very physician driven and that patients have little input into their care. Families
are seen as a nuisance rather than as partners in potential care provision. What is the best
approach for the new nurse to use for improving care in this setting?
a)Do nothing. They are too new to the organization to make change.
b)Share with the physician the recommendations from various IOM reports.
c)Share with their team members what they know about the aims of providing health care.
d)Report the team members to the chief nursing officer who is unlikely to know the lack of
details on this unit.
C
Mr. Grandion was admitted to a rehabilitation center after discharge from a hospital. He has not
walked in the 5 days while he was hospitalized and is provided a wheelchair. Dining with other
residents is expected, and staffing is limited on a holiday weekend. What is the best strategy to
ensure Mr. Grandion has sufficient nutrition and exercise?
a)Tell Mr. Grandion to stay in bed and someone will bring a tray to his room because the staff
can't get him to the dining room in time for dinner
b)Assist Mr. Grandion into his wheelchair and remind him that in 2 hours he must be in the
dining room if he wishes to eat.
c)Request help from another unit before dinner and indicate the nature of help needed.
d)Order a life device to transfer Mr. Grandion from his bed to the wheelchair.
c
When entering the postoperative care unit, the nurse manager notices that the temporary agency
nurse has incorrectly entered the rate of infusion for the patient's vasopressor medication, and the
arterial line blood pressure has a reading of 76/40 mmHg. After discontinuing the intravenous
medication infusion, what is the nurse manager's next intervention?
a)Notify the nurse in charge of the unit.
b)Ask if there is an assigned resource nurse to serve as mentor for the temporary nurse.
c)Ask if there are standing orders for interventions for hypotension.
d)Ask if the temporary nurse has had an orientation to the unit.
C
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Download NGN HESI Leadership and Management Exam | 2026/2027 Edition | High-Quality Practice Q&A and more Exams Medicine in PDF only on Docsity!

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NGN HESI Leadership and Management

Exam | 2026/2027 Edition | High-Quality

Practice Q&A | Verified Study Resource |

A+ Prep

A new graduate nurse is employed in a small community hospital. The nurse notices practices which seem to be very physician driven and that patients have little input into their care. Families are seen as a nuisance rather than as partners in potential care provision. What is the best approach for the new nurse to use for improving care in this setting? a)Do nothing. They are too new to the organization to make change. b)Share with the physician the recommendations from various IOM reports. c)Share with their team members what they know about the aims of providing health care. d)Report the team members to the chief nursing officer who is unlikely to know the lack of details on this unit. C Mr. Grandion was admitted to a rehabilitation center after discharge from a hospital. He has not walked in the 5 days while he was hospitalized and is provided a wheelchair. Dining with other residents is expected, and staffing is limited on a holiday weekend. What is the best strategy to ensure Mr. Grandion has sufficient nutrition and exercise? a)Tell Mr. Grandion to stay in bed and someone will bring a tray to his room because the staff can't get him to the dining room in time for dinner b)Assist Mr. Grandion into his wheelchair and remind him that in 2 hours he must be in the dining room if he wishes to eat. c)Request help from another unit before dinner and indicate the nature of help needed. d)Order a life device to transfer Mr. Grandion from his bed to the wheelchair. c When entering the postoperative care unit, the nurse manager notices that the temporary agency nurse has incorrectly entered the rate of infusion for the patient's vasopressor medication, and the arterial line blood pressure has a reading of 76/40 mmHg. After discontinuing the intravenous medication infusion, what is the nurse manager's next intervention? a)Notify the nurse in charge of the unit. b)Ask if there is an assigned resource nurse to serve as mentor for the temporary nurse. c)Ask if there are standing orders for interventions for hypotension. d)Ask if the temporary nurse has had an orientation to the unit. C

An incident report of the incident described in the previous question needs to be completed. What is the appropriate wording to be included in the incident report? a)"Patient was noted to have a low arterial blood pressure (76/40), and the vasopressor medication was discontinued." b)"Patient's vasopressor medication was infusing at a higher rate than ordered and the medication was discontinued when the patient's blood pressure dropped to 76/40." c)"Nurse M.J. started the vasopressor medication, the patient subsequently was noted to have a blood pressure reading of 76/40, the medication was discontinued, and the physician was also notified." d)"Patient receiving vasopressor medication intravenously, blood pressure noted to be 76/40, and intravenous infusion discontinued. Physician notified and orders received for 500 mL normal saline administered for hypotension." D The nurse is needing to provide information for Foley catheter insertion to a patient in the patient's primary language. Which action would the nurse follow for the best outcome in this situation? a) Assume the process of translating "word for word" is sufficient when a treatment is ordered for a culturally diverse patient. b) Request an English-speaking family member to provide the translation to the patient about the treatment. c) Create a cross-cultural semantic or word equivalency vocabulary list for the nursing unit to use with patient. D. Request a healthcare professional translator to translate verbally the source language to the target language with the patient regarding the procedure. D A new nurse works on a busy medical-surgical unit. While the charge nurse keeps the unit organized and running smoothly, the nurse notices that another experienced nurse is the nurse to whom most of the other nurses ask questions and seek information. How does the new nurse view this experienced nurse? a)A formal leader b)A positional leader c)An official leader d)An informal leader D A new nurse sees a flyer for a workshop on healthcare relationship building and recognizes that relationship building with those in current leadership positions is challenging for her. She decides to attend. By making the decision to attend what is the new nurse demonstrating? a)Social awareness b)Self management c)Strengths-based learning d)Personal leadership B

a) "The nursing care on this unit has received awards and certainly is not the problem." b) "Let's first decide what to do for Mrs. Johnson and then step into the hall and talk further about your concerns." c) "It is inappropriate to talk to me that way. I will report this to my supervisor." d) Would you like to change the antibiotic Mrs. Johnson is receiving?" b Nurses were long viewed by physicians, legislators, the media, and others as powerless because nurses: a)declined to participate in political activities in the earliest years of the profession in the United States. b)as women were subject to control by medicine and other paternalistic groups; women had limited legal rights in late 19th-century America. c)and nursing leaders in the mid-20th century did not wish to be viewed by those outside of nursing as pushy or demanding. were subject to nursing practice acts that limited their ability to take political action. B When caring for a patient who had a hip replacement that morning, a nurse is providing what level of care? a)Primary b)Secondary c)Tertiary d)Essential B To maximize the coordination of care, provide seamless transitions, and improve quality of care, organizations are increasingly turning to which organizational structure? a)Academic medical centers b)Public health institutions c)Accountable care organizations d)Proprietary, investor-owned organizations C What is the most effective strategy for an organization to take in order to maximize authority and accountability for all aspects of nursing practice in the nurses responsible for the delivery of care? a)Position management and administrative levels to coordinate and facilitate the work of the practicing nurses. b)Define in specific detail the daily activities of frontline nurses. c)Have nurses report directly to physicians. Develop multidisciplinary teams of care providers. A What is the most important role of the nurse manager in case management? a)Provide supportive therapy during the grieving process. b)Provide education to patients regarding upcoming surgery. c)Serve as a communication link between all providers of care.

Perform a psycho-social assessment of the patient and his family. C The nurse manager on a skilled nursing unit notices that the number of patient falls in the unit has increased over the past year, resulting in a fall rate that is below the projected target rate for this unit. What is the BEST evidenced-based method to approach the fall rate on the unit? a)Increase the number of total nursing hours on the unit. b)Institute a safety restraint policy. c)Purchase side rails that are easy to raise and lower. Place patients at risk for falls close to the nursing station. A The state of California passed staffing law requiring that a nurse should care for no more than a certain number of patients on specific types of units at any one time. What ratio is accurate per the California law? a)Three patients in the intensive care unit. b)Six or seven patients in a medical-surgical unit. c)Three patients in a labor and delivery unit. d) Ten patients in a psychiatric unit. C What statement by a newly promoted nurse manager indicates the need for follow-up on leadership style and development for the manager? a)"As a new leader, I should identify and work with a mentor." b)"I intend to promote shared decision making in my unit." c)"I don't need to worry about engaging my workforce because all nurses are naturally engaged." "I will purposefully cultivate a broad follower base in my unit." C When administering medications to a patient utilizing bar-code technology, what is the most important first step? a)Scan patient's identification band b)Scan medication c)Administer medication d)Check the five rights d A new nurse wants to be a change agent on the unit. What action listed would be the MOST appropriate for the nurse to take? a)Become an early adopter b)Wait until a more experienced nurse vocalizes support c)Seek help from her nurse manager d)Talk to a peer on another unit about the problems with more experienced nurses A

b) Recommending that a multidisciplinary team assess the root cause of the medication errors c) Suggesting that the pharmacy department explore their role in the problem d) Changing the unit policy to allow a certain number of medication errors per year without penalty B A nurse manager wants to highlight the accomplishments of the nurses who are providing high- quality care on a medical unit in a tertiary care medical center. What is an example of a nurse- sensitive outcome that could be used for this project? a)Pressure ulcer rate compared with a national benchmark rate b)Patient satisfaction scores compared with other hospitals c)Nurse satisfaction scores compared with other hospitals d)Percentage of patients with heart failure who are prescribed an angiotensin-converting enzyme (ACE) inhibitor on hospital discharge A Recently, a medical center surveyed patients who smoked regarding their desire to quit smoking. A high percentage were "motivated smokers," interested in quitting in the next 30 days, but were not offered resources to help with quitting. The nursing research council wants to introduce an evidence-based protocol for smoking cessation based on patient survey findings. What would be an appropriate initial action? a)Start a journal club to review the protocol. b)Survey nurses to determine barriers and facilitators to using smoking cessation interventions. c)Distribute the protocol to all staff nurses. d)Collaborate with physicians to develop a standard set of orders to be implemented for all patients. B How can a leader deal fairly with employees who fail to meet established standards of care? a)Determine if the employee issue is a will or skill issue. b)Conduct a chart review that reflects the care issue. c)Ask questions of the employee that can reflect the employee's knowledge base. d)Ask other staff to document concerns to use for discharging. C The charge nurse observes a specific employee has a significant increase in errors and may have some emotional problems from personal issues at home. What is the appropriate response by the charge nurse? a)Schedule a series of meetings with the employee to support and assist the employee in addressing the problem. b)Ask the employee some questions ending with a suggestion that Employee Assistance might be an option. c)Put the employee on the first steps of disciplinary action. d)Send the employee to the mental health center and ask for documentation before returning to work. b Which of the following is a professional role transition?

a)Purchasing a car b)Marriage c)Starting a new job d)Retirement C What is the most important component of role transition? a)Clear delineation of role expectations and accountabilities b)A supportive manager c)A detailed position description d)Orientation a What items would be included on a CV but not on a résumé? a)Licensure type and states where licenses are held b)List of professional activities throughout career c)Educational preparation and degrees awarded d)Contact information including address and phone B A nurse has accepted a new position in a different organization and is composing a resignation letter for the manager of her current position. What items, if included in the letter, is likely to prevent the nurse from being rehired in the same organization in the future? a)An offer to negotiate a resignation date around department needs b)A summary of the verbal resignation discussion with the manager c)A list and full description of co-workers' annoying off-duty behaviors A positive statement about what has been learned from the position c Which of the generations is challenged by sharing leadership with other generations? a)Baby Boomers b)Generation Y c)Generation X d)Generation Z A Which of the following represents outcomes of transformational leadership? a)Deadlines are met. b)Work is completed according to the rules. c)Increased job satisfaction d)Pay tends to be higher. C What is not addressed by managers when effectively implementing organizational change that promotes patient safety? a)Learn quickly as you must complete all tasks before the end of the shift. b)Create and sustain trust. c)Actively manage the change process.