HESI RN LEADERSHIP /MANAGEMENT EXIT
EXAM 2025/2026 Q-BANK 120 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) A+ Grade
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
- correct answer 2, 3, 4
The characteristics of transactional leadership include valuing the orders and structures of an
organization. The nurse who exhibits transactional leadership will meet the targets within the deadline
given by the organization. The nurse will also follow the rules of an organization and will correct the
errors of an employee in a reactive manner.
Motivating or inspiring the employees and increasing employee commitment are the characteristics of
transformational leadership.
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
- correct answer 3 Have the supervisor validate the observation.
The staff nurse should call the hospital supervisor to confirm and handle the problem. The security
guard has no authority in this situation. Although sending the nurse manager home removes the nurse
manager from the clinical setting, this action misses an opportunity for documenting the situation and
the nurse manager is in no condition to drive safely. Drinking coffee does not make a person less
intoxicated.
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
- correct answer 2, 4, 5
An individual's willingness is related to attitude, confidence, and commitment.
Ability is related to knowledge and skills in a specific situation. Personality characteristics can influence
the effectiveness of the delegator.
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
- correct answer 4
,The behaviorally anchored rating scale is a performance appraisal method that provides an overview of
nursing standards by determining performance both qualitatively and quantitatively.
The narrative method requires a manager to write a statement about the nurse's performance. The
critical incidents type is a performance appraisal method in which a manager keeps a written record of
positive and negative performance. The graphic rating scale form is a performance appraisal checklist on
which a manager rates the nurse's performance on a continuum such as excellent, good, average, and
poor.
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
- correct answer 2 Within 1 hour
The clients triaged as an ESI-3 should be seen by the physician within an hour.
The clients with life-threatening problems are triaged as ESI-1, and they should be provided with
immediate care. The care of the clients in ESI-4 and ESI-5 can be delayed for some time because the
condition of the clients in this level is stable. Clients with major injuries are triaged as an ESI-2 and
require treatment within 10 minutes.
Which question does the registered nurse recognize as related to the right of circumstance when
delegating?
1 "Is the delegation appropriate to the situation?"
2 "Is the task within the delegatee's scope of practice?"
3 "Is the prospective delegate a willing and able employee?"
, 4 "Is the delegator able to monitor and evaluate the client appropriately?"
- correct answer 1 "Is the delegation appropriate to the situation?"
The question, "Is the delegation appropriate to the situation?" is related to right circumstance.
The question, "Is the task within the delegatee's scope of practice?" is related to right task. The
question, "Is the prospective delegate a willing and able employee?" is related to right person. The
question, "Is the delegator able to monitor and evaluate the client appropriately?" is related to right
supervision.
Which factors does the registered nurse consider in the decision to delegate process? Select all that
apply.
1 Evaluation
2 Nursing judgment
3 Predictability of outcomes
4 Pervasive functions of assessment
5 Complexity of the task to be performed
- correct answer 3, 5
Two factors responsible for the decision to delegate process are predictability of outcomes and
complexity of the task to be performed.
Evaluation, nursing judgment, and pervasive functions are not factors in the decision to delegate
process.
Under a leader, a team of followers has failed to achieve success in conducting research. What does an
effective leader do in this situation?
1 Criticizes the team members for failure
2 Provides excuses for the negative outcome
3 Refuses to take the responsibility for failure
EXAM 2025/2026 Q-BANK 120 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) A+ Grade
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
- correct answer 2, 3, 4
The characteristics of transactional leadership include valuing the orders and structures of an
organization. The nurse who exhibits transactional leadership will meet the targets within the deadline
given by the organization. The nurse will also follow the rules of an organization and will correct the
errors of an employee in a reactive manner.
Motivating or inspiring the employees and increasing employee commitment are the characteristics of
transformational leadership.
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
- correct answer 3 Have the supervisor validate the observation.
The staff nurse should call the hospital supervisor to confirm and handle the problem. The security
guard has no authority in this situation. Although sending the nurse manager home removes the nurse
manager from the clinical setting, this action misses an opportunity for documenting the situation and
the nurse manager is in no condition to drive safely. Drinking coffee does not make a person less
intoxicated.
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
- correct answer 2, 4, 5
An individual's willingness is related to attitude, confidence, and commitment.
Ability is related to knowledge and skills in a specific situation. Personality characteristics can influence
the effectiveness of the delegator.
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
- correct answer 4
,The behaviorally anchored rating scale is a performance appraisal method that provides an overview of
nursing standards by determining performance both qualitatively and quantitatively.
The narrative method requires a manager to write a statement about the nurse's performance. The
critical incidents type is a performance appraisal method in which a manager keeps a written record of
positive and negative performance. The graphic rating scale form is a performance appraisal checklist on
which a manager rates the nurse's performance on a continuum such as excellent, good, average, and
poor.
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
- correct answer 2 Within 1 hour
The clients triaged as an ESI-3 should be seen by the physician within an hour.
The clients with life-threatening problems are triaged as ESI-1, and they should be provided with
immediate care. The care of the clients in ESI-4 and ESI-5 can be delayed for some time because the
condition of the clients in this level is stable. Clients with major injuries are triaged as an ESI-2 and
require treatment within 10 minutes.
Which question does the registered nurse recognize as related to the right of circumstance when
delegating?
1 "Is the delegation appropriate to the situation?"
2 "Is the task within the delegatee's scope of practice?"
3 "Is the prospective delegate a willing and able employee?"
, 4 "Is the delegator able to monitor and evaluate the client appropriately?"
- correct answer 1 "Is the delegation appropriate to the situation?"
The question, "Is the delegation appropriate to the situation?" is related to right circumstance.
The question, "Is the task within the delegatee's scope of practice?" is related to right task. The
question, "Is the prospective delegate a willing and able employee?" is related to right person. The
question, "Is the delegator able to monitor and evaluate the client appropriately?" is related to right
supervision.
Which factors does the registered nurse consider in the decision to delegate process? Select all that
apply.
1 Evaluation
2 Nursing judgment
3 Predictability of outcomes
4 Pervasive functions of assessment
5 Complexity of the task to be performed
- correct answer 3, 5
Two factors responsible for the decision to delegate process are predictability of outcomes and
complexity of the task to be performed.
Evaluation, nursing judgment, and pervasive functions are not factors in the decision to delegate
process.
Under a leader, a team of followers has failed to achieve success in conducting research. What does an
effective leader do in this situation?
1 Criticizes the team members for failure
2 Provides excuses for the negative outcome
3 Refuses to take the responsibility for failure
