HESI LEADERSHIP & MANAGEMENT EXAM 2
2026 COMPLETE EXAM PRACTICE WITH MARK
SCHEME
◉ Which intervention should the charge nurse perform to manage a
task when the unlicensed nursing personal (UNP) is lacking
competence?
1 Provide constructive feedback and assign another task.
2 Provide open vocal feedback and withdraw the UNP from task.
3 Provide additional support and temporarily lower expectations.
4 Provide accountability to the organization and undergo training
again. Answer: 3 Provide additional support and temporarily lower
expectations.
The charge nurse should manage a task by temporarily lowering
expectations and providing additional support to an unlicensed
nursing personal (UNP) who is lacking competence. This strategy
allows the UNP to build on strengths, minimize weaknesses, and
gain confidence.
Providing constructive feedback and assigning another task may not
improve the strategy of the UNP and may affect the productivity of
the new task. Withdrawing the UNP from the task and providing
,open vocal feedback may weaken the working relationship and the
UNP may lose confidence or become frustrated. The charge nurse
should be aware of accountability to the organization in case of a
failure of the delegation, but assigning the UNP for further training
may lead to high risk for legal liability.
◉ Which statement would most likely be made by a client who is
receiving care through the functional method?
1 "My nurse's name is Amy."
2 "Susan will be caring for me until 7 pm."
3 "I have to wait until the medication nurse is available for a pain
pill."
4 "Barbara coordinated all of my care but I might receive the care
from other nurses.". Answer: 3 "I have to wait until the medication
nurse is available for a pain pill."
In the functional method, staff are assigned tasks according to scope
of practice. In this approach a medication nurse will be identified.
Knowing the nurse's name would more likely be a characteristic of
team or primary nursing. Knowing which nurse will provide care for
a specific period of time would indicate the case approach to care.
Knowing which nurse coordinated the care that might be provided
,by others would more likely indicate primary nursing or case
management.
◉ Which constructive aspects of conflict does the nurse leader
identify? Select all that apply.
1 Polarizes groups
2 Releases pent-up emotions
3 Promotes ineffective communication
4 Helps individuals grow personally
5 Builds cohesiveness among people. Answer: 2, 4, 5
Conflict serves as a release for pent-up emotion, anxiety, and stress.
It helps individuals to grow personally and apply what they learn to
future situations. It helps to build cohesiveness among people
sharing the conflict, celebrating in its settlement and learning more
about each other.
It polarizes groups so they increase internal cohesiveness and
reduce intergroup cooperation; this is a destructive aspect of
conflict. Authentic communication is an aspect of conflict but not
improbable communication.
◉ When does delegation become more challenging? Select all that
apply.
, 1 When the client is stable
2 When the client is pregnant
3 When the geographic area is small
4 When the resources are abundant
5 When school children are receiving care. Answer: 2 When the
client is pregnant, 5 When school children are receiving care
The delegation process becomes more challenging when vulnerable
populations such as pregnant women and school children are
receiving care.
Delegation can be safely and successfully carried out in the stable
client. Delegation can be accomplished successfully when the
geographical area is small and resources are abundant.
◉ A client reports severe pain 2 days after surgery. After assessing
the characteristics of the pain, which initial action should the nurse
take next?
1 Encourage rest.
2 Obtain vital signs.
3 Administer the prescribed analgesic.
4 Document the client's pain response.. Answer: 2 Obtain vital signs.
2026 COMPLETE EXAM PRACTICE WITH MARK
SCHEME
◉ Which intervention should the charge nurse perform to manage a
task when the unlicensed nursing personal (UNP) is lacking
competence?
1 Provide constructive feedback and assign another task.
2 Provide open vocal feedback and withdraw the UNP from task.
3 Provide additional support and temporarily lower expectations.
4 Provide accountability to the organization and undergo training
again. Answer: 3 Provide additional support and temporarily lower
expectations.
The charge nurse should manage a task by temporarily lowering
expectations and providing additional support to an unlicensed
nursing personal (UNP) who is lacking competence. This strategy
allows the UNP to build on strengths, minimize weaknesses, and
gain confidence.
Providing constructive feedback and assigning another task may not
improve the strategy of the UNP and may affect the productivity of
the new task. Withdrawing the UNP from the task and providing
,open vocal feedback may weaken the working relationship and the
UNP may lose confidence or become frustrated. The charge nurse
should be aware of accountability to the organization in case of a
failure of the delegation, but assigning the UNP for further training
may lead to high risk for legal liability.
◉ Which statement would most likely be made by a client who is
receiving care through the functional method?
1 "My nurse's name is Amy."
2 "Susan will be caring for me until 7 pm."
3 "I have to wait until the medication nurse is available for a pain
pill."
4 "Barbara coordinated all of my care but I might receive the care
from other nurses.". Answer: 3 "I have to wait until the medication
nurse is available for a pain pill."
In the functional method, staff are assigned tasks according to scope
of practice. In this approach a medication nurse will be identified.
Knowing the nurse's name would more likely be a characteristic of
team or primary nursing. Knowing which nurse will provide care for
a specific period of time would indicate the case approach to care.
Knowing which nurse coordinated the care that might be provided
,by others would more likely indicate primary nursing or case
management.
◉ Which constructive aspects of conflict does the nurse leader
identify? Select all that apply.
1 Polarizes groups
2 Releases pent-up emotions
3 Promotes ineffective communication
4 Helps individuals grow personally
5 Builds cohesiveness among people. Answer: 2, 4, 5
Conflict serves as a release for pent-up emotion, anxiety, and stress.
It helps individuals to grow personally and apply what they learn to
future situations. It helps to build cohesiveness among people
sharing the conflict, celebrating in its settlement and learning more
about each other.
It polarizes groups so they increase internal cohesiveness and
reduce intergroup cooperation; this is a destructive aspect of
conflict. Authentic communication is an aspect of conflict but not
improbable communication.
◉ When does delegation become more challenging? Select all that
apply.
, 1 When the client is stable
2 When the client is pregnant
3 When the geographic area is small
4 When the resources are abundant
5 When school children are receiving care. Answer: 2 When the
client is pregnant, 5 When school children are receiving care
The delegation process becomes more challenging when vulnerable
populations such as pregnant women and school children are
receiving care.
Delegation can be safely and successfully carried out in the stable
client. Delegation can be accomplished successfully when the
geographical area is small and resources are abundant.
◉ A client reports severe pain 2 days after surgery. After assessing
the characteristics of the pain, which initial action should the nurse
take next?
1 Encourage rest.
2 Obtain vital signs.
3 Administer the prescribed analgesic.
4 Document the client's pain response.. Answer: 2 Obtain vital signs.
