HESI LEADERSHIP & MANAGEMENT EXAM 2
2026 REVISION QUESTIONS AND ANSWERS
◉ 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. 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. 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. 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. 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?". 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.
2026 REVISION QUESTIONS AND ANSWERS
◉ 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. 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. 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. 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. 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?". 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.
