HESI RN LEADERSHIP/MANAGEMENT EXIT UPDATED
Exam Questions and CORRECT Answers
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?
Exam Questions and CORRECT Answers
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?
