HESI LEADERSHIP / MANAGEMENT NURSING EXAM · 50+ (2026) PREMIUM EX… EXAM
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
HESI Leadership /
Management Nursing
Exam
50+ (2026) Premium Exam with Rationales | A+ Success
Verified Answers Exam Ready With Rationales 52 Questions
DOCUMENT OVERVIEW
This HESI Leadership/Management Nursing Exam document features 52 questions with their correct answers and
detailed explanations. It covers critical topics such as legal and ethical accountability in nursing, informed
consent, the Good Samaritan Act, medication administration safety, and leadership responsibilities in aligning
care with facility missions. Students can use this resource to review key concepts, understand rationales behind
correct answers, and prepare for leadership and management aspects of nursing exams.
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 52
A registered nurse (RN) is preparing to administer a pre-operative medication to a client scheduled for
elective knee surgery. The surgical consent form is signed and on the client's chart. Which action should
the RN take next regarding the client's understanding of the procedure?
A) Review the risks and benefits of the surgery with the client.
B) Verify the client's signature on the consent form.
Page 1
,C) Document the client's verbal consent for the procedure.
D) Ensure the surgeon has obtained informed consent prior to the procedure.
CORRECT ANSWER
D) Ensure the surgeon has obtained informed consent prior to the procedure.
RATIONALE
The surgeon is responsible for explaining the procedure and obtaining informed consent; the RN's role is to
ensure this has occurred before proceeding with pre-operative interventions. The RN should not attempt to
explain the procedure or risks, as this is outside their scope and could be misconstrued as obtaining consent.
Q2 QUESTION 2 OF 52
A nurse stops to render aid at a serious motor vehicle collision scene prior to the arrival of emergency
medical services. Which of the following legal protections are most relevant to the nurse's actions in this
emergency situation? (Select all that apply.)
A) The nurse is protected by the Emergency Medical Treatment and Active Labor Act (EMTALA) if the client
is stable.
B) The nurse is shielded by the Good Samaritan Act for actions taken in good faith to provide emergency
care.
C) The nurse's duty to the client at the scene is limited by the scope of practice defined by the state's
Nurse Practice Act.
D) The nurse is immune from liability for any harm caused if the client is transferred to paramedics.
E) The nurse is obligated to provide advanced life support interventions until a physician assumes care.
CORRECT ANSWER
B) The nurse is shielded by the Good Samaritan Act for actions taken in good faith to provide emergency
care.
C) The nurse's duty to the client at the scene is limited by the scope of practice defined by the state's Nurse
Practice Act.
RATIONALE
The Good Samaritan Act protects nurses providing emergency care in good faith, while the Nurse Practice Act
defines the scope of acceptable actions, preventing the nurse from exceeding their legal boundaries.
Q3 QUESTION 3 OF 52
Page 2
,A nurse accepts a prescription for an unfamiliar medication and proceeds with administration without
seeking clarification on its use or potential adverse effects. According to professional nursing
accountability standards, what is the MOST accurate consequence for the nurse's actions?
A) The provider is solely responsible for any negative patient outcomes.
B) The healthcare facility's insurance will cover all damages incurred.
C) The nurse bears individual legal and ethical accountability for the outcome.
D) The nurse's license will be revoked immediately by the board of nursing.
E) The nurse will receive mandatory retraining on medication administration protocols.
CORRECT ANSWER
C) The nurse bears individual legal and ethical accountability for the outcome.
RATIONALE
The nurse has a professional obligation to understand and safely execute prescriptions; failure to do so,
especially by not seeking clarification, results in personal accountability for any resulting harm. This underscores
the principle that nursing judgment and competence are non-delegable.
Q4 QUESTION 4 OF 52
A newly licensed nurse is assigned a prescription for a client that she feels unprepared to administer safely
due to a lack of specific training. After voicing her concern to the attending physician, she proceeds to
carry out the prescription as written. What are the potential legal ramifications for the nurse and
physician? (Select all that apply.)
A) The nurse may face disciplinary action from the state board of nursing.
B) The physician may be held solely responsible for any adverse outcomes.
C) Both the nurse and the physician are liable for any resulting damages.
D) The hospital's risk management department will assume all liability.
E) The nurse is protected from liability due to following a physician's order.
F) The incident will be documented in the physician's performance review only.
CORRECT ANSWER
A) The nurse may face disciplinary action from the state board of nursing.
C) Both the nurse and the physician are liable for any resulting damages.
Page 3
, RATIONALE
Proceeding with a prescription despite personal unpreparedness violates professional standards and creates
shared liability; the nurse has a duty to refuse unsafe assignments, and both parties are accountable for patient
harm.
Q5 QUESTION 5 OF 52
A nurse receives a prescription for a client's medication that appears to be an unusually high dose.
According to professional nursing standards, which actions are appropriate? (Select all that apply.)
A) Administer the medication as prescribed to avoid delaying treatment.
B) Contact the prescribing healthcare provider to clarify the dosage.
C) Consult with a more experienced nurse for guidance.
D) Document the client's response to the medication after administration.
E) Notify the nursing supervisor about the concern.
CORRECT ANSWER
B) Contact the prescribing healthcare provider to clarify the dosage.
C) Consult with a more experienced nurse for guidance.
E) Notify the nursing supervisor about the concern.
RATIONALE
A nurse must not substitute their judgment for that of the provider but should advocate for the client by
clarifying questionable prescriptions with the provider, seeking guidance from supervisors or colleagues, and
refusing to carry out a potentially unsafe order. Administering a potentially incorrect dose delays appropriate
treatment and risks client harm.
Q6 QUESTION 6 OF 52
A nurse receives a prescription for a client that she questions due to concerns about the provider's
judgment. Which actions should the nurse implement to address this situation? (Select all that apply.)
A) Notify the healthcare provider to discuss the prescription and document the conversation.
B) Administer the medication as prescribed and chart the administration.
C) Document that the prescription was questioned and the provider was notified.
D) Contact the nursing supervisor to report the questionable prescription.
Page 4
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
HESI Leadership /
Management Nursing
Exam
50+ (2026) Premium Exam with Rationales | A+ Success
Verified Answers Exam Ready With Rationales 52 Questions
DOCUMENT OVERVIEW
This HESI Leadership/Management Nursing Exam document features 52 questions with their correct answers and
detailed explanations. It covers critical topics such as legal and ethical accountability in nursing, informed
consent, the Good Samaritan Act, medication administration safety, and leadership responsibilities in aligning
care with facility missions. Students can use this resource to review key concepts, understand rationales behind
correct answers, and prepare for leadership and management aspects of nursing exams.
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 52
A registered nurse (RN) is preparing to administer a pre-operative medication to a client scheduled for
elective knee surgery. The surgical consent form is signed and on the client's chart. Which action should
the RN take next regarding the client's understanding of the procedure?
A) Review the risks and benefits of the surgery with the client.
B) Verify the client's signature on the consent form.
Page 1
,C) Document the client's verbal consent for the procedure.
D) Ensure the surgeon has obtained informed consent prior to the procedure.
CORRECT ANSWER
D) Ensure the surgeon has obtained informed consent prior to the procedure.
RATIONALE
The surgeon is responsible for explaining the procedure and obtaining informed consent; the RN's role is to
ensure this has occurred before proceeding with pre-operative interventions. The RN should not attempt to
explain the procedure or risks, as this is outside their scope and could be misconstrued as obtaining consent.
Q2 QUESTION 2 OF 52
A nurse stops to render aid at a serious motor vehicle collision scene prior to the arrival of emergency
medical services. Which of the following legal protections are most relevant to the nurse's actions in this
emergency situation? (Select all that apply.)
A) The nurse is protected by the Emergency Medical Treatment and Active Labor Act (EMTALA) if the client
is stable.
B) The nurse is shielded by the Good Samaritan Act for actions taken in good faith to provide emergency
care.
C) The nurse's duty to the client at the scene is limited by the scope of practice defined by the state's
Nurse Practice Act.
D) The nurse is immune from liability for any harm caused if the client is transferred to paramedics.
E) The nurse is obligated to provide advanced life support interventions until a physician assumes care.
CORRECT ANSWER
B) The nurse is shielded by the Good Samaritan Act for actions taken in good faith to provide emergency
care.
C) The nurse's duty to the client at the scene is limited by the scope of practice defined by the state's Nurse
Practice Act.
RATIONALE
The Good Samaritan Act protects nurses providing emergency care in good faith, while the Nurse Practice Act
defines the scope of acceptable actions, preventing the nurse from exceeding their legal boundaries.
Q3 QUESTION 3 OF 52
Page 2
,A nurse accepts a prescription for an unfamiliar medication and proceeds with administration without
seeking clarification on its use or potential adverse effects. According to professional nursing
accountability standards, what is the MOST accurate consequence for the nurse's actions?
A) The provider is solely responsible for any negative patient outcomes.
B) The healthcare facility's insurance will cover all damages incurred.
C) The nurse bears individual legal and ethical accountability for the outcome.
D) The nurse's license will be revoked immediately by the board of nursing.
E) The nurse will receive mandatory retraining on medication administration protocols.
CORRECT ANSWER
C) The nurse bears individual legal and ethical accountability for the outcome.
RATIONALE
The nurse has a professional obligation to understand and safely execute prescriptions; failure to do so,
especially by not seeking clarification, results in personal accountability for any resulting harm. This underscores
the principle that nursing judgment and competence are non-delegable.
Q4 QUESTION 4 OF 52
A newly licensed nurse is assigned a prescription for a client that she feels unprepared to administer safely
due to a lack of specific training. After voicing her concern to the attending physician, she proceeds to
carry out the prescription as written. What are the potential legal ramifications for the nurse and
physician? (Select all that apply.)
A) The nurse may face disciplinary action from the state board of nursing.
B) The physician may be held solely responsible for any adverse outcomes.
C) Both the nurse and the physician are liable for any resulting damages.
D) The hospital's risk management department will assume all liability.
E) The nurse is protected from liability due to following a physician's order.
F) The incident will be documented in the physician's performance review only.
CORRECT ANSWER
A) The nurse may face disciplinary action from the state board of nursing.
C) Both the nurse and the physician are liable for any resulting damages.
Page 3
, RATIONALE
Proceeding with a prescription despite personal unpreparedness violates professional standards and creates
shared liability; the nurse has a duty to refuse unsafe assignments, and both parties are accountable for patient
harm.
Q5 QUESTION 5 OF 52
A nurse receives a prescription for a client's medication that appears to be an unusually high dose.
According to professional nursing standards, which actions are appropriate? (Select all that apply.)
A) Administer the medication as prescribed to avoid delaying treatment.
B) Contact the prescribing healthcare provider to clarify the dosage.
C) Consult with a more experienced nurse for guidance.
D) Document the client's response to the medication after administration.
E) Notify the nursing supervisor about the concern.
CORRECT ANSWER
B) Contact the prescribing healthcare provider to clarify the dosage.
C) Consult with a more experienced nurse for guidance.
E) Notify the nursing supervisor about the concern.
RATIONALE
A nurse must not substitute their judgment for that of the provider but should advocate for the client by
clarifying questionable prescriptions with the provider, seeking guidance from supervisors or colleagues, and
refusing to carry out a potentially unsafe order. Administering a potentially incorrect dose delays appropriate
treatment and risks client harm.
Q6 QUESTION 6 OF 52
A nurse receives a prescription for a client that she questions due to concerns about the provider's
judgment. Which actions should the nurse implement to address this situation? (Select all that apply.)
A) Notify the healthcare provider to discuss the prescription and document the conversation.
B) Administer the medication as prescribed and chart the administration.
C) Document that the prescription was questioned and the provider was notified.
D) Contact the nursing supervisor to report the questionable prescription.
Page 4
