Management and Leadership HESI
Practice Questions And Answers 2023
The student nurse is shadowing on a medical/surgical unit and observes the duties of
the charge nurse. Which of the following would the student identify as a quality
attributed to a nurse in a leadership role?
A. Delays admission from emergency department until staff has appropriately educated
a newly diagnosed diabetic patient on insulin administration.
B. Spends time with a newly diagnosed lung cancer patient to allow him to
communicate his future health concerns.
C. Reevaluates staffing needs after one RN "calls in sick."
D. Counsels a UAP (unlicensed assistive personnel) after arriving late for work the third
time that week. - correct-answers-B. Spends time with a newly diagnosed lung cancer
patient to allow him to communicate his future health concerns.
Rationale:
Leaders do the right thing.
Therefore focus on effectiveness whereas a manager focuses on efficiencies.
Which of the following is NOT a task or responsibility of the first-level manager?
Staff assignments for patient care during shifts
Conducting staff meetings
Making daily patient rounds
Initiate changes to unit policies based on current evidence - correct-answers-Initiate
changes to unit policies based on current evidence
Rationale:
Initiating change to the unit policies based on current evidence is done by the middle-
level manage. The other options describe tasks of the first-level manager.
A new nurse is interviewed at a facility where various models of patient care delivery are
used. The nurse is interested in developing clinical decision-making skills. After the
interview, the nurse determines the best position for enhancing those skills is the unit
that uses which of the following models?
Primary nursing
Team nursing
Functional nursing
Case management - correct-answers-Primary Nursing
, In primary nursing, clinical decision making is focused at the bedside by the nurse
administering the care. The other options are a patient care delivery model whose focus
is not bedside decision making.
Which of the following is NOT an example of the behavioral theory of leadership?
Democratic leader
Republican leader
Laissez faire leader
Bureaucratic leader - correct-answers-Republican Leader
Republican is a political party not a behavioral characteristic. The others are behavioral
characteristics.
An agency nurse is assigned to work on a unit that uses the team nursing model of
health care delivery. The nurse understands that the advantage to patient care delivery
in this model is that the nurse
must make all patient care decisions.
can delegate patient care to other team members.
begins working on discharge plans at the time of admission.
administers all medications to the team patients. - correct-answers-Can delegate
patient care
The advantage to the team nursing patient care delivery model is that UAPs are used to
assist the RN and tasks can be delegated to them. The other options are examples of
the primary nursing delivery model.
In a primary care delivery model, which of the following would be an expected
assignment for a staff member for the day?
Two UAPs taking vital signs and blood sugars on all patients
Two LPNs administering medications to all patients
RN verifies new order for patient started on Lopressor (metoprolol) with a history of
asthma.
RN holds morning dose of Lopressor (metoprolol) on a patient scheduled for an
exercise stress test today. - correct-answers-Hold lopressor
In a primary care delivery model, the nurse acts autonomously. Options A and B
indicate functional nursing. Option C should be seen in any delivery system.
Key tasks that the care manager may perform including all of the following EXCEPT
deal with personal issues arising during a shift.
use resources efficiently.
Practice Questions And Answers 2023
The student nurse is shadowing on a medical/surgical unit and observes the duties of
the charge nurse. Which of the following would the student identify as a quality
attributed to a nurse in a leadership role?
A. Delays admission from emergency department until staff has appropriately educated
a newly diagnosed diabetic patient on insulin administration.
B. Spends time with a newly diagnosed lung cancer patient to allow him to
communicate his future health concerns.
C. Reevaluates staffing needs after one RN "calls in sick."
D. Counsels a UAP (unlicensed assistive personnel) after arriving late for work the third
time that week. - correct-answers-B. Spends time with a newly diagnosed lung cancer
patient to allow him to communicate his future health concerns.
Rationale:
Leaders do the right thing.
Therefore focus on effectiveness whereas a manager focuses on efficiencies.
Which of the following is NOT a task or responsibility of the first-level manager?
Staff assignments for patient care during shifts
Conducting staff meetings
Making daily patient rounds
Initiate changes to unit policies based on current evidence - correct-answers-Initiate
changes to unit policies based on current evidence
Rationale:
Initiating change to the unit policies based on current evidence is done by the middle-
level manage. The other options describe tasks of the first-level manager.
A new nurse is interviewed at a facility where various models of patient care delivery are
used. The nurse is interested in developing clinical decision-making skills. After the
interview, the nurse determines the best position for enhancing those skills is the unit
that uses which of the following models?
Primary nursing
Team nursing
Functional nursing
Case management - correct-answers-Primary Nursing
, In primary nursing, clinical decision making is focused at the bedside by the nurse
administering the care. The other options are a patient care delivery model whose focus
is not bedside decision making.
Which of the following is NOT an example of the behavioral theory of leadership?
Democratic leader
Republican leader
Laissez faire leader
Bureaucratic leader - correct-answers-Republican Leader
Republican is a political party not a behavioral characteristic. The others are behavioral
characteristics.
An agency nurse is assigned to work on a unit that uses the team nursing model of
health care delivery. The nurse understands that the advantage to patient care delivery
in this model is that the nurse
must make all patient care decisions.
can delegate patient care to other team members.
begins working on discharge plans at the time of admission.
administers all medications to the team patients. - correct-answers-Can delegate
patient care
The advantage to the team nursing patient care delivery model is that UAPs are used to
assist the RN and tasks can be delegated to them. The other options are examples of
the primary nursing delivery model.
In a primary care delivery model, which of the following would be an expected
assignment for a staff member for the day?
Two UAPs taking vital signs and blood sugars on all patients
Two LPNs administering medications to all patients
RN verifies new order for patient started on Lopressor (metoprolol) with a history of
asthma.
RN holds morning dose of Lopressor (metoprolol) on a patient scheduled for an
exercise stress test today. - correct-answers-Hold lopressor
In a primary care delivery model, the nurse acts autonomously. Options A and B
indicate functional nursing. Option C should be seen in any delivery system.
Key tasks that the care manager may perform including all of the following EXCEPT
deal with personal issues arising during a shift.
use resources efficiently.
