NEXT GENERATION (NGN) Hesi Leadership and Management Exam
Questions and Answers Latest Update A+ Grade.
Question 1:
A nurse is caring for a client who is experiencing pain. The nurse
delegates the task of administering medication to the nursing
assistant (NA). Which of the following is an appropriate action for the
nurse to take in this situation?
A) Let the NA administer the medication without further instruction.
B) Teach the NA how to assess for pain before administering the
medication.
C) Delegate the responsibility of evaluating the effectiveness of the
medication to the NA.
D) Verify that the medication is administered correctly by the NA.
Answer: D) Verify that the medication is administered correctly by the
NA.
Rationale: The nurse remains accountable for the outcomes of the
delegated task, even if the task is delegated to a nursing assistant.
Verifying the correct administration of medication ensures that the
client receives the proper care. Nurses should always supervise and
verify delegated tasks, especially when medications are involved.
Question 2:
A nurse is supervising a team of nurses on a busy hospital floor. One of
the nurses on the team is consistently late to work, which affects team
performance. Which action should the nurse manager take first?
,A) Send the nurse home to prevent further disruption.
B) Provide feedback to the nurse about their tardiness and its impact on
the team.
C) Assign the nurse to fewer patients until their performance improves.
D) Schedule a meeting with human resources to discuss the nurse’s
behavior.
Answer: B) Provide feedback to the nurse about their tardiness and its
impact on the team.
Rationale: The first step in addressing performance issues is to provide
feedback to the nurse, addressing the tardiness and its effect on the
team. This allows the nurse an opportunity to correct their behavior
before further disciplinary action is taken. It is important to address
issues early before they escalate.
Question 3:
A nurse is leading a team and must address a conflict between two
staff members. Which action should the nurse take first to manage the
conflict?
A) Ignore the conflict, as it is a minor issue.
B) Separate the two staff members and assign them to different shifts.
C) Facilitate a meeting between the two staff members to discuss the
issue.
D) Report the issue to the human resources department immediately.
Answer: C) Facilitate a meeting between the two staff members to
discuss the issue.
Rationale: The first step in conflict resolution is to facilitate open
communication between the parties involved. This allows both
,individuals to express their concerns and work toward a resolution.
Avoiding the conflict or escalating it prematurely to human resources
can worsen the situation.
Question 4:
A nurse manager notices that the unit is consistently short-staffed
during night shifts. Which action should the nurse manager take to
address this issue?
A) Assign overtime shifts to nurses to cover the shortage.
B) Conduct a meeting with staff to discuss potential solutions to the
staffing shortage.
C) Ignore the shortage and hope that staffing will improve.
D) Hire temporary nurses from an agency to fill the staffing gaps.
Answer: B) Conduct a meeting with staff to discuss potential solutions
to the staffing shortage.
Rationale: The best approach to address a staffing issue is to involve the
team in identifying solutions. This empowers staff to provide input and
contribute to finding a practical solution. Overtime and temporary
staffing should be considered as secondary options if staffing issues
persist.
Question 5:
A nurse is caring for a patient who is being discharged after a
prolonged hospitalization. The nurse is preparing the discharge
instructions. Which action should the nurse take to ensure the patient
understands the instructions?
, A) Explain the discharge instructions in detail and ask the patient to sign
the form.
B) Have the patient’s family sign the discharge instructions, as they will
take care of the patient at home.
C) Review the instructions with the patient and ask them to repeat the
key points to ensure understanding.
D) Provide the patient with written instructions and assume they
understand without further confirmation.
Answer: C) Review the instructions with the patient and ask them to
repeat the key points to ensure understanding.
Rationale: Ensuring that the patient understands discharge instructions
is critical to preventing complications after discharge. Asking the patient
to repeat the key points is a method of confirming understanding.
Simply having the family sign the instructions or assuming
understanding without confirmation could lead to miscommunication.
Question 6:
A nurse manager is considering a change to the unit’s scheduling
system that will affect all staff members. Which action should the
nurse manager take before implementing the change?
A) Implement the change immediately to improve efficiency.
B) Notify staff members of the change and allow them time to adjust.
C) Request feedback from staff before making any decisions.
D) Schedule training for staff after the change has been implemented.
Answer: C) Request feedback from staff before making any decisions.
Rationale: It is essential to involve staff in decision-making processes,
especially when changes affect their workflow. By requesting feedback,
Questions and Answers Latest Update A+ Grade.
Question 1:
A nurse is caring for a client who is experiencing pain. The nurse
delegates the task of administering medication to the nursing
assistant (NA). Which of the following is an appropriate action for the
nurse to take in this situation?
A) Let the NA administer the medication without further instruction.
B) Teach the NA how to assess for pain before administering the
medication.
C) Delegate the responsibility of evaluating the effectiveness of the
medication to the NA.
D) Verify that the medication is administered correctly by the NA.
Answer: D) Verify that the medication is administered correctly by the
NA.
Rationale: The nurse remains accountable for the outcomes of the
delegated task, even if the task is delegated to a nursing assistant.
Verifying the correct administration of medication ensures that the
client receives the proper care. Nurses should always supervise and
verify delegated tasks, especially when medications are involved.
Question 2:
A nurse is supervising a team of nurses on a busy hospital floor. One of
the nurses on the team is consistently late to work, which affects team
performance. Which action should the nurse manager take first?
,A) Send the nurse home to prevent further disruption.
B) Provide feedback to the nurse about their tardiness and its impact on
the team.
C) Assign the nurse to fewer patients until their performance improves.
D) Schedule a meeting with human resources to discuss the nurse’s
behavior.
Answer: B) Provide feedback to the nurse about their tardiness and its
impact on the team.
Rationale: The first step in addressing performance issues is to provide
feedback to the nurse, addressing the tardiness and its effect on the
team. This allows the nurse an opportunity to correct their behavior
before further disciplinary action is taken. It is important to address
issues early before they escalate.
Question 3:
A nurse is leading a team and must address a conflict between two
staff members. Which action should the nurse take first to manage the
conflict?
A) Ignore the conflict, as it is a minor issue.
B) Separate the two staff members and assign them to different shifts.
C) Facilitate a meeting between the two staff members to discuss the
issue.
D) Report the issue to the human resources department immediately.
Answer: C) Facilitate a meeting between the two staff members to
discuss the issue.
Rationale: The first step in conflict resolution is to facilitate open
communication between the parties involved. This allows both
,individuals to express their concerns and work toward a resolution.
Avoiding the conflict or escalating it prematurely to human resources
can worsen the situation.
Question 4:
A nurse manager notices that the unit is consistently short-staffed
during night shifts. Which action should the nurse manager take to
address this issue?
A) Assign overtime shifts to nurses to cover the shortage.
B) Conduct a meeting with staff to discuss potential solutions to the
staffing shortage.
C) Ignore the shortage and hope that staffing will improve.
D) Hire temporary nurses from an agency to fill the staffing gaps.
Answer: B) Conduct a meeting with staff to discuss potential solutions
to the staffing shortage.
Rationale: The best approach to address a staffing issue is to involve the
team in identifying solutions. This empowers staff to provide input and
contribute to finding a practical solution. Overtime and temporary
staffing should be considered as secondary options if staffing issues
persist.
Question 5:
A nurse is caring for a patient who is being discharged after a
prolonged hospitalization. The nurse is preparing the discharge
instructions. Which action should the nurse take to ensure the patient
understands the instructions?
, A) Explain the discharge instructions in detail and ask the patient to sign
the form.
B) Have the patient’s family sign the discharge instructions, as they will
take care of the patient at home.
C) Review the instructions with the patient and ask them to repeat the
key points to ensure understanding.
D) Provide the patient with written instructions and assume they
understand without further confirmation.
Answer: C) Review the instructions with the patient and ask them to
repeat the key points to ensure understanding.
Rationale: Ensuring that the patient understands discharge instructions
is critical to preventing complications after discharge. Asking the patient
to repeat the key points is a method of confirming understanding.
Simply having the family sign the instructions or assuming
understanding without confirmation could lead to miscommunication.
Question 6:
A nurse manager is considering a change to the unit’s scheduling
system that will affect all staff members. Which action should the
nurse manager take before implementing the change?
A) Implement the change immediately to improve efficiency.
B) Notify staff members of the change and allow them time to adjust.
C) Request feedback from staff before making any decisions.
D) Schedule training for staff after the change has been implemented.
Answer: C) Request feedback from staff before making any decisions.
Rationale: It is essential to involve staff in decision-making processes,
especially when changes affect their workflow. By requesting feedback,
