Evolve HESI Leadership/Management Exam
p p p
Whichpactionspofpthepnursepexhibitptransactionalpleadership?pSelectpallpthatpapply.
1 Motivatingporpinspiringpthepemployees
2 Meetingptheptargetspwithinpthepdeadline
3 Workingpaccordingptoporganizationalprules
4 Correctingptheperrorspinpapreactivepmanner
5 Increasingpthepemployeepcommitmentpofpanporganizationp -pAnswerp2,p3,p4
Thepcharacteristicspofptransactionalpleadershippincludepvaluingptheporderspandpstructurespof
panporganization.pThepnursepwhopexhibitsptransactionalpleadershippwillpmeetptheptargetspwit
hinpthepdeadlinepgivenpbyptheporganization.pThepnursepwillpalsopfollowptheprulespofpanporgani
zationpandpwillpcorrectptheperrorspofpanpemployeepinpapreactivepmanner.
Motivatingporpinspiringpthepemployeespandpincreasingpemployeepcommitmentparepthepchar
acteristicspofptransformationalpleadership.
Thepunitpnursepmanagerpcomesptopworkpobviouslypintoxicated.pWhichpactionpispthepstaffpnur
sepethicallypobligatedptoptake?
1 Callpthepsecuritypguard.
2 Tellpthepnursepmanagerptopgophome.
3 Havepthepsupervisorpvalidatepthepobservation.
4 Offerpthepnursepmanagerpaplargepcuppofpcoffeep-
pAnswerp3pHavepthepsupervisorpvalidatepthepobservation.
Thepstaffpnursepshouldpcallpthephospitalpsupervisorptopconfirmpandphandlepthepproblem.pTh
epsecuritypguardphaspnopauthoritypinpthispsituation.pAlthoughpsendingpthepnursepmanagerph
omepremovespthepnursepmanagerpfrompthepclinicalpsetting,pthispactionpmissespanpopportuni
typforpdocumentingpthepsituationpandpthepnursepmanagerpispinpnopconditionptopdrivepsafely.p
Drinkingpcoffeepdoespnotpmakepappersonplesspintoxicated.
Whichpaspectsparepconsideredpwhenpdeterminingpthepwillingnesspofpapnursingpassistantpbe
forepdelegatingpaptask?pSelectpallpthatpapply.
1 Ability
2 Attitude
3 Personality
4 Confidence
5 Commitmentp-pAnswerp2,p4,p5
,Anpindividual'spwillingnesspisprelatedptopattitude,pconfidence,pandpcommitment.
Abilitypisprelatedptopknowledgepandpskillspinpapspecificpsituation.pPersonalitypcharacteristic
spcanpinfluencepthepeffectivenesspofpthepdelegator.
Whichpperformancepappraisalpmethodpispusedpbypnursepmanagersptopmeasurepthepperform
ancepofpthepnursepbothpqualitativelypandpquantitatively?
1 Narrativepmethod
2 Criticalpincidentspmethod
3 Graphicpratingpscalepform
4 Behaviorallypanchoredpratingpscalesp-pAnswerp4
Thepbehaviorallypanchoredpratingpscalepispapperformancepappraisalpmethodpthatpprovidespa
npoverviewpofpnursingpstandardspbypdeterminingpperformancepbothpqualitativelypandpquantit
atively.
Thepnarrativepmethodprequirespapmanagerptopwritepapstatementpaboutpthepnurse'spperform
ance.pThepcriticalpincidentsptypepispapperformancepappraisalpmethodpinpwhichpapmanagerpk
eepspapwrittenprecordpofppositivepandpnegativepperformance.pThepgraphicpratingpscalepform
pispapperformancepappraisalpchecklistponpwhichpapmanagerpratespthepnurse'spperformancep
onpapcontinuumpsuchpaspexcellent,pgood,paverage,pandppoor.
Thephealthcarepteampispcaringpforpclientspinpanpemergencypdepartment.pHowpsoonpshouldpt
hepclientsptriagedpaspanpemergencypseveritypindex-3p(ESI-
3)pbepseenpbypthepphysicianpaccordingptopthepfiveplevelptriagepsystem?
1 Immediately
2 Withinp1phour
3 Couldpbepdelayed
4 Withinp10pminutesp -pAnswerp2pWithinp1phour
Thepclientsptriagedpaspanp ESI-3pshouldpbepseenp bypthepphysicianpwithinpanp hour.
Thepclientspwithplife-threateningpproblemspareptriagedpaspESI-
1,pandptheypshouldpbepprovidedpwithpimmediatepcare.pThepcarepofpthepclientspinpESI-
4pandpESI-
5pcanpbep delayedpforpsomeptimepbecausepthepconditionpofpthepclientspinpthisplevelpispstable.
pClientspwithpmajorpinjuriespareptriagedpaspanpESI-
2pandprequireptreatmentpwithinp10pminutes.
Whichpquestionpdoespthepregisteredpnurseprecognizepasprelatedptoptheprightpofpcircumstanc
epwhenpdelegating?
1 "Ispthepdelegationpappropriateptopthepsituation?"
2 "Isptheptaskpwithinpthep delegatee'spscopepofppractice?"
3 "Ispthepprospectivepdelegatepapwillingpandpablepemployee?"
4 "Ispthepdelegatorpableptopmonitorpandpevaluatepthepclientpappropriately?"p-
pAnswerp1p"Ispthepdelegationpappropriateptopthepsituation?"
,Thepquestion,p"Ispthepdelegationpappropriateptopthepsituation?"pisprelatedptoprightpcircumstan
ce.
Thepquestion,p"Isptheptaskpwithinpthepdelegatee'spscopepofppractice?"pisprelatedptoprightptask
.pThepquestion,p"Ispthepprospectivepdelegatepapwillingpandpablepemployee?"pisprelatedptoprig
htpperson.pThepquestion,p"Ispthepdelegatorpableptopmonitorpandpevaluatepthepclientpappropri
ately?"pisprelatedptoprightpsupervision.
Whichpfactorspdoespthepregisteredpnursepconsiderpinpthepdecisionptopdelegatepprocess?pSel
ectpallpthatpapply.
1 Evaluation
2 Nursingpjudgment
3 Predictabilitypofpoutcomes
4 Pervasivepfunctionspofpassessment
5 Complexitypofptheptaskptopbepperformedp -pAnswerp3,p5
Twopfactorspresponsiblepforpthepdecisionptopdelegatepprocesspareppredictabilitypofpoutcome
spandpcomplexitypofptheptaskptopbepperformed.
Evaluation,pnursingpjudgment,pandppervasivepfunctionsparepnotpfactorspinpthepdecisionptopde
legatepprocess.
Underpapleader,papteampofpfollowersphaspfailedptopachievepsuccesspinpconductingpresearch.
pWhatpdoespanpeffectivepleaderpdopinpthispsituation?
1 Criticizespthepteampmemberspforpfailure
2 Providespexcusespforpthepnegativepoutcome
3 Refusesptoptakepthepresponsibilitypforpfailure
4 Acceptspfailurepandpgainspexperiencepfrompitp-
pAnswerp4pAcceptspfailurepandpgainspexperiencepfrompit
Anpeffectivepleaderpshouldpacceptpthepfailurepandpgainpexperiencepfrompitptopavoidprepetition
pofpthepsameperrors.
Thepeffectivepleaderpshouldpcounselpandpmotivatepthepteampmemberspforpfuturepsuccessp
andpshouldpnotpcriticizepthem.pMakingpexcusespforpthepnegativepoutcomepispnotpthepcorrec
tpactionpofpthepeffectivepleader.pThepeffectivepleaderpshouldptakepresponsibilitypforpthepfailu
repandpthepgrowthpheporpshepwillpgainpfrompit.
Thepnursingpmanagerpwantsptopimplementptransformationalpleadershippqualities.pWhichpac
tionspbestpdescribepthispstylepofpleadership?pSelectpallpthatpapply.
1 Providingpintellectualpstimulation
2 Interveningponlypwhenpproblemspexist
3 Performingpexperimentspwithpsystempredesign
, 4 Usingpmotivatorpfactorsptopinspirepworkpperformance
5 Monitoringpperformancepandptakingpactionptopcorrectp-
pAnswerp1,p3,p4pTransformationalpleaderspprovidepintellectualpstimulationpandpencourag
epfollowerpcreativity.pTheypexperimentpwithpsystemspredesign,pempowerpstaff,pcreatepen
thusiasmpforppractice,pandppromotepscholarshippofppracticepinpclientpcare.pTheypusepmoti
vatorpfactorspliberallyptopinspirepworkpperformance.
Interveningponlypwhenpproblemspexistpispapbehaviorprelatedptoptransactionalpleadership.pM
onitoringpperformancepandptakingpcorrectivepactionpispaptransactionalpleadershippquality.
Whichpcomponentpofpdelegationpispdefinedpaspthepabilityptopperformpdutiespinpapspecificprole
?
1 Authority
2 Supervision
3 Responsibility
4 Accountabilityp-pAnswerp1
Authoritypispthep abilityptopperformpdutiespinp apspecificprole.
Supervisionpispthepprovisionpofpguidancepandpoversightpofpapdelegatedptask.pResponsibility
prefersptopreliability,pdependability,pandpobligationptopaccomplishpwork.pAccountabilitypinvol
vespdeterminingpwhetherpthepactionsparepappropriatepandpprovidingpapdetailedpexplanation
pofpwhatphaspoccurred.
Thephealthcarepteampispcaringpforpapclientpwithpneutropenia.pWhichptaskpispdelegatedptopunli
censedpassistiveppersonnel?
1 Administeringpantibiotics
2 Assistingpwithppersonalphygiene
3 Monitoringpforpsignspandpsymptomspofpinfection
4 Teachingpthepclientpandpcaregiverspaboutphowptopavoidpinfectionp-
pAnswerp2pUnlicensedpassistiveppersonnelpassistingpwithpthepclient'sppersonalp
hygiene.
Theplicensedppracticalpnursepadministerspantibiotics.pMonitoringpforpsignspandpsymptomspi
spperformedpbyptheplicensedppracticalpnurse.pThepregisteredpnursepteachespthepclientp andp
caregiversphowptopavoidpinfection.
Apclient'spserumppotassiumplevelphaspincreasedptop5.8pmEq/Lp(5.8pmmol/L).pWhatpactionpsh
ouldpthepnursepimplementpfirst?
1 Callptheplaboratoryptoprepeatptheptest.
2 Takepvitalpsignspandpnotifypthephealthcarepprovider.
3 Informpthepcardiacparrestpteamptopplacepthemp onpalert.
4 Takepanpelectrocardiogrampandphaveplidocainepavailable.p -pAnswerp2
p p p
Whichpactionspofpthepnursepexhibitptransactionalpleadership?pSelectpallpthatpapply.
1 Motivatingporpinspiringpthepemployees
2 Meetingptheptargetspwithinpthepdeadline
3 Workingpaccordingptoporganizationalprules
4 Correctingptheperrorspinpapreactivepmanner
5 Increasingpthepemployeepcommitmentpofpanporganizationp -pAnswerp2,p3,p4
Thepcharacteristicspofptransactionalpleadershippincludepvaluingptheporderspandpstructurespof
panporganization.pThepnursepwhopexhibitsptransactionalpleadershippwillpmeetptheptargetspwit
hinpthepdeadlinepgivenpbyptheporganization.pThepnursepwillpalsopfollowptheprulespofpanporgani
zationpandpwillpcorrectptheperrorspofpanpemployeepinpapreactivepmanner.
Motivatingporpinspiringpthepemployeespandpincreasingpemployeepcommitmentparepthepchar
acteristicspofptransformationalpleadership.
Thepunitpnursepmanagerpcomesptopworkpobviouslypintoxicated.pWhichpactionpispthepstaffpnur
sepethicallypobligatedptoptake?
1 Callpthepsecuritypguard.
2 Tellpthepnursepmanagerptopgophome.
3 Havepthepsupervisorpvalidatepthepobservation.
4 Offerpthepnursepmanagerpaplargepcuppofpcoffeep-
pAnswerp3pHavepthepsupervisorpvalidatepthepobservation.
Thepstaffpnursepshouldpcallpthephospitalpsupervisorptopconfirmpandphandlepthepproblem.pTh
epsecuritypguardphaspnopauthoritypinpthispsituation.pAlthoughpsendingpthepnursepmanagerph
omepremovespthepnursepmanagerpfrompthepclinicalpsetting,pthispactionpmissespanpopportuni
typforpdocumentingpthepsituationpandpthepnursepmanagerpispinpnopconditionptopdrivepsafely.p
Drinkingpcoffeepdoespnotpmakepappersonplesspintoxicated.
Whichpaspectsparepconsideredpwhenpdeterminingpthepwillingnesspofpapnursingpassistantpbe
forepdelegatingpaptask?pSelectpallpthatpapply.
1 Ability
2 Attitude
3 Personality
4 Confidence
5 Commitmentp-pAnswerp2,p4,p5
,Anpindividual'spwillingnesspisprelatedptopattitude,pconfidence,pandpcommitment.
Abilitypisprelatedptopknowledgepandpskillspinpapspecificpsituation.pPersonalitypcharacteristic
spcanpinfluencepthepeffectivenesspofpthepdelegator.
Whichpperformancepappraisalpmethodpispusedpbypnursepmanagersptopmeasurepthepperform
ancepofpthepnursepbothpqualitativelypandpquantitatively?
1 Narrativepmethod
2 Criticalpincidentspmethod
3 Graphicpratingpscalepform
4 Behaviorallypanchoredpratingpscalesp-pAnswerp4
Thepbehaviorallypanchoredpratingpscalepispapperformancepappraisalpmethodpthatpprovidespa
npoverviewpofpnursingpstandardspbypdeterminingpperformancepbothpqualitativelypandpquantit
atively.
Thepnarrativepmethodprequirespapmanagerptopwritepapstatementpaboutpthepnurse'spperform
ance.pThepcriticalpincidentsptypepispapperformancepappraisalpmethodpinpwhichpapmanagerpk
eepspapwrittenprecordpofppositivepandpnegativepperformance.pThepgraphicpratingpscalepform
pispapperformancepappraisalpchecklistponpwhichpapmanagerpratespthepnurse'spperformancep
onpapcontinuumpsuchpaspexcellent,pgood,paverage,pandppoor.
Thephealthcarepteampispcaringpforpclientspinpanpemergencypdepartment.pHowpsoonpshouldpt
hepclientsptriagedpaspanpemergencypseveritypindex-3p(ESI-
3)pbepseenpbypthepphysicianpaccordingptopthepfiveplevelptriagepsystem?
1 Immediately
2 Withinp1phour
3 Couldpbepdelayed
4 Withinp10pminutesp -pAnswerp2pWithinp1phour
Thepclientsptriagedpaspanp ESI-3pshouldpbepseenp bypthepphysicianpwithinpanp hour.
Thepclientspwithplife-threateningpproblemspareptriagedpaspESI-
1,pandptheypshouldpbepprovidedpwithpimmediatepcare.pThepcarepofpthepclientspinpESI-
4pandpESI-
5pcanpbep delayedpforpsomeptimepbecausepthepconditionpofpthepclientspinpthisplevelpispstable.
pClientspwithpmajorpinjuriespareptriagedpaspanpESI-
2pandprequireptreatmentpwithinp10pminutes.
Whichpquestionpdoespthepregisteredpnurseprecognizepasprelatedptoptheprightpofpcircumstanc
epwhenpdelegating?
1 "Ispthepdelegationpappropriateptopthepsituation?"
2 "Isptheptaskpwithinpthep delegatee'spscopepofppractice?"
3 "Ispthepprospectivepdelegatepapwillingpandpablepemployee?"
4 "Ispthepdelegatorpableptopmonitorpandpevaluatepthepclientpappropriately?"p-
pAnswerp1p"Ispthepdelegationpappropriateptopthepsituation?"
,Thepquestion,p"Ispthepdelegationpappropriateptopthepsituation?"pisprelatedptoprightpcircumstan
ce.
Thepquestion,p"Isptheptaskpwithinpthepdelegatee'spscopepofppractice?"pisprelatedptoprightptask
.pThepquestion,p"Ispthepprospectivepdelegatepapwillingpandpablepemployee?"pisprelatedptoprig
htpperson.pThepquestion,p"Ispthepdelegatorpableptopmonitorpandpevaluatepthepclientpappropri
ately?"pisprelatedptoprightpsupervision.
Whichpfactorspdoespthepregisteredpnursepconsiderpinpthepdecisionptopdelegatepprocess?pSel
ectpallpthatpapply.
1 Evaluation
2 Nursingpjudgment
3 Predictabilitypofpoutcomes
4 Pervasivepfunctionspofpassessment
5 Complexitypofptheptaskptopbepperformedp -pAnswerp3,p5
Twopfactorspresponsiblepforpthepdecisionptopdelegatepprocesspareppredictabilitypofpoutcome
spandpcomplexitypofptheptaskptopbepperformed.
Evaluation,pnursingpjudgment,pandppervasivepfunctionsparepnotpfactorspinpthepdecisionptopde
legatepprocess.
Underpapleader,papteampofpfollowersphaspfailedptopachievepsuccesspinpconductingpresearch.
pWhatpdoespanpeffectivepleaderpdopinpthispsituation?
1 Criticizespthepteampmemberspforpfailure
2 Providespexcusespforpthepnegativepoutcome
3 Refusesptoptakepthepresponsibilitypforpfailure
4 Acceptspfailurepandpgainspexperiencepfrompitp-
pAnswerp4pAcceptspfailurepandpgainspexperiencepfrompit
Anpeffectivepleaderpshouldpacceptpthepfailurepandpgainpexperiencepfrompitptopavoidprepetition
pofpthepsameperrors.
Thepeffectivepleaderpshouldpcounselpandpmotivatepthepteampmemberspforpfuturepsuccessp
andpshouldpnotpcriticizepthem.pMakingpexcusespforpthepnegativepoutcomepispnotpthepcorrec
tpactionpofpthepeffectivepleader.pThepeffectivepleaderpshouldptakepresponsibilitypforpthepfailu
repandpthepgrowthpheporpshepwillpgainpfrompit.
Thepnursingpmanagerpwantsptopimplementptransformationalpleadershippqualities.pWhichpac
tionspbestpdescribepthispstylepofpleadership?pSelectpallpthatpapply.
1 Providingpintellectualpstimulation
2 Interveningponlypwhenpproblemspexist
3 Performingpexperimentspwithpsystempredesign
, 4 Usingpmotivatorpfactorsptopinspirepworkpperformance
5 Monitoringpperformancepandptakingpactionptopcorrectp-
pAnswerp1,p3,p4pTransformationalpleaderspprovidepintellectualpstimulationpandpencourag
epfollowerpcreativity.pTheypexperimentpwithpsystemspredesign,pempowerpstaff,pcreatepen
thusiasmpforppractice,pandppromotepscholarshippofppracticepinpclientpcare.pTheypusepmoti
vatorpfactorspliberallyptopinspirepworkpperformance.
Interveningponlypwhenpproblemspexistpispapbehaviorprelatedptoptransactionalpleadership.pM
onitoringpperformancepandptakingpcorrectivepactionpispaptransactionalpleadershippquality.
Whichpcomponentpofpdelegationpispdefinedpaspthepabilityptopperformpdutiespinpapspecificprole
?
1 Authority
2 Supervision
3 Responsibility
4 Accountabilityp-pAnswerp1
Authoritypispthep abilityptopperformpdutiespinp apspecificprole.
Supervisionpispthepprovisionpofpguidancepandpoversightpofpapdelegatedptask.pResponsibility
prefersptopreliability,pdependability,pandpobligationptopaccomplishpwork.pAccountabilitypinvol
vespdeterminingpwhetherpthepactionsparepappropriatepandpprovidingpapdetailedpexplanation
pofpwhatphaspoccurred.
Thephealthcarepteampispcaringpforpapclientpwithpneutropenia.pWhichptaskpispdelegatedptopunli
censedpassistiveppersonnel?
1 Administeringpantibiotics
2 Assistingpwithppersonalphygiene
3 Monitoringpforpsignspandpsymptomspofpinfection
4 Teachingpthepclientpandpcaregiverspaboutphowptopavoidpinfectionp-
pAnswerp2pUnlicensedpassistiveppersonnelpassistingpwithpthepclient'sppersonalp
hygiene.
Theplicensedppracticalpnursepadministerspantibiotics.pMonitoringpforpsignspandpsymptomspi
spperformedpbyptheplicensedppracticalpnurse.pThepregisteredpnursepteachespthepclientp andp
caregiversphowptopavoidpinfection.
Apclient'spserumppotassiumplevelphaspincreasedptop5.8pmEq/Lp(5.8pmmol/L).pWhatpactionpsh
ouldpthepnursepimplementpfirst?
1 Callptheplaboratoryptoprepeatptheptest.
2 Takepvitalpsignspandpnotifypthephealthcarepprovider.
3 Informpthepcardiacparrestpteamptopplacepthemp onpalert.
4 Takepanpelectrocardiogrampandphaveplidocainepavailable.p -pAnswerp2
