NUR 204 LEADERSHIP AND MANAGEMENT HESI FINAL EXAM
NUR 204 LEADERSHIP AND MANAGEMENT HESI FINAL EXAM NEWEST 2025
|ALREADY GRADED A+NEWEST 2025 COMPLETE 450+ VERIFIED QUESTIONS
AND CORRECT DETAILED ANSWERS WITH WELL – ELABORATED RATIONALES
GUARANTEED PASS |ALREADY GRADED A+
A nurse manager is implementing a new scheduling system. Which leadership style would best
facilitate staff acceptance of the change?
A) Autocratic
B) Democratic
C) Laissez-faire
D) Transactional
Answer: B) Democratic
Rationale: Democratic leadership involves staff in decision-making, increasing buy-in and
reducing resistance to change.
A newly admitted patient is experiencing severe shortness of breath. Which action should the
nurse take first?
A) Administer prescribed oxygen
B) Notify the provider
C) Take a full set of vital signs
D) Document the symptoms
Answer: A) Administer prescribed oxygen
Rationale: The priority is stabilizing the patient’s airway and breathing before further
assessment or documentation.
Which task is inappropriate to delegate to a licensed practical nurse (LPN)?
A) Administering oral medications
B) Performing a sterile dressing change
C) Developing a nursing care plan
D) Monitoring IV fluids
Answer: C) Developing a nursing care plan
Rationale: Care plan development is an RN responsibility; LPNs can assist with implementation
but not initial creation.
1|Page
, NUR 204 LEADERSHIP AND MANAGEMENT HESI FINAL EXAM
A patient with a DNR order goes into cardiac arrest. What is the nurse’s priority action?
A) Begin CPR immediately
B) Confirm the DNR order with the provider
C) Provide comfort measures only
D) Call a rapid response
Answer: C) Provide comfort measures only
Rationale: A DNR order means no resuscitative efforts should be initiated; focus shifts to
palliative care.
During a conflict between two nurses, one says, “I don’t care what you think.” Which
communication barrier is this?
A) Defensiveness
B) Passive-aggressiveness
C) Dismissiveness
D) Collaboration
Answer: C) Dismissiveness
Rationale: Dismissive language shuts down communication and escalates conflict.
A nurse discovers a medication error after administering the wrong dose. What is the first step?
A) Document the error in the incident report
B) Notify the provider and charge nurse
C) Assess the patient for adverse effects
D) Hide the mistake to avoid repercussions
Answer: C) Assess the patient for adverse effects
Rationale: Patient safety is the priority; assessment guides further interventions.
Which action violates HIPAA regulations?
A) Discussing a patient’s lab results in a private area
B) Emailing patient data using a secure hospital server
C) Leaving a patient’s chart open at an unattended desk
D) Sharing shift report with oncoming nurses
2|Page
, NUR 204 LEADERSHIP AND MANAGEMENT HESI FINAL EXAM
Answer: C) Leaving a patient’s chart open at an unattended desk
Rationale: Unsecured PHI (protected health information) breaches confidentiality.
A nurse is overwhelmed with tasks. Which strategy best manages time effectively?
A) Multitasking between patient care and documentation
B) Prioritizing tasks using the ABC (airway, breathing, circulation) framework
C) Delegating all tasks to UAPs
D) Postponing medication administration
Answer: B) Prioritizing tasks using the ABC framework
Rationale: ABC prioritization ensures life-threatening needs are addressed first.
A patient’s family demands to know test results before the provider speaks to the patient. How
should the nurse respond?
A) Provide the results to avoid conflict
B) Explain that the provider will discuss results with the patient first
C) Share results if the patient consents
D) Ignore the family’s request
Answer: B) Explain that the provider will discuss results with the patient first
Rationale: Patients have the right to receive information directly from their provider unless they
authorize disclosure.
What is the primary purpose of a sentinel event report?
A) To punish staff involved in errors
B) To identify system failures and improve safety
C) To reduce hospital liability
D) To avoid reporting to regulatory agencies
Answer: B) To identify system failures and improve safety
Rationale: Sentinel event analysis focuses on prevention, not blame.
A nurse is preparing to discharge a patient. Which task can be delegated to a UAP?
A) Teaching wound care to the family
B) Removing an IV catheter
3|Page
NUR 204 LEADERSHIP AND MANAGEMENT HESI FINAL EXAM NEWEST 2025
|ALREADY GRADED A+NEWEST 2025 COMPLETE 450+ VERIFIED QUESTIONS
AND CORRECT DETAILED ANSWERS WITH WELL – ELABORATED RATIONALES
GUARANTEED PASS |ALREADY GRADED A+
A nurse manager is implementing a new scheduling system. Which leadership style would best
facilitate staff acceptance of the change?
A) Autocratic
B) Democratic
C) Laissez-faire
D) Transactional
Answer: B) Democratic
Rationale: Democratic leadership involves staff in decision-making, increasing buy-in and
reducing resistance to change.
A newly admitted patient is experiencing severe shortness of breath. Which action should the
nurse take first?
A) Administer prescribed oxygen
B) Notify the provider
C) Take a full set of vital signs
D) Document the symptoms
Answer: A) Administer prescribed oxygen
Rationale: The priority is stabilizing the patient’s airway and breathing before further
assessment or documentation.
Which task is inappropriate to delegate to a licensed practical nurse (LPN)?
A) Administering oral medications
B) Performing a sterile dressing change
C) Developing a nursing care plan
D) Monitoring IV fluids
Answer: C) Developing a nursing care plan
Rationale: Care plan development is an RN responsibility; LPNs can assist with implementation
but not initial creation.
1|Page
, NUR 204 LEADERSHIP AND MANAGEMENT HESI FINAL EXAM
A patient with a DNR order goes into cardiac arrest. What is the nurse’s priority action?
A) Begin CPR immediately
B) Confirm the DNR order with the provider
C) Provide comfort measures only
D) Call a rapid response
Answer: C) Provide comfort measures only
Rationale: A DNR order means no resuscitative efforts should be initiated; focus shifts to
palliative care.
During a conflict between two nurses, one says, “I don’t care what you think.” Which
communication barrier is this?
A) Defensiveness
B) Passive-aggressiveness
C) Dismissiveness
D) Collaboration
Answer: C) Dismissiveness
Rationale: Dismissive language shuts down communication and escalates conflict.
A nurse discovers a medication error after administering the wrong dose. What is the first step?
A) Document the error in the incident report
B) Notify the provider and charge nurse
C) Assess the patient for adverse effects
D) Hide the mistake to avoid repercussions
Answer: C) Assess the patient for adverse effects
Rationale: Patient safety is the priority; assessment guides further interventions.
Which action violates HIPAA regulations?
A) Discussing a patient’s lab results in a private area
B) Emailing patient data using a secure hospital server
C) Leaving a patient’s chart open at an unattended desk
D) Sharing shift report with oncoming nurses
2|Page
, NUR 204 LEADERSHIP AND MANAGEMENT HESI FINAL EXAM
Answer: C) Leaving a patient’s chart open at an unattended desk
Rationale: Unsecured PHI (protected health information) breaches confidentiality.
A nurse is overwhelmed with tasks. Which strategy best manages time effectively?
A) Multitasking between patient care and documentation
B) Prioritizing tasks using the ABC (airway, breathing, circulation) framework
C) Delegating all tasks to UAPs
D) Postponing medication administration
Answer: B) Prioritizing tasks using the ABC framework
Rationale: ABC prioritization ensures life-threatening needs are addressed first.
A patient’s family demands to know test results before the provider speaks to the patient. How
should the nurse respond?
A) Provide the results to avoid conflict
B) Explain that the provider will discuss results with the patient first
C) Share results if the patient consents
D) Ignore the family’s request
Answer: B) Explain that the provider will discuss results with the patient first
Rationale: Patients have the right to receive information directly from their provider unless they
authorize disclosure.
What is the primary purpose of a sentinel event report?
A) To punish staff involved in errors
B) To identify system failures and improve safety
C) To reduce hospital liability
D) To avoid reporting to regulatory agencies
Answer: B) To identify system failures and improve safety
Rationale: Sentinel event analysis focuses on prevention, not blame.
A nurse is preparing to discharge a patient. Which task can be delegated to a UAP?
A) Teaching wound care to the family
B) Removing an IV catheter
3|Page
