HESI RN LEADERSHIP /MANAGEMENT EXIT EXAM
HESI RN LEADERSHIP /MANAGEMENT EXIT EXAM 2025/2026
TEST BANK 120 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
A client reports severe pain 2 days after surgery. After assessing the characteristics
of the pain, which initial action should the nurse take next?
1 Encourage rest.
2 Obtain vital signs.
3 Administer the prescribed analgesic.
4 Document the client's pain response. - ANSWER-2 Obtain vital signs.
Immediately before administration of an analgesic, an assessment of vital signs is
necessary to determine whether any contraindications to the medication exist
(e.g., hypotension, respirations ≤12 breaths/min).
Pain prevents both psychological and physiologic rest. Before administration of an
analgesic, the nurse must check the healthcare provider's prescription, the time of
the last administration, and the client's vital signs. A complete assessment,
including vital signs, should be done before documenting the client's pain
response.
A nurse leader, along with the team, is caring for a client who is scheduled for
colonoscopy. Which delegated task requires the leader's supervision?
1 Assisting the client with an enema
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, HESI RN LEADERSHIP /MANAGEMENT EXIT EXAM
2 Assisting the client with bathing
3 Assisting the client with feeding
4 Assisting the client with ambulating - ANSWER-1 Assisting the client with an
enema
A client who is scheduled for colonoscopy requires having the gastrointestinal
tract emptied, mainly the colon. Before undergoing this procedure the client is
assisted with an enema and other laxatives to expel all bowel contents present in
the gastrointestinal tract. A nurse leader should supervise this procedure, as an
inadequately emptied colon may cause complications.
Assisting the client with bathing, feeding, and ambulating are easy tasks and may
not require supervision.
Which comment by a team leader exemplifies team nursing the way it was
intended?
1 "(Unlicensed assistive personnel), I need you to measure all vital signs."
2 "(Registered Nurse 1), check all of the intravenous (IV) sites and give the IV
medications."
3 "(Licensed Practical Nurse), you pass all of the oral medications to the clients
today."
4 "(Registered Nurse 2), Mr. Jones has a foot wound, two IV meds, and needs
morning insulin." - ANSWER-2 "(Registered Nurse 1), check all of the intravenous
(IV) sites and give the IV medications."
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, HESI RN LEADERSHIP /MANAGEMENT EXIT EXAM
The team leader must have excellent communication skills, delegation, and
effective decision-making abilities to provide a working "team" environment for
members. When the team leader is not prepared for this role, the team method
becomes a miniature version of the functional method. The assignment given to
RN 1 takes the nurse's experience and skills into consideration and exemplifies
team nursing.
The statements made to the UAP, LPN, and RN 2 exemplify functional nursing.
The registered nurse finds that two nursing students are arguing with each other.
Which action by the registered nurse best represents a leadership quality?
1 Complaining to management and asking the students to go outside
2 Letting them continue arguing until they resolve the matter themselves
3 Assessing the condition and strategizing to resolve the matter by reducing the
difference
4 Asking the reason for their argument and reprimanding them for having the
argument in the hospital - ANSWER-3
Visioning is required by an efficient leader to engage others to assess the current
reality. This skill includes determining and specifying a desired end-point state and
then strategizing to reduce the differences.
Letting them continue arguing and waiting until they resolve the matter may allow
the argument to escalate. Complaining to management would pass off
responsibility for a resolution and would not indicate leadership. Reprimanding
the nurses may stop the argument, but would not be a constructive approach.
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, HESI RN LEADERSHIP /MANAGEMENT EXIT EXAM
Which point should the nurse exclude when developing strategies to project a
powerful image?
1 Using authoritative language
2 Maintaining good body posture
3 Making good eye contact with clients
4 Ensuring that clothing and hair are appropriate to the situation - ANSWER-1
Using authoritative language
The nurse should treat people with courtesy and respect. The use of authoritative
language does not help in developing a powerful image. The nurse should also
maintain good body posture because it conveys self-confidence. Good eye contact
helps in developing trust. Appropriate dress and hair help convey a powerful
image.
Which statement of the nurse leader reflects the actions suggested by the Joint
Commission for disruptive behavior by a direct care nurse?
1 "This is the last warning for you."
2 "You are terminated, effective now."
3 "This will affect your assessment markings."
4 "You should not behave this way because you are very talented." - ANSWER-2
"You are terminated, effective now."
According to the actions suggested by the Joint Commission, there is "zero"
tolerance for an intimidating and/or disruptive behavior. The action to be taken for
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HESI RN LEADERSHIP /MANAGEMENT EXIT EXAM 2025/2026
TEST BANK 120 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
A client reports severe pain 2 days after surgery. After assessing the characteristics
of the pain, which initial action should the nurse take next?
1 Encourage rest.
2 Obtain vital signs.
3 Administer the prescribed analgesic.
4 Document the client's pain response. - ANSWER-2 Obtain vital signs.
Immediately before administration of an analgesic, an assessment of vital signs is
necessary to determine whether any contraindications to the medication exist
(e.g., hypotension, respirations ≤12 breaths/min).
Pain prevents both psychological and physiologic rest. Before administration of an
analgesic, the nurse must check the healthcare provider's prescription, the time of
the last administration, and the client's vital signs. A complete assessment,
including vital signs, should be done before documenting the client's pain
response.
A nurse leader, along with the team, is caring for a client who is scheduled for
colonoscopy. Which delegated task requires the leader's supervision?
1 Assisting the client with an enema
1|Page
, HESI RN LEADERSHIP /MANAGEMENT EXIT EXAM
2 Assisting the client with bathing
3 Assisting the client with feeding
4 Assisting the client with ambulating - ANSWER-1 Assisting the client with an
enema
A client who is scheduled for colonoscopy requires having the gastrointestinal
tract emptied, mainly the colon. Before undergoing this procedure the client is
assisted with an enema and other laxatives to expel all bowel contents present in
the gastrointestinal tract. A nurse leader should supervise this procedure, as an
inadequately emptied colon may cause complications.
Assisting the client with bathing, feeding, and ambulating are easy tasks and may
not require supervision.
Which comment by a team leader exemplifies team nursing the way it was
intended?
1 "(Unlicensed assistive personnel), I need you to measure all vital signs."
2 "(Registered Nurse 1), check all of the intravenous (IV) sites and give the IV
medications."
3 "(Licensed Practical Nurse), you pass all of the oral medications to the clients
today."
4 "(Registered Nurse 2), Mr. Jones has a foot wound, two IV meds, and needs
morning insulin." - ANSWER-2 "(Registered Nurse 1), check all of the intravenous
(IV) sites and give the IV medications."
2|Page
, HESI RN LEADERSHIP /MANAGEMENT EXIT EXAM
The team leader must have excellent communication skills, delegation, and
effective decision-making abilities to provide a working "team" environment for
members. When the team leader is not prepared for this role, the team method
becomes a miniature version of the functional method. The assignment given to
RN 1 takes the nurse's experience and skills into consideration and exemplifies
team nursing.
The statements made to the UAP, LPN, and RN 2 exemplify functional nursing.
The registered nurse finds that two nursing students are arguing with each other.
Which action by the registered nurse best represents a leadership quality?
1 Complaining to management and asking the students to go outside
2 Letting them continue arguing until they resolve the matter themselves
3 Assessing the condition and strategizing to resolve the matter by reducing the
difference
4 Asking the reason for their argument and reprimanding them for having the
argument in the hospital - ANSWER-3
Visioning is required by an efficient leader to engage others to assess the current
reality. This skill includes determining and specifying a desired end-point state and
then strategizing to reduce the differences.
Letting them continue arguing and waiting until they resolve the matter may allow
the argument to escalate. Complaining to management would pass off
responsibility for a resolution and would not indicate leadership. Reprimanding
the nurses may stop the argument, but would not be a constructive approach.
3|Page
, HESI RN LEADERSHIP /MANAGEMENT EXIT EXAM
Which point should the nurse exclude when developing strategies to project a
powerful image?
1 Using authoritative language
2 Maintaining good body posture
3 Making good eye contact with clients
4 Ensuring that clothing and hair are appropriate to the situation - ANSWER-1
Using authoritative language
The nurse should treat people with courtesy and respect. The use of authoritative
language does not help in developing a powerful image. The nurse should also
maintain good body posture because it conveys self-confidence. Good eye contact
helps in developing trust. Appropriate dress and hair help convey a powerful
image.
Which statement of the nurse leader reflects the actions suggested by the Joint
Commission for disruptive behavior by a direct care nurse?
1 "This is the last warning for you."
2 "You are terminated, effective now."
3 "This will affect your assessment markings."
4 "You should not behave this way because you are very talented." - ANSWER-2
"You are terminated, effective now."
According to the actions suggested by the Joint Commission, there is "zero"
tolerance for an intimidating and/or disruptive behavior. The action to be taken for
4|Page
