LEADERSHIP AND MANAGEMENT
COMPREHENSIVE TEST 2026 QUESTIONS
WITH SOLUTIONS
◉ Skills of Nurse Manager-Delegation Skills-Responsibility. Answer:
is the obligation to complete a task
◉ Skills of Nurse Manager-Delegation Skills-Accountability. Answer:
is the ability and willingness to assume responsibility for actions
and related consequences
◉ Skills of Nurse Manager-Critical Thinking Skills-Nursing Process
Answer: 1. Assessment: What are the needs or problems?, 2.
Analysis: What is the highest priority?, 3. Planning: Outcomes and
goals must be accomplished? Available resources?: A. Nursing staff,
B. Interdisciplinary team members, C. Time, D. Equipment, E.
Space(clients room, home environment), 4. Implementation: A.
Communicating expectations, B. Is documentation complete?,
Evaluation: A. Were the desired outcomes achieved?, B. Was safe,
effective care provided?
◉ Hesi Hint-Critical Thinking Skills 1 Answer: Priorities often center
on which client should be assessed 1st by the nurse--Ask yourself:
Which client is the most critically ill? Which client is most likely to
,experience a significant change in condition? Which client requires
assessment by an RN?
◉ Hesi Hint-Critical Thinking Skills 2 Answer: Nurse manager must
analyze all the desired outcomes involved when assigning rooms for
clients/assigning client care responsibilities. A client w/an infection
should not be assigned to share a room w/ a surgical or
immunocompromised client. A nurses client care management
should be based on the nurses abilities, client's needs and needs of
the entire group of assigned clients. Safety and infection control are
high priorities
◉ Skills Needed by Change Agents(Nurse Leaders and Managers)
Answer: A. Problem-solving, B. Decision-making, C. Interpersonal
relationships
◉ Nurse Leaders/Managers as Collaborators-Collaborative health
care teams require: Answer: 1. Shared goals, commitment, and
accountability, 2. Open and clear communication, 3. Respect for
expertise of all team members
◉ Nurse Leaders/Managers as Collaborators-Critical Pathways:
Answer: 1. Interdisciplinary plans of care, 2. Are used for diagnosis +
care that can be standardized, 3. Are guides to track client progress,
4. Don NOT replace individualized care.
,◉ Nurse Leaders/Managers as Collaborators-Case management:
Answer: 1. Coordination of care provided by an interdisciplinary
team, 2. Manages resources effectively, 3. Uses critical pathways to
organize care
◉ Nurse Leaders/Managers as Collaborators-Quality assurance
Answer: 1. Involves continuous quality improvement (CQI)/total
quality management (TQM), 2. Is organized approach to the
improvement of: A. Outcome achievement, B. Quality of care
provided
◉ Lewin's Change Theory Answer: 1. Unfreezing-Initiations of
change, 2. Moving-Motivation toward change, 3. Refreezing-
Implementation of change
◉ Disaster Nursing-Role of Nurse takes place at all three levels what
r they? Answer: 1. Disaster preparedness, 2. Disaster response, 3.
Disaster recovery
◉ Effective disaster management Answer: 1. Organization, 2. All
personnel must be trained, 3. All personnel must know their roles
◉ Levels of Prevention-Disaster Management;Primary Prevention
Answer: 1. Participate in development of disaster plan, 2. Train
rescue workers in triage+basic 1st aide, 3. Educate personnel about
, shelter management, 4. Educate public about disaster plan+personal
prep for disaster
◉ Levels of Prevention-Disaster Management;Secondary Prevention
Answer: 1. Triage, 2. Treatment of injuries, 3. Treatment of other
conditions, including mental health, 4. Shelter supervision
◉ Levels of Prevention-Disaster Management;Tertiary Prevention
Answer: 1. Follow up care for injuries, 2. Follow-up care
psychological problems, 3. Recovery assistance, 4. Prevention of
future disasters and their consequences
◉ Disaster Management-Triage Answer: 1. French word
"sort/categorize", 2. Goal:Maximize the # of survivors by sorting the
injured according to treatable and untreatable,3. Primary criteria
used: potential for survival and availability of resources
◉ Disaster Management-NI + Roles in Triage Answer: 1. Triage
duties using systematic approach (START) method, A. Treatment of
injuries-first aid + provide additional treatment prn in definitive
care areas: 2. Treatment of other conditions, including mental
health, A. Determine health needs other than injury, B. Refer for
medical treatment as required, C. Provide treatment for other
conditions based on medically approved protocols
COMPREHENSIVE TEST 2026 QUESTIONS
WITH SOLUTIONS
◉ Skills of Nurse Manager-Delegation Skills-Responsibility. Answer:
is the obligation to complete a task
◉ Skills of Nurse Manager-Delegation Skills-Accountability. Answer:
is the ability and willingness to assume responsibility for actions
and related consequences
◉ Skills of Nurse Manager-Critical Thinking Skills-Nursing Process
Answer: 1. Assessment: What are the needs or problems?, 2.
Analysis: What is the highest priority?, 3. Planning: Outcomes and
goals must be accomplished? Available resources?: A. Nursing staff,
B. Interdisciplinary team members, C. Time, D. Equipment, E.
Space(clients room, home environment), 4. Implementation: A.
Communicating expectations, B. Is documentation complete?,
Evaluation: A. Were the desired outcomes achieved?, B. Was safe,
effective care provided?
◉ Hesi Hint-Critical Thinking Skills 1 Answer: Priorities often center
on which client should be assessed 1st by the nurse--Ask yourself:
Which client is the most critically ill? Which client is most likely to
,experience a significant change in condition? Which client requires
assessment by an RN?
◉ Hesi Hint-Critical Thinking Skills 2 Answer: Nurse manager must
analyze all the desired outcomes involved when assigning rooms for
clients/assigning client care responsibilities. A client w/an infection
should not be assigned to share a room w/ a surgical or
immunocompromised client. A nurses client care management
should be based on the nurses abilities, client's needs and needs of
the entire group of assigned clients. Safety and infection control are
high priorities
◉ Skills Needed by Change Agents(Nurse Leaders and Managers)
Answer: A. Problem-solving, B. Decision-making, C. Interpersonal
relationships
◉ Nurse Leaders/Managers as Collaborators-Collaborative health
care teams require: Answer: 1. Shared goals, commitment, and
accountability, 2. Open and clear communication, 3. Respect for
expertise of all team members
◉ Nurse Leaders/Managers as Collaborators-Critical Pathways:
Answer: 1. Interdisciplinary plans of care, 2. Are used for diagnosis +
care that can be standardized, 3. Are guides to track client progress,
4. Don NOT replace individualized care.
,◉ Nurse Leaders/Managers as Collaborators-Case management:
Answer: 1. Coordination of care provided by an interdisciplinary
team, 2. Manages resources effectively, 3. Uses critical pathways to
organize care
◉ Nurse Leaders/Managers as Collaborators-Quality assurance
Answer: 1. Involves continuous quality improvement (CQI)/total
quality management (TQM), 2. Is organized approach to the
improvement of: A. Outcome achievement, B. Quality of care
provided
◉ Lewin's Change Theory Answer: 1. Unfreezing-Initiations of
change, 2. Moving-Motivation toward change, 3. Refreezing-
Implementation of change
◉ Disaster Nursing-Role of Nurse takes place at all three levels what
r they? Answer: 1. Disaster preparedness, 2. Disaster response, 3.
Disaster recovery
◉ Effective disaster management Answer: 1. Organization, 2. All
personnel must be trained, 3. All personnel must know their roles
◉ Levels of Prevention-Disaster Management;Primary Prevention
Answer: 1. Participate in development of disaster plan, 2. Train
rescue workers in triage+basic 1st aide, 3. Educate personnel about
, shelter management, 4. Educate public about disaster plan+personal
prep for disaster
◉ Levels of Prevention-Disaster Management;Secondary Prevention
Answer: 1. Triage, 2. Treatment of injuries, 3. Treatment of other
conditions, including mental health, 4. Shelter supervision
◉ Levels of Prevention-Disaster Management;Tertiary Prevention
Answer: 1. Follow up care for injuries, 2. Follow-up care
psychological problems, 3. Recovery assistance, 4. Prevention of
future disasters and their consequences
◉ Disaster Management-Triage Answer: 1. French word
"sort/categorize", 2. Goal:Maximize the # of survivors by sorting the
injured according to treatable and untreatable,3. Primary criteria
used: potential for survival and availability of resources
◉ Disaster Management-NI + Roles in Triage Answer: 1. Triage
duties using systematic approach (START) method, A. Treatment of
injuries-first aid + provide additional treatment prn in definitive
care areas: 2. Treatment of other conditions, including mental
health, A. Determine health needs other than injury, B. Refer for
medical treatment as required, C. Provide treatment for other
conditions based on medically approved protocols
