2024 HESI LEADERSHIP RN EXAM NEW 3
VERSIONS EACH WITH 55 QUESTIONS
WITH 100% CORRECT ANSWERS /A+
GRADE ASSURED
To maximize the coordination of care, provide seamless
transitions, and improve quality of care, organizations are
increasingly turning to which organizational structure?
a) Academic medical centers
b) Public health institutions
c)Accountable care
organizations
d)Proprietary, investor-owned organizations -
...ANSWER...C
What is the most effective strategy for an organization to
take in order to maximize authority and accountability for
all aspects of nursing practice in the nurses responsible for
the delivery of care?
a) Position management and administrative levels to
coordinate and facilitate the work of the practicing nurses.
b) Define in specific detail the daily activities of
frontline nurses.
c) Have nurses report directly to physicians.
Develop multidisciplinary teams of care providers. -
...ANSWER...A
,What is the most important role of the nurse manager in case
management?
a) Provide supportive therapy during the grieving process.
b) Provide education to patients regarding upcoming surgery.
c) Serve as a communication link between all providers
of care.
Perform a psycho-social assessment of the patient and his
family. - ...ANSWER...C
The nurse manager on a skilled nursing unit notices that the
number of patient falls in the unit has increased over the past
year, resulting in a fall rate that is below the projected target
rate for this unit. What is the BEST evidenced-based method
to approach the fall rate on the unit?
a) Increase the number of total nursing hours on the
unit. b)Institute a safety restraint policy.
c)Purchase side rails that are easy to raise and lower.
Place patients at risk for falls close to the nursing station. -
...ANSWER...A
The state of California passed staffing law requiring that a
nurse should care for no more than a certain number of
patients on specific types of units at any one time. What
ratio is accurate per the California law?
a) Three patients in the intensive care unit.
b) Six or seven patients in a medical-surgical unit.
c) Three patients in a labor and delivery unit.
d) Ten patients in a psychiatric unit. - ...ANSWER...C
,What statement by a newly promoted nurse manager
indicates the need for follow-up on leadership style and
development for the manager?
a) "As a new leader, I should identify and work with
a mentor."
b) "I intend to promote shared decision making in my unit."
c) "I don't need to worry about engaging my
workforce because all nurses are naturally engaged."
"I will purposefully cultivate a broad follower base in my
unit." - ...ANSWER...C
When administering medications to a patient utilizing bar-
code technology, what is the most important first step?
a) Scan patient's identification band
b) Scan medication
c)Administer
medication
d)Check the five rights - ...ANSWER...d
A new nurse wants to be a change agent on the unit. What
action listed would be the MOST appropriate for the
nurse to take?
a) Become an early adopter
b) Wait until a more experienced nurse vocalizes support
c) Seek help from her nurse manager
d) Talk to a peer on another unit about the problems
with more experienced nurses - ...ANSWER...A
A new staff nurse discovers two of the certified nursing
assistants (CNAs) in the utility room speaking loudly and
pointing at each other. What is the MOST appropriate action
by the nurse?
, a) Continue walking down the hall, believing they will
work it out.
b) Walk into the utility room and tell them to stop or
they will be reported to HR.
c) Make an observation about their behavior and ask them
what's going on.
d) Get the nurse manager and take her to the utility room. -
...ANSWER...d
What type of performance appraisal is based on the
employee and manager jointly setting goals?
a)Management by objective
b) Behaviorally anchored rating scales
c) Critical incidents
d) Narrative method - ...ANSWER...a
Role theory provides one framework for development and
evaluation of staff. What term describes when employees
are unwilling or unable to meet requirements?
a) Role ambiguity
b) Role conflict
c) Role acquisition
d) Role clarity - ...ANSWER...B
An 83-year-old white man is admitted to a large suburban
nursing home. Today, an African-American nurse's aide is
assigned to care for the patient and assist him with a shower.
The patient refuses to go with the nurse's aide for the
shower. Later in the day, the patient's son arrives and insists
that no African Americans be allowed to participate in the
patient's care. Only a few nurse's aides and professional
staff
VERSIONS EACH WITH 55 QUESTIONS
WITH 100% CORRECT ANSWERS /A+
GRADE ASSURED
To maximize the coordination of care, provide seamless
transitions, and improve quality of care, organizations are
increasingly turning to which organizational structure?
a) Academic medical centers
b) Public health institutions
c)Accountable care
organizations
d)Proprietary, investor-owned organizations -
...ANSWER...C
What is the most effective strategy for an organization to
take in order to maximize authority and accountability for
all aspects of nursing practice in the nurses responsible for
the delivery of care?
a) Position management and administrative levels to
coordinate and facilitate the work of the practicing nurses.
b) Define in specific detail the daily activities of
frontline nurses.
c) Have nurses report directly to physicians.
Develop multidisciplinary teams of care providers. -
...ANSWER...A
,What is the most important role of the nurse manager in case
management?
a) Provide supportive therapy during the grieving process.
b) Provide education to patients regarding upcoming surgery.
c) Serve as a communication link between all providers
of care.
Perform a psycho-social assessment of the patient and his
family. - ...ANSWER...C
The nurse manager on a skilled nursing unit notices that the
number of patient falls in the unit has increased over the past
year, resulting in a fall rate that is below the projected target
rate for this unit. What is the BEST evidenced-based method
to approach the fall rate on the unit?
a) Increase the number of total nursing hours on the
unit. b)Institute a safety restraint policy.
c)Purchase side rails that are easy to raise and lower.
Place patients at risk for falls close to the nursing station. -
...ANSWER...A
The state of California passed staffing law requiring that a
nurse should care for no more than a certain number of
patients on specific types of units at any one time. What
ratio is accurate per the California law?
a) Three patients in the intensive care unit.
b) Six or seven patients in a medical-surgical unit.
c) Three patients in a labor and delivery unit.
d) Ten patients in a psychiatric unit. - ...ANSWER...C
,What statement by a newly promoted nurse manager
indicates the need for follow-up on leadership style and
development for the manager?
a) "As a new leader, I should identify and work with
a mentor."
b) "I intend to promote shared decision making in my unit."
c) "I don't need to worry about engaging my
workforce because all nurses are naturally engaged."
"I will purposefully cultivate a broad follower base in my
unit." - ...ANSWER...C
When administering medications to a patient utilizing bar-
code technology, what is the most important first step?
a) Scan patient's identification band
b) Scan medication
c)Administer
medication
d)Check the five rights - ...ANSWER...d
A new nurse wants to be a change agent on the unit. What
action listed would be the MOST appropriate for the
nurse to take?
a) Become an early adopter
b) Wait until a more experienced nurse vocalizes support
c) Seek help from her nurse manager
d) Talk to a peer on another unit about the problems
with more experienced nurses - ...ANSWER...A
A new staff nurse discovers two of the certified nursing
assistants (CNAs) in the utility room speaking loudly and
pointing at each other. What is the MOST appropriate action
by the nurse?
, a) Continue walking down the hall, believing they will
work it out.
b) Walk into the utility room and tell them to stop or
they will be reported to HR.
c) Make an observation about their behavior and ask them
what's going on.
d) Get the nurse manager and take her to the utility room. -
...ANSWER...d
What type of performance appraisal is based on the
employee and manager jointly setting goals?
a)Management by objective
b) Behaviorally anchored rating scales
c) Critical incidents
d) Narrative method - ...ANSWER...a
Role theory provides one framework for development and
evaluation of staff. What term describes when employees
are unwilling or unable to meet requirements?
a) Role ambiguity
b) Role conflict
c) Role acquisition
d) Role clarity - ...ANSWER...B
An 83-year-old white man is admitted to a large suburban
nursing home. Today, an African-American nurse's aide is
assigned to care for the patient and assist him with a shower.
The patient refuses to go with the nurse's aide for the
shower. Later in the day, the patient's son arrives and insists
that no African Americans be allowed to participate in the
patient's care. Only a few nurse's aides and professional
staff
