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HESI Leadership Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A nurse manager notices low staff morale. What is the best first action?
- Increase staff assignments to improve efficiency
- Ignore the situation and let staff resolve it
- Offer extra overtime to motivated nurses
✔✔C. Meet with staff to identify concerns and solutions
A charge nurse must decide who to assign to a newly admitted unstable patient. Who is the best choice?
- Nursing student
- New graduate nurse
- Unlicensed assistive personnel
✔✔C. Experienced RN
A nurse leader wants to improve staff adherence to hand hygiene. What is the most effective strategy? 1 / 4
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- Post signs reminding staff
- Allow staff to decide their own practice
- Ignore minor lapses in compliance
✔✔B. Perform random audits and give feedback
A nurse manager observes frequent miscommunication at shift report. What is the best intervention?
- Eliminate shift reports
- Allow staff to create their own format
- Shorten the report time
✔✔C. Implement a standardized handoff tool
A staff nurse complains about an increased workload. What should the manager do first?
- Tell the nurse to adjust to the changes
- Remind the nurse that everyone is busy
- Report the nurse for insubordination
- / 4
✔✔B. Review assignments and redistribute fairly
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A nurse leader is mentoring a new graduate. Which action demonstrates effective leadership?
- Assigning the most complex patients
- Allowing the new nurse to practice without support
- Ignoring mistakes to encourage independence
✔✔C. Providing guidance and constructive feedback
A nurse is asked to perform a task they are not competent in. What is the leader’s responsibility?
- Tell the nurse to do it anyway
- Ask another nurse to complete it quietly
- Document the refusal as insubordination
✔✔C. Assign the task to someone competent and arrange training
A client reports that a nurse was rude. What is the manager’s first step?
- Immediately suspend the nurse
- Ignore the complaint unless repeated
- Assign the client to another nurse permanently
- / 4
✔✔B. Speak privately with the client and nurse to gather facts
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During a code, what role is most appropriate for the charge nurse?
- Start chest compressions
- Give IV medications
- Call the family with updates
✔✔B. Coordinate the team and assign roles
A nurse leader wants to promote teamwork. What is the best strategy?
- Increase competition among staff
- Assign the same nurse to the same patients daily
- Allow each nurse to set their own priorities
✔✔B. Encourage collaboration and shared goals
A staff nurse repeatedly misses mandatory training sessions. What should the leader do first?
- Fire the nurse immediately
- Ignore the missed sessions
- Reduce the nurse’s shifts as punishment
- / 4
✔✔B. Remind the nurse privately and reschedule