HESI Management Practice Test

1

HESI Management Practice Test Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

A nurse manager observes frequent medication errors in the unit. What is the first action the manager should take?

• Punish the nurse responsible
• Remove all high-risk medications from the unit

✔✔C. Conduct a root cause analysis to identify contributing factors

• Limit nurse-patient assignments

A staff nurse reports feeling overwhelmed with patient assignments. What is the best management intervention?

• Increase the nurse’s workload to build resilience

✔✔B. Reassess staffing ratios and redistribute assignments

• Advise the nurse to work overtime
• Refer the nurse to HR immediately

A nurse manager wants to improve communication during shift changes. Which strategy is most effective? 1 / 3

2

• Allow nurses to decide how to hand off information
• Use only verbal reports during handoff

✔✔C. Implement a standardized handoff tool like SBAR

• Skip handoff if the unit is busy

A patient develops sudden respiratory distress postoperatively. What is the first action of the charge nurse?

• Call the patient’s family

✔✔B. Ensure emergency response and notify the provider

• Document the event before acting
• Wait for the next shift to handle it

A nurse manager is evaluating staff performance. Which method is most effective?

• Verbal feedback only during annual review

✔✔B. Continuous performance evaluations with clear objectives

• Ignoring minor errors to maintain morale
• Using peer gossip as the main source of evaluation
• / 3

3

A unit has frequent patient falls. Which intervention should the nurse manager implement first?

• Restrict patient mobility completely
• Increase medication doses

✔✔C. Conduct a fall risk assessment and implement prevention protocols

• Blame staff for negligence

A nurse manager observes inconsistent documentation of vital signs. What is the best first action?

• Discipline staff immediately
• Reduce patient assignments

✔✔C. Audit records and provide targeted education on documentation standards

• Ignore it if there are no adverse outcomes

A staff nurse reports a conflict with a coworker. What is the best management approach?

• Ignore the issue and hope it resolves

✔✔B. Facilitate a structured conflict resolution meeting

• Separate the nurses permanently
• Escalate directly to hospital administration
• / 3