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HESI RN Management Practice Exam Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A nurse manager notices that staff are frequently late to morning reports. What is the best initial action?
- Issue written warnings to all staff
- Cancel morning reports
- Reduce shift hours to accommodate staff
✔✔C. Investigate reasons for tardiness and address barriers
A patient develops sudden hypotension postoperatively. What is the first action a nurse should take?
- Call the pharmacist
- Reassure the patient and wait
- Document the finding and continue care
✔✔C. Assess the patient for bleeding or shock
A nurse manager observes that handoff reports between shifts are inconsistent. What is the best intervention? 1 / 4
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- Allow nurses to continue using their own methods
- Reduce handoff time to five minutes
- Remove handoff reports from documentation
✔✔B. Implement a standardized handoff protocol
A staff nurse reports feeling overwhelmed by patient assignments. What should the nurse manager do first?
- Ignore the concern and assign more patients
- Advise the nurse to work faster
- Assign all complex patients to a different unit
✔✔B. Assess staffing ratios and redistribute workload if needed
A nurse notices an increase in patient falls in the surgical unit. What is the priority action?
- Blame the night shift staff
- Increase patient rounds randomly
- Post “fall risk” signs only
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✔✔C. Conduct a fall risk assessment and implement preventive measures
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A nurse manager is planning continuing education for staff. What topic should be prioritized?
- Hospital cafeteria options
- Fashion trends for scrubs
- Weekend schedule preferences
✔✔C. Patient safety, infection control, and new protocols
A patient scheduled for surgery expresses anxiety about anesthesia. What is the best nursing action?
- Ignore the concern and proceed
- Give extra pain medication preemptively
- Call the surgeon to scold the patient
✔✔B. Provide preoperative teaching and address concerns
A nurse identifies a discrepancy in a patient’s medication history. What should the nurse do first?
- Wait until the next shift to address it
- Ignore it if the patient seems stable
- Document without further action 3 / 4
✔✔B. Clarify the discrepancy with the patient and notify the provider
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A nurse manager notices delayed discharges on the unit. What is the best first step?
- Punish the staff responsible
- Reduce patient admissions
- Increase the number of discharge forms
✔✔C. Review the discharge process and identify bottlenecks
A patient develops sudden shortness of breath postoperatively. What is the priority nursing action?
- Administer cough syrup
- Encourage the patient to rest
- Document the symptom and continue routine care
✔✔C. Assess for pulmonary embolism and notify the provider
A nurse observes inconsistent use of surgical safety checklists. What is the correct intervention?
- Allow nurses to decide on checklist use
- Reduce operating room procedures
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✔✔B. Reinforce policy compliance and provide training