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Leadership HESI Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A charge nurse is assigning patients on a busy medical-surgical unit. Which patient should be assigned to an LPN?
- A new admission with unstable vital signs
- A patient awaiting discharge teaching
- A client receiving IV vasopressors
✔✔B. A stable patient requiring routine wound care
A staff nurse is repeatedly late for work, affecting shift handoff. What is the nurse manager’s best action?
- Deduct pay for each late arrival
- Ignore the behavior to avoid conflict
- Announce the issue at the next staff meeting
✔✔C. Meet privately with the nurse to discuss expectations
During a disaster, which patient is the highest priority for discharge to free up beds? 1 / 4
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- Patient with unstable chest pain
- Patient with respiratory distress
- Patient with new-onset stroke symptoms
✔✔B. Patient recovering from an uncomplicated appendectomy
A nurse overhears another staff member discussing patient details in the elevator. What should the charge nurse do?
- Ignore it since it was unintentional
- Report the incident directly to administration
- Discuss it during the next staff meeting
✔✔B. Remind the staff member about HIPAA and confidentiality
A nurse manager wants to reduce staff burnout. Which intervention is most effective?
- Require mandatory overtime for everyone
- Rotate staff constantly to avoid routine
- Assign the sickest patients to the most experienced nurse daily
- / 4
✔✔B. Encourage regular breaks and fair workloads
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The nurse manager is leading a quality improvement project to decrease medication errors.Which step should come first?✔✔A. Review data and identify common causes of errors
- Discipline staff who made errors
- Eliminate all new hires from medication administration
- Require double documentation for all meds
A charge nurse must assign a UAP. Which task is appropriate?
- Administering an insulin injection
- Assessing postoperative pain
- Teaching a patient about wound care
✔✔C. Assisting a stable client with ambulation
A nurse expresses frustration and says, “I can’t handle these patients anymore.” What should the charge nurse do first?
- Tell the nurse to push through the day
- Report the nurse to human resources 3 / 4
✔✔B. Assess the nurse’s workload and provide support
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- Reassign all patients immediately without evaluation
A parent complains that their child’s nurse was rude. What should the nurse manager do first?
- Reassign the nurse immediately
- Apologize and take no further action
- Ignore the complaint if the child was cared for safely
✔✔B. Meet with the parent and nurse separately to gather facts
A nurse is unsure about how to use a new piece of equipment. What should the nurse manager do?
- Instruct the nurse to figure it out independently
- Assign another nurse to complete the task
- Remove the nurse from patient care
✔✔B. Provide immediate education and demonstration
A conflict arises between two nurses in the hallway. What is the charge nurse’s best action?
- Let them finish the argument
- / 4
✔✔B. Stop the argument and address it privately