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Leadership HESI Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A nurse manager observes a staff nurse frequently avoiding delegation to UAPs. What is the best action?
- Ignore the behavior since it reduces risk
- Remove the nurse from patient assignments
- Reassign the nurse to administrative tasks
✔✔B. Provide coaching on effective delegation and supervision
A charge nurse must decide which client to assign to an LPN. Which is most appropriate?
- Client receiving IV chemotherapy
- Unstable client in respiratory distress
- Client needing initial admission assessment
✔✔C. Stable client with a chronic wound requiring dressing changes
A nurse leader wants to improve interprofessional collaboration. Which action is most effective?
- Limit team meetings to reduce conflict 1 / 4
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✔✔B. Encourage open communication during interdisciplinary rounds
- Assign only nurses to make care decisions
- Allow physicians to lead without input from nurses
During a conflict between two staff nurses, what should the charge nurse do first?
- Write both nurses up for unprofessional behavior
- Ask another staff member to mediate
- Separate the nurses permanently to avoid issues
✔✔B. Speak with them privately to resolve the conflict constructively
A nurse manager is evaluating a new graduate’s delegation skills. Which task is most appropriate for the graduate nurse to delegate?
- Teaching a child about insulin injections
- Performing a sterile dressing change
- Assessing a client with chest pain
✔✔B. Assisting a client with ambulation
A charge nurse is prioritizing care. Which patient should be assessed first? 2 / 4
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- Patient requesting help with toileting
- Patient asking questions about diet
- Patient requesting a blanket for comfort
✔✔B. Patient with new onset shortness of breath
A nurse leader wants to promote evidence-based practice on the unit. What is the best action?
- Tell staff to follow routine without questioning
- Assign research only to graduate nurses
- Require staff to conduct studies in their free time
✔✔B. Provide access to current guidelines and research articles
A nurse manager notices low morale among staff. Which intervention is most effective?
- Ignore complaints to prevent negativity
- Increase assignments to encourage productivity
- Avoid discussing issues with the staff
✔✔B. Recognize staff contributions and celebrate achievements
A charge nurse overhears a nurse discussing a patient in the cafeteria. What is the best response? 3 / 4
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- Ignore the issue because it is outside the unit
- Report the nurse directly to the board of nursing
- Announce the violation at a staff meeting
✔✔B. Remind the nurse privately about confidentiality rules
During a unit fire drill, what is the priority action for the charge nurse?
- Save all patient records
- Extinguish the fire first
- Notify the media about the drill
✔✔C. Ensure patients in immediate danger are moved to safety
A nurse manager needs to improve handoff communication. Which intervention is best?
- Eliminate shift reports to save time
- Allow nurses to give reports in any format
- Shorten reports without structure
✔✔B. Implement standardized tools like SBAR
A staff nurse complains of unfair assignments. What should the nurse manager do first?
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