1
Evolve HESI Leadership/Management Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A charge nurse must decide which task to delegate to an unlicensed assistive personnel (UAP).Which is most appropriate?
- Administering oral antibiotics
- Performing sterile wound care
- Teaching a patient about diet restrictions
✔✔C. Assisting a patient with ambulation
A nurse manager notices medication errors have increased on the unit. What is the best action?
- Punish nurses who made errors
- Require nurses to work longer shifts
- Avoid documenting errors to protect staff
✔✔C. Review error trends and provide staff education
A new nurse asks what accountability means in delegation. Which response by the manager is correct? 1 / 4
2
- Accountability is transferred to the UAP
- Accountability belongs to the patient
- Accountability only applies to physicians
✔✔B. The nurse keeps accountability for delegated tasks
The nurse manager sees staff morale is low. What is the most effective action?
- Ignore the situation and focus on patient care
- Assign more work to promote teamwork
- Replace staff who are unhappy
✔✔B. Recognize and reward staff contributions
A parent complains that a nurse was rude to them. What should the nurse manager do first?
- Transfer the nurse to another unit immediately
- Apologize on behalf of the nurse without investigation
- Report the nurse to HR
✔✔B. Speak with both the parent and nurse separately
During a disaster, which patient should be discharged first to make space? 2 / 4
3
✔✔A. A stable patient recovering from appendectomy
- A patient with unstable chest pain
- A patient requiring mechanical ventilation
- A patient with new neurological changes
A nurse reports a colleague is documenting vital signs that were never taken. What should the manager do?
- Ignore the concern since it saves time
- Encourage others to do the same for efficiency
- Document the vitals for the nurse
✔✔B. Investigate the report and reinforce documentation policies
A charge nurse is assigning patients. Which client should go to an experienced RN?
- A stable child needing routine immunizations
- A patient requesting dietary teaching
- A patient needing assistance with bathing
- / 4
✔✔B. A client with unstable vital signs post-surgery
4
A staff nurse refuses to float to another unit. What is the manager’s best action?
- Threaten termination
- Ignore the refusal and reassign the patient
- Send the nurse home without pay
✔✔B. Assign the nurse tasks within their competency on that unit
A nurse manager needs to address poor hand hygiene compliance. What is the best approach?
- Post signs without follow-up
- Ignore the issue unless infections occur
- Suspend staff immediately
✔✔B. Provide education, audits, and feedback
A nurse manager is creating a staff schedule. Which principle is most important?
- Favor nurses who are senior
- Give more shifts to friends
- Limit input from staff
- / 4
✔✔B. Ensure safe staffing and fairness