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EVOLVE HESI LEADERSHIP AND MANAGEMENT EXAM BANK 2024/2025 | ACCURATE REAL EXAM CURRENTLY TESTING AND FREQUENTLY TESTED QUESTIONS AND ANSWERS WITH DETAILED RATIONALES AND A STUDY GUIDE | EXPERT VERIFIED FOR GUARANTEED PASS | LATEST UPDATE
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Course
EVOLVE HESI LEADERSHIP AND MANAGEMENT
Institution
EVOLVE HESI LEADERSHIP AND MANAGEMENT
EVOLVE HESI LEADERSHIP AND MANAGEMENT EXAM
BANK 2024/2025 | ACCURATE REAL EXAM CURRENTLY
TESTING AND FREQUENTLY TESTED QUESTIONS AND
ANSWERS WITH DETAILED RATIONALES AND A STUDY
GUIDE | EXPERT VERIFIED FOR GUARANTEED PASS |
LATEST UPDATE
EVOLVE HESI LEADERSHIP AND MANAGEMENT EXAM
BANK 2024/2025 | ACCURATE REAL EXAM CURRENTLY
TESTING AND FREQUENTLY TESTED QUESTIONS AND
ANSWERS WITH DETAILED RATIONALES AND A STUDY
GUIDE | EXPERT VERIFIED FOR GUARANTEED PASS |
LATEST UPDATE
Which component of delegation is defined as the ability to perform duties in a specific role?
1 Authority
2 Supervision
3 Responsibility
4 Accountability
1
Authority is the ability to perform duties in a specific role.
Supervision is the provision of guidance and oversight of a delegated task. Responsibility refers
to reliability, dependability, and obligation to accomplish work. Accountability involves
determining whether the actions are appropriate and providing a detailed explanation of what has
occurred.
The healthcare team is caring for a client with neutropenia. Which task is delegated to unlicensed
assistive personnel?
1 Administering antibiotics
2 Assisting with personal hygiene
3 Monitoring for signs and symptoms of infection
4 Teaching the client and caregivers about how to avoid infection
2
Unlicensed assistive personnel assisting with the client's personal hygiene.
The licensed practical nurse administers antibiotics. Monitoring for signs and symptoms is
performed by the licensed practical nurse. The registered nurse teaches the client and caregivers
how to avoid infection.
A client's serum potassium level has increased to 5.8 mEq/L (5.8 mmol/L). What action should
the nurse implement first?
1 Call the laboratory to repeat the test.
2 Take vital signs and notify the healthcare provider.
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,3 Inform the cardiac arrest team to place them on alert.
4 Take an electrocardiogram and have lidocaine available.
2
Vital signs monitor cardiorespiratory status; hyperkalemia causes cardiac dysrhythmias. The
healthcare provider should be notified because medical intervention may be necessary.
A repeat laboratory test will take time and probably reaffirm the original results; the client needs
immediate attention. The cardiac arrest team is always on alert and will respond when called for
a cardiac arrest. Taking an electrocardiogram and having lidocaine available are insufficient
interventions.
The nurse has accepted a position as a navigator. What should the nurse expect to learn during
training for this role? Select all that apply.
1 Approaches to reduce the cost of health care
2 Learning ways to work through the health systems
3 Strategies to teach clients about disease, including prevention and treatment
4 Assessing barriers that clients have encountered while attempting to receive care
5 Helping clients cope with delays in receiving treatment until barriers are overcome
2, 3, 4, 5
Navigators are responsible for overcoming health system barriers, providing health education
about diseases from prevention to treatment, addressing barriers to care, and providing
psychosocial support. These are the areas the nurse should expect to focus on when being trained
in the role.
Learning approaches to reduce the cost of health care would be appropriate for a case manager to
learn.
What aspect of total client care needs to be taken into consideration if used on a 24-bed care
area?
1 Cost of nurses
2 Training needs
3 Documentation
4 Time commitment
1 Cost of nurses
Since total client care is provided by a registered nurse (RN) it can be very expensive and not
realistic to use a highly skilled and extremely knowledgeable professional nurse to provide all
the care required in a unit of 24 clients.
2|Page
,There are no particular issues with training, documentation, or time commitment with total client
care.
For which situations would total client care be an appropriate delivery system? Select all that
apply.
1 Client scheduled for lithotripsy for renal calculi
2 Client with an endotracheal tube for pulmonary sepsis
3 Client recovering from cardiovascular bypass graft surgery
4 Client recovering from the placement of a cerebrospinal fluid shunt
5 Client transferring to a rehabilitation unit after total hip replacement surgery
2, 3, 4
Total client care is used in critical care settings where one nurse provides total care to one or two
critically ill clients. The client with an endotracheal tube for pulmonary sepsis and the client
recovering from cardiovascular bypass graft surgery are considered acutely ill and will be
receiving care in a critical care area. The client recovering from cranial surgery to place a
cerebrospinal fluid shunt would be appropriate for total client care.
Total client care would not be an ideal care approach for the client scheduled for lithotripsy or
the client being transferred to a rehabilitation unit.
Which intervention should the charge nurse perform to manage a task when the unlicensed
nursing personal (UNP) is lacking competence?
1 Provide constructive feedback and assign another task.
2 Provide open vocal feedback and withdraw the UNP from task.
3 Provide additional support and temporarily lower expectations.
4 Provide accountability to the organization and undergo training again.
3 Provide additional support and temporarily lower expectations.
The charge nurse should manage a task by temporarily lowering expectations and providing
additional support to an unlicensed nursing personal (UNP) who is lacking competence. This
strategy allows the UNP to build on strengths, minimize weaknesses, and gain confidence.
Providing constructive feedback and assigning another task may not improve the strategy of the
UNP and may affect the productivity of the new task. Withdrawing the UNP from the task and
providing open vocal feedback may weaken the working relationship and the UNP may lose
confidence or become frustrated. The charge nurse should be aware of accountability to the
organization in case of a failure of the delegation, but assigning the UNP for further training may
lead to high risk for legal liability.
Which statement would most likely be made by a client who is receiving care through the
functional method?
3|Page
, 1 "My nurse's name is Amy."
2 "Susan will be caring for me until 7 pm."
3 "I have to wait until the medication nurse is available for a pain pill."
4 "Barbara coordinated all of my care but I might receive the care from other nurses."
3 "I have to wait until the medication nurse is available for a pain pill."
In the functional method, staff are assigned tasks according to scope of practice. In this approach
a medication nurse will be identified.
Knowing the nurse's name would more likely be a characteristic of team or primary nursing.
Knowing which nurse will provide care for a specific period of time would indicate the case
approach to care. Knowing which nurse coordinated the care that might be provided by others
would more likely indicate primary nursing or case management.
Which constructive aspects of conflict does the nurse leader identify? Select all that apply.
1 Polarizes groups
2 Releases pent-up emotions
3 Promotes ineffective communication
4 Helps individuals grow personally
5 Builds cohesiveness among people
2, 4, 5
Conflict serves as a release for pent-up emotion, anxiety, and stress. It helps individuals to grow
personally and apply what they learn to future situations. It helps to build cohesiveness among
people sharing the conflict, celebrating in its settlement and learning more about each other.
It polarizes groups so they increase internal cohesiveness and reduce intergroup cooperation; this
is a destructive aspect of conflict. Authentic communication is an aspect of conflict but not
improbable communication.
When does delegation become more challenging? Select all that apply.
1 When the client is stable
2 When the client is pregnant
3 When the geographic area is small
4 When the resources are abundant
5 When school children are receiving care
2 When the client is pregnant, 5 When school children are receiving care
The delegation process becomes more challenging when vulnerable populations such as pregnant
women and school children are receiving care.
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