HESI RN LEADERSHIP AND MANAGEMENT EXAM 20 Versions 1200
Verified Q & A Latest 2026
HESI RN Leadership / Management
,5. Client satisfactory surveys from a med-surg unit indicate the pain is not being
adequately relieved during the first 12 hr post-opt. The unit manager decides to
identify post-opt pain as a quality indicator. Which of the following data sources will
be helpful in determine the reason why clients are not receiving adequate pain
management after surgery?
A. Prospective chart audit
B. Retrospective chart audit
C. Postoperative care policy
D. Pain assessment policy
6. A nurse precepting a newly licenced nurse who is caring for a client who is
confused and has an IV infusion. The newly licensed nurse has placed the client in
wrist restraints to prevent dislodging the IV catheter. Which of the following
questions should the precepting nurse ask?
A. “Did you secure the restraints to the side rails of the bed?”
B. “Are you able to insert two fingers between the restraint and the client‟s skin?”
C. “Did you tie the restraints using double knot?”
D. “Are you removing the client‟s restraints every 4 hr?”
7. A nurse is caring for an older adult client who has stage III pressure ulcer. The nurse
request a consultation with the wound care specialist. Which of the following actions
by the nurse is appropriate when working with a consultant?
A. Arrange the consultation for time when the nurse is caring for the client is
able to be present for consultation
B. Provide the consultant with subjective opinions and beliefs about the client‟s wound care
C. Request the consultation after several wound care treatment tried
, D. Arrange for the wound care nurse specialist to see the client daily to
provide the recommended treatment
8. A client is admitted wit TB and placed in a negative pressure room. Which of the
following actions is appropriate?
A. Notify the local health department of the admission
B. Place a sign on the client‟s door with the diagnosis
C. Ensure that admitting staff undergo PPD skin tests
D. Determine who had contact with the client in the last 48 hr
9. A nurse is caring for a client who is unconscious and whose partner is health care
proxy. The partner has spoken with the provider and wishes to discontinue the client‟s
feeding tube. The provider states the nurse, “I will not discontinue the client‟s
treatment. His partner has no right to make decisions regarding the client‟s care.
“Which of the following responses by the nurse is appropriate?
A. You should consider speaking with the facility‟s ethics committee before
making your decision
B. You have the right to make decision, even if the partner is the client‟s health care proxy
C. The client has designated his partner as health care proxy in his advance directives
D. We‟ll need to have the nursing supervisor review the client‟s advance directives
10. A nurse is caring for a client who has increased intracranial pressure and is
receiving IV corticosteroids. Which of the following info is most important for the
nurse to report at shift change?
A. Gasglow Coma scale score
, B. Most recent blood glucose reading
C. Lab test scheduled for next shift
D. Reddened area on the coccyx
11. A nurse is assigned the following four clients for the current shift. Which of the
following clients should the nurse assess first?
A. A client who has a hip fracture and is in Buck‟s traction
B. A client who has aspiration pneumonia and a respiratory rate of 28/min
C. A client who has diabetes mellitus stage 2 pressure ulcer on his foot
D. A client who has a C diff infection and needs a stool specimen collected
12. A nurse is caring for a client who fell and is reporting pain in the left hip with
external rotation of the left leg. The nurse has been unable to reach the provider
despite several attempts over the past 30 min. Which of the following actions should
the nurse take?
A. Notify the nursing supervisor about the issues
B. Contact the client‟s physical therapist
C. Apply a warm compress to the hip
D. Reposition the client for comfort
13. The mother of a client with breast cancer states, it‟s been hard for her, especially
after losing her hair. And it has been difficult to pay for all the treatments. Which of
the following actions is appropriate client advocacy?
A. The nurse investigates potential resources to help the client purchase wig
B. The nurse explains to the mother that most clients with cancer lose their hair
C. The nurse informs the next shift nurse regarding the mother‟s concerns.
Verified Q & A Latest 2026
HESI RN Leadership / Management
,5. Client satisfactory surveys from a med-surg unit indicate the pain is not being
adequately relieved during the first 12 hr post-opt. The unit manager decides to
identify post-opt pain as a quality indicator. Which of the following data sources will
be helpful in determine the reason why clients are not receiving adequate pain
management after surgery?
A. Prospective chart audit
B. Retrospective chart audit
C. Postoperative care policy
D. Pain assessment policy
6. A nurse precepting a newly licenced nurse who is caring for a client who is
confused and has an IV infusion. The newly licensed nurse has placed the client in
wrist restraints to prevent dislodging the IV catheter. Which of the following
questions should the precepting nurse ask?
A. “Did you secure the restraints to the side rails of the bed?”
B. “Are you able to insert two fingers between the restraint and the client‟s skin?”
C. “Did you tie the restraints using double knot?”
D. “Are you removing the client‟s restraints every 4 hr?”
7. A nurse is caring for an older adult client who has stage III pressure ulcer. The nurse
request a consultation with the wound care specialist. Which of the following actions
by the nurse is appropriate when working with a consultant?
A. Arrange the consultation for time when the nurse is caring for the client is
able to be present for consultation
B. Provide the consultant with subjective opinions and beliefs about the client‟s wound care
C. Request the consultation after several wound care treatment tried
, D. Arrange for the wound care nurse specialist to see the client daily to
provide the recommended treatment
8. A client is admitted wit TB and placed in a negative pressure room. Which of the
following actions is appropriate?
A. Notify the local health department of the admission
B. Place a sign on the client‟s door with the diagnosis
C. Ensure that admitting staff undergo PPD skin tests
D. Determine who had contact with the client in the last 48 hr
9. A nurse is caring for a client who is unconscious and whose partner is health care
proxy. The partner has spoken with the provider and wishes to discontinue the client‟s
feeding tube. The provider states the nurse, “I will not discontinue the client‟s
treatment. His partner has no right to make decisions regarding the client‟s care.
“Which of the following responses by the nurse is appropriate?
A. You should consider speaking with the facility‟s ethics committee before
making your decision
B. You have the right to make decision, even if the partner is the client‟s health care proxy
C. The client has designated his partner as health care proxy in his advance directives
D. We‟ll need to have the nursing supervisor review the client‟s advance directives
10. A nurse is caring for a client who has increased intracranial pressure and is
receiving IV corticosteroids. Which of the following info is most important for the
nurse to report at shift change?
A. Gasglow Coma scale score
, B. Most recent blood glucose reading
C. Lab test scheduled for next shift
D. Reddened area on the coccyx
11. A nurse is assigned the following four clients for the current shift. Which of the
following clients should the nurse assess first?
A. A client who has a hip fracture and is in Buck‟s traction
B. A client who has aspiration pneumonia and a respiratory rate of 28/min
C. A client who has diabetes mellitus stage 2 pressure ulcer on his foot
D. A client who has a C diff infection and needs a stool specimen collected
12. A nurse is caring for a client who fell and is reporting pain in the left hip with
external rotation of the left leg. The nurse has been unable to reach the provider
despite several attempts over the past 30 min. Which of the following actions should
the nurse take?
A. Notify the nursing supervisor about the issues
B. Contact the client‟s physical therapist
C. Apply a warm compress to the hip
D. Reposition the client for comfort
13. The mother of a client with breast cancer states, it‟s been hard for her, especially
after losing her hair. And it has been difficult to pay for all the treatments. Which of
the following actions is appropriate client advocacy?
A. The nurse investigates potential resources to help the client purchase wig
B. The nurse explains to the mother that most clients with cancer lose their hair
C. The nurse informs the next shift nurse regarding the mother‟s concerns.
