2026 HESI Leadership Exit Exam Version 1
& Version 2 (V1 – V2) A+ Brand New
Questions & Actual Screenshots Included
Complete Guide A+
Version 1
1.A nurse is performing telephone triage at the clinic office. Which
client has the most acute problem and should be scheduled for the
first available appointment? ......ANSWER.....A 21 year old with a
history of a kidney transplant. Today the client reports flu-like
symptoms with a fever of 100.4 F (38 C)
2.The nurse is admitting a woman who has an arteriovenous (AV)
fistula in her right arm that is used for hemodialysis. She missed
her last hemodialysis session and is experiencing shortness of
breath and an irregular heartbeat. Which action should the nurse
assign to the UPA who is working with the nurse?
......ANSWER.....Measure Vital Signs
,3.The nurse should assess the client with which problem first?
......ANSWER.....Paresthesia secondary to an arterial occlusion
4.A young adult client with a brain tumor refuses further treatment
and requests to be allowed to die a natural death. The healthcare
provides does not agree with the client's decision and refuses to
write do-not-resuscitate instructions. Which action should the
nurse take? ......ANSWER.....Initiate a review of the situation by the
hospital's ethics committee.
5.A healthcare provider notifies the nurse that new prescriptions
have been written for a client. Which is the 1st action the nurse
should implement? ......ANSWER.....Read all of the new
prescriptions for the client written by the provider
6.The nurse is observing the staff provide care to a client with
acquired immune deficiency syndrome ......ANSWER.....Unlicensed
assistive personnel wearing a mask to take client's blood pressure.
,7.The nurse caring for a client with bacterial meningitis is
preparing report for the oncoming nurse. It is most important to
include which assessment finding in the report?
......ANSWER.....Increasing Pulse Pressure
8.The charge nurse notices that a respiratory therapist who has
been cross-trained to work as a phlebotomist and unlicensed
assistive personnel (UAP) seems to be avoiding HIV positive clients
......ANSWER.....Provide the employee with feedback about
observed behavior
9.The nursing supervisor sends an unlicensed assistant personnel (
UAP) to a medical unit to replace an absent UAP. When delegating
the task of obtaining client's blood sugar levels using a glucometer,
which action is most important for the nurse to implement?
......ANSWER.....Observe the UAP obtain a fingerstick glucose level
using the glucometer.
10.The nurse manager conducts regular audits of patient care
medication records and notices that the amount of narcotic pain
, medications administered during the evening shift on a
postsurgical unit ......ANSWER.....Conduct a closer examination of
staff nurse's distribution of pain medication from evening shift
11.The smell of cigarette smoke is coming from a client's bathroom.
Which action should the nurse ......ANSWER.....Educate the client
about the hospital smoking policy.
12.The practical nurse (PN) reports to the charge nurse that the
transparent dressing covering a single lumen central venous
catheter inserted in the subclavian vein of a client has come loose
and the insertion site is inflamed. Which action should the charge
nurse implement? ......ANSWER.....Confirm the findings of the PN
while securing the transparent dressing and notify the healthcare
provider.
13.At 0200 the nurse phones the healthcare provider to request a
PRN medication for a client who is unable to sleep. The healthcare
provider is awakened and gives the nurse a prescription for four
times the normal dosage. When questioned by the nurse, the
& Version 2 (V1 – V2) A+ Brand New
Questions & Actual Screenshots Included
Complete Guide A+
Version 1
1.A nurse is performing telephone triage at the clinic office. Which
client has the most acute problem and should be scheduled for the
first available appointment? ......ANSWER.....A 21 year old with a
history of a kidney transplant. Today the client reports flu-like
symptoms with a fever of 100.4 F (38 C)
2.The nurse is admitting a woman who has an arteriovenous (AV)
fistula in her right arm that is used for hemodialysis. She missed
her last hemodialysis session and is experiencing shortness of
breath and an irregular heartbeat. Which action should the nurse
assign to the UPA who is working with the nurse?
......ANSWER.....Measure Vital Signs
,3.The nurse should assess the client with which problem first?
......ANSWER.....Paresthesia secondary to an arterial occlusion
4.A young adult client with a brain tumor refuses further treatment
and requests to be allowed to die a natural death. The healthcare
provides does not agree with the client's decision and refuses to
write do-not-resuscitate instructions. Which action should the
nurse take? ......ANSWER.....Initiate a review of the situation by the
hospital's ethics committee.
5.A healthcare provider notifies the nurse that new prescriptions
have been written for a client. Which is the 1st action the nurse
should implement? ......ANSWER.....Read all of the new
prescriptions for the client written by the provider
6.The nurse is observing the staff provide care to a client with
acquired immune deficiency syndrome ......ANSWER.....Unlicensed
assistive personnel wearing a mask to take client's blood pressure.
,7.The nurse caring for a client with bacterial meningitis is
preparing report for the oncoming nurse. It is most important to
include which assessment finding in the report?
......ANSWER.....Increasing Pulse Pressure
8.The charge nurse notices that a respiratory therapist who has
been cross-trained to work as a phlebotomist and unlicensed
assistive personnel (UAP) seems to be avoiding HIV positive clients
......ANSWER.....Provide the employee with feedback about
observed behavior
9.The nursing supervisor sends an unlicensed assistant personnel (
UAP) to a medical unit to replace an absent UAP. When delegating
the task of obtaining client's blood sugar levels using a glucometer,
which action is most important for the nurse to implement?
......ANSWER.....Observe the UAP obtain a fingerstick glucose level
using the glucometer.
10.The nurse manager conducts regular audits of patient care
medication records and notices that the amount of narcotic pain
, medications administered during the evening shift on a
postsurgical unit ......ANSWER.....Conduct a closer examination of
staff nurse's distribution of pain medication from evening shift
11.The smell of cigarette smoke is coming from a client's bathroom.
Which action should the nurse ......ANSWER.....Educate the client
about the hospital smoking policy.
12.The practical nurse (PN) reports to the charge nurse that the
transparent dressing covering a single lumen central venous
catheter inserted in the subclavian vein of a client has come loose
and the insertion site is inflamed. Which action should the charge
nurse implement? ......ANSWER.....Confirm the findings of the PN
while securing the transparent dressing and notify the healthcare
provider.
13.At 0200 the nurse phones the healthcare provider to request a
PRN medication for a client who is unable to sleep. The healthcare
provider is awakened and gives the nurse a prescription for four
times the normal dosage. When questioned by the nurse, the
