NURS EXAM zm
Exam Solution zm
Hesi Leadership Exit exam combined 2026 A+ GRADE
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ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSW zm zm zm zm zm
ERS (CC6D5) zm
QUESTION 1 zm
1.A nurse is performing telephone triage at the clinic office. Which client has the most
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acute problem and should be scheduled for the first available appointment?
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ANSWER
A 21 year old with a history of a kidney transplant. Today the client reports flu-
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like symptoms with a fever of 100.4 F (38 C)
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QUESTION 2 zm
2.The nurse is admitting a woman who has an arteriovenous (AV) fistula in her right
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arm that is used for hemodialysis. She missed her last hemodialysis session and is ex
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periencing shortness of breath and an irregular heartbeat. Which action should the nu
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rse assign to the UPA who is working with the nurse?
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ANSWER
Measure Vital Signs zm zm
QUESTION 3 zm
3.The nurse should assess the client with which problem first?
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ANSWER
Paresthesia secondary to an arterial occlusion
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QUESTION 4 zm
4.A young adult client with a brain tumor refuses further treatment and requests to b
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e allowed to die a natural death. The healthcare provides does not agree with the clie
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,nt's decision and refuses to write do-not-
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resuscitate instructions. Which action should the nurse take?
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ANSWER
Initiate a review of the situation by the hospital's ethics committee.
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QUESTION 5 zm
5.A healthcare provider notifies the nurse that new prescriptions have been written fo
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r a client. Which is the 1st action the nurse should implement?
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ANSWER
Read all of the new prescriptions for the client written by the provider
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QUESTION 6 zm
6.The nurse is observing the staff provide care to a client with acquired immune defic
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iency syndrome zm
ANSWER
Unlicensed assistive personnel wearing a mask to take client's blood pressure.
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QUESTION 7 zm
7.The nurse caring for a client with bacterial meningitis is preparing report for the on
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coming nurse. It is most important to include which assessment finding in the report?
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ANSWER
Increasing Pulse Pressure zm zm
QUESTION 8 zm
8.The charge nurse notices that a respiratory therapist who has been cross-
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trained to work as a phlebotomist and unlicensed assistive personnel (UAP) seems to
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be avoiding HIV positive clients
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ANSWER
Provide the employee with feedback about observed behavior
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QUESTION 9 zm
9.The nursing supervisor sends an unlicensed assistant personnel ( UAP) to a medical
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unit to replace an absent UAP. When delegating the task of obtaining client's blood su
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, gar levels using a glucometer, which action is most important for the nurse to implem
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ent?
ANSWER
Observe the UAP obtain a fingerstick glucose level using the glucometer.
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QUESTION 10 zm
10.The nurse manager conducts regular audits of patient care medication records and
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notices that the amount of narcotic pain medications administered during the evening
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shift on a postsurgical unit
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ANSWER
Conduct a closer examination of staff nurse's distribution of pain medication from evening shift
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QUESTION 11 zm
11.The smell of cigarette smoke is coming from a client's bathroom. Which action sho
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uld the nurse
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ANSWER
Educate the client about the hospital smoking policy.
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QUESTION 12 zm
12.The practical nurse (PN) reports to the charge nurse that the transparent dressing
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covering a single lumen central venous catheter inserted in the subclavian vein of a cl
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ient has come loose and the insertion site is inflamed. Which action should the charge
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mnurse implement? zm
ANSWER
Confirm the findings of the PN while securing the transparent dressing and notify the healthcare pro
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vider.
QUESTION 13 zm
13.At 0200 the nurse phones the healthcare provider to request a PRN medication for
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ma client who is unable to sleep. The healthcare provider is awakened and gives the n
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urse a prescription for four times the normal dosage. When questioned by the nurse,
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the healthcare provider responds in a sleepy
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ANSWER
Call the healthcare or back, and report that the dosage prescribed is our times the normal dosage.
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Exam Solution zm
Hesi Leadership Exit exam combined 2026 A+ GRADE
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ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSW zm zm zm zm zm
ERS (CC6D5) zm
QUESTION 1 zm
1.A nurse is performing telephone triage at the clinic office. Which client has the most
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acute problem and should be scheduled for the first available appointment?
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ANSWER
A 21 year old with a history of a kidney transplant. Today the client reports flu-
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like symptoms with a fever of 100.4 F (38 C)
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QUESTION 2 zm
2.The nurse is admitting a woman who has an arteriovenous (AV) fistula in her right
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arm that is used for hemodialysis. She missed her last hemodialysis session and is ex
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
periencing shortness of breath and an irregular heartbeat. Which action should the nu
zm zm zm zm zm zm zm zm zm zm zm zm
rse assign to the UPA who is working with the nurse?
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ANSWER
Measure Vital Signs zm zm
QUESTION 3 zm
3.The nurse should assess the client with which problem first?
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ANSWER
Paresthesia secondary to an arterial occlusion
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QUESTION 4 zm
4.A young adult client with a brain tumor refuses further treatment and requests to b
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e allowed to die a natural death. The healthcare provides does not agree with the clie
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
,nt's decision and refuses to write do-not-
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resuscitate instructions. Which action should the nurse take?
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ANSWER
Initiate a review of the situation by the hospital's ethics committee.
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QUESTION 5 zm
5.A healthcare provider notifies the nurse that new prescriptions have been written fo
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r a client. Which is the 1st action the nurse should implement?
zm zm zm zm zm zm zm zm zm zm zm
ANSWER
Read all of the new prescriptions for the client written by the provider
zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 6 zm
6.The nurse is observing the staff provide care to a client with acquired immune defic
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iency syndrome zm
ANSWER
Unlicensed assistive personnel wearing a mask to take client's blood pressure.
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QUESTION 7 zm
7.The nurse caring for a client with bacterial meningitis is preparing report for the on
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coming nurse. It is most important to include which assessment finding in the report?
zm zm zm zm zm zm zm zm zm zm zm zm zm
ANSWER
Increasing Pulse Pressure zm zm
QUESTION 8 zm
8.The charge nurse notices that a respiratory therapist who has been cross-
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trained to work as a phlebotomist and unlicensed assistive personnel (UAP) seems to
zm zm zm zm zm zm zm zm zm zm zm zm zm
be avoiding HIV positive clients
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ANSWER
Provide the employee with feedback about observed behavior
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QUESTION 9 zm
9.The nursing supervisor sends an unlicensed assistant personnel ( UAP) to a medical
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unit to replace an absent UAP. When delegating the task of obtaining client's blood su
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, gar levels using a glucometer, which action is most important for the nurse to implem
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ent?
ANSWER
Observe the UAP obtain a fingerstick glucose level using the glucometer.
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QUESTION 10 zm
10.The nurse manager conducts regular audits of patient care medication records and
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notices that the amount of narcotic pain medications administered during the evening
m zm zm zm zm zm zm zm zm zm zm zm
shift on a postsurgical unit
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ANSWER
Conduct a closer examination of staff nurse's distribution of pain medication from evening shift
zm zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 11 zm
11.The smell of cigarette smoke is coming from a client's bathroom. Which action sho
zm zm zm zm zm zm zm zm zm zm zm zm zm
uld the nurse
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ANSWER
Educate the client about the hospital smoking policy.
zm zm zm zm zm zm zm
QUESTION 12 zm
12.The practical nurse (PN) reports to the charge nurse that the transparent dressing
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covering a single lumen central venous catheter inserted in the subclavian vein of a cl
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ient has come loose and the insertion site is inflamed. Which action should the charge
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mnurse implement? zm
ANSWER
Confirm the findings of the PN while securing the transparent dressing and notify the healthcare pro
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vider.
QUESTION 13 zm
13.At 0200 the nurse phones the healthcare provider to request a PRN medication for
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ma client who is unable to sleep. The healthcare provider is awakened and gives the n
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
urse a prescription for four times the normal dosage. When questioned by the nurse,
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
the healthcare provider responds in a sleepy
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ANSWER
Call the healthcare or back, and report that the dosage prescribed is our times the normal dosage.
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