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Leadership 204 HESI Exam Questions and Answers PDF | Latest Update 2026 | RN Nursing Leadership & Management Study Guide (Verified A+)

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Prepare for your nursing leadership exam with the Leadership 204 HESI Exam Questions and Answers PDF (Latest Update 2026). This comprehensive RN study guide is designed to help nursing students master leadership, management, and delegation concepts commonly tested in HESI Exit Exams and NCLEX examinations. It includes practice questions, verified answers, detailed rationales, and scenario-based case studies focused on leadership in clinical and healthcare settings. Ideal for nursing students in the USA, UK, Canada, Australia, and Europe, this guide strengthens decision-making, prioritization, and professional nursing leadership skills.

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LEADERSHIP 204 HESI EXAM QUESTIONS AND ANSWERS
100%CORRECT/VERIFIED BEST RATED A+ GUARANTEED
SUCCESS LATEST UPDATE 2026
• It is most important for the charge nurse to schedule a multi-
disciplinary team meeting to discuss which client?


o A woman who is pregnant with twins and whose due date is one
week away.
o A 2-year-old who contracted Hepatitis A while at a local daycare
center.
o A business executive admitted with Guillain-Barre syndrome
who has residual POal numbness in the lower extremities.
o An elderly client admitted through the emergency
department with a broken hip whose blood glucose is 400
mg/dL (22 mmol/L SI).


• The healthcare provider prescribes an oral medication to be given daily for
3 days. However, the medication was also given on the fourth day. Which
intervention is most important for the charge nurse to implement?


o Review the medication transcription with the nurse.
o Evaluate the client for symptoms of a drug interaction
o Inform the pharmacist who dispensed the medication
o Report the medication error to the nursing supervisor




• The nurse is caring for a group of clients with help of an experienced

pg. 1

, LEADERSHIP 204 HESI EXAM QUESTIONS AND ANSWERS
100%CORRECT/VERIFIED BEST RATED A+ GUARANTEED
SUCCESS LATEST UPDATE 2026
unlicensed assistive personnel (UAP). Several specimens need to be
collected and sent to the lab. Which specimen collection can the nurse
delegate to the UAP?


o Drainage from pressure ulcer
o Fecal drainage sample
o Urine from indwelling catheter
o Sample of chest tube drainage
o Incisional would drainage




• A client is admitted with exacerbation of chronic obstructive pulmonary
disease (COPD) and reports that it is difficult to eat due to shortness of
breath (SOB). Which tasks should the nurse to delegate to the unlicensed
assistive personnel (UAP)? (Select all that apply.)


o Offer high caloric foods such as milk and ice cream
o Maintain a clean and pleasant environment during meals.
o Consult with registered dietitian about recommended
nutritional needs.
o Assist the client with eating small frequent high calorie
meals.
o Set up the food and drink containers within easy reach.



pg. 2

, LEADERSHIP 204 HESI EXAM QUESTIONS AND ANSWERS
100%CORRECT/VERIFIED BEST RATED A+ GUARANTEED
SUCCESS LATEST UPDATE 2026

• After receiving morning report on an acute care unit, which client should the
nurse assess first?


o An elderly client whose children are concerned about the
care their mother is receiving.
o An immobile client who is incontinent and has just soiled the
linens.
o A client who is shouting loudly because the breakfast trays have
not arrived.
o A client sitting close to the nurse’s station who has been
restrained for the past six hours.




pg. 3

, LEADERSHIP 204 HESI EXAM QUESTIONS AND ANSWERS
100%CORRECT/VERIFIED BEST RATED A+ GUARANTEED
SUCCESS LATEST UPDATE 2026
• A nurse (RN), practical nurse (PN), and unlicensed assistive personnel (UAP)
are working as a team to provide care for an acuity ill client required
immediate bedside insertion of a chest tube. Which assignment is the best
use of each person’s skills?


o The PN instructs the family about the need for chest tube
insertion while the RN obtains vital signs.
o The RN inserts the chest tube immediately after the PN
cleanses the skin at the insertion site.
o The UAP listens to breath sounds while the RN witnesses the
informed consent.
o The UAP obtains an oxygen saturation level while the RN
reports findings to the healthcare provider.




• The nurse assigns an unlicensed assistive personnel (UAP) to apply
sequential compression devices to a client. Which instruction should the
nurse include when assigning this task to the UAP?


o Report any change in color in the client’s feet or legs
o Check the client’s pedal pulses before applying
o Elevate the client’s leg on a pillow if the client reports
discomfort
o The compression should start at the client’s toes and move
pg. 4

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