HESI LEADERSHIP EXIT EXAM VERSION 2 · 50+ (2026/27) EXAM PREP | VERIFI… EXAM
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
Hesi Leadership Exit exam
Version 2
50+ (2026/27) Exam Prep | Verified Q&A with Rationales
Verified Answers Exam Ready With Rationales 54 Questions
DOCUMENT OVERVIEW
This document, "Hesi Leadership Exit exam Version 2," provides a comprehensive study resource for nursing
leadership concepts, including client triage, management of care, and ethical considerations. It features 54
questions, each with the correct answer and detailed explanations, enabling students to review and understand
key leadership principles and clinical decision-making processes. This resource is ideal for students preparing for
their exit exam by reinforcing critical thinking and knowledge application in leadership scenarios.
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 54
A nurse is triaging telephone calls received at a busy urban clinic. Which client requires immediate
scheduling for the earliest appointment slot?
A) A 45-year-old receiving chemotherapy reporting mild nausea.
B) A 62-year-old with a history of hypertension experiencing a headache.
C) A 21-year-old with a history of a kidney transplant reporting flu-like symptoms and a temperature of
100.4°F (38°C).
D) A 70-year-old reporting a cough and nasal congestion for two days.
Page 1
,E) A 30-year-old with a known allergy to penicillin reporting a rash after taking amoxicillin.
F) A 55-year-old with diabetes mellitus reporting increased thirst.
CORRECT ANSWER
C) A 21-year-old with a history of a kidney transplant reporting flu-like symptoms and a temperature of
100.4°F (38°C).
RATIONALE
Clients with transplanted organs are immunocompromised, making flu-like symptoms with fever a potential sign
of serious infection requiring prompt evaluation to prevent rejection or systemic spread.
Q2 QUESTION 2 OF 54
The nurse is admitting a client with a history of end-stage renal disease, presenting with dyspnea and
palpitations. The client has a mature arteriovenous fistula in the left antecubital fossa. The unlicensed
assistive personnel (UAP) reports that the client's last hemodialysis treatment was missed 48 hours ago.
Which task is most appropriate to delegate to the UAP?
A) Palpate the AV fistula for a thrill
B) Measure the client's vital signs
C) Assess the client's lung sounds for crackles
D) Administer intravenous furosemide
CORRECT ANSWER
B) Measure the client's vital signs
RATIONALE
Measuring vital signs is a fundamental assessment task within the UAP scope of practice and is crucial for
monitoring the client's hemodynamic status in the setting of missed hemodialysis.
Q3 QUESTION 3 OF 54
A client's arterial occlusion is suspected to be causing a sensory deficit. Which nursing assessment should
be performed first to identify the extent of neurological compromise? (Select all that apply.)
A) Palpate the dorsalis pedis pulse.
B) Assess for presence of deep tendon reflexes.
Page 2
,C) Evaluate the client's ability to move the affected extremity.
D) Determine the client's sensation to light touch in the toes.
E) Auscultate for bruits over the affected artery.
CORRECT ANSWER
C) Evaluate the client's ability to move the affected extremity.
D) Determine the client's sensation to light touch in the toes.
RATIONALE
Paresthesia from arterial occlusion directly impacts motor and sensory function distal to the blockage; assessing
movement and sensation is crucial to monitor for ischemia-induced neurological deficits before evaluating
circulatory status or reflexes.
Q4 QUESTION 4 OF 54
A 45-year-old client diagnosed with glioblastoma multiforme is expressing a desire to cease all medical
interventions and accept palliative care, stating, "I've fought this long enough; I want to go home and be
with my family." The interdisciplinary team, including the attending oncologist, is hesitant to honor this
request due to aggressive treatment protocols. As the nurse assigned to this client's care on the neuro-
oncology unit, what actions should be prioritized? (Select all that apply.)
A) Document the client's stated wishes accurately in the electronic health record.
B) Contact the client's family to discuss their perspective on the client's wishes.
C) Initiate a discussion with the charge nurse to explore options for medical consultation.
D) Prepare to obtain a second medical opinion regarding the prognosis and treatment efficacy.
E) Ascertain the client's understanding of the potential outcomes of discontinuing treatment.
CORRECT ANSWER
A) Document the client's stated wishes accurately in the electronic health record.
C) Initiate a discussion with the charge nurse to explore options for medical consultation.
E) Ascertain the client's understanding of the potential outcomes of discontinuing treatment.
RATIONALE
The nurse must first document the client's autonomous decision and then facilitate further discussion by
escalating to the charge nurse and assessing the client's comprehension to ensure informed consent, aligning
with ethical principles of patient autonomy and beneficence.
Page 3
, Q5 QUESTION 5 OF 54
A nurse manager receives notification that new prescriptions have been issued for a client. The nurse
manager should prioritize which of the following actions upon receiving this information? (Select all that
apply.)
A) Verbalize the new prescriptions to the charge nurse.
B) Access the electronic health record to review the new prescriptions.
C) Ask a licensed assistive personnel to relay the prescriptions to the pharmacy.
D) Initiate the new prescriptions immediately without further review.
E) Document the new prescriptions in the client's chart.
CORRECT ANSWER
B) Access the electronic health record to review the new prescriptions.
E) Document the new prescriptions in the client's chart.
RATIONALE
The nurse must first review the new prescriptions for accuracy and safety in the electronic health record before
implementation or communication to ensure client care is based on verified information.
Q6 QUESTION 6 OF 54
The charge nurse on a medical-surgical unit is reviewing the care being provided by unlicensed assistive
personnel (UAP) to clients with compromised immune systems. The charge nurse observes a UAP taking
the blood pressure of a client diagnosed with HIV, utilizing standard droplet precautions, while wearing a
surgical mask. The charge nurse should intervene by providing immediate feedback to the UAP regarding:
A) The need to wear a mask when taking vital signs.
B) The correct procedure for donning and doffing personal protective equipment.
C) The appropriate type of personal protective equipment for droplet precautions.
D) The frequency with which vital signs should be assessed for this client.
CORRECT ANSWER
C) The appropriate type of personal protective equipment for droplet precautions.
Page 4
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
Hesi Leadership Exit exam
Version 2
50+ (2026/27) Exam Prep | Verified Q&A with Rationales
Verified Answers Exam Ready With Rationales 54 Questions
DOCUMENT OVERVIEW
This document, "Hesi Leadership Exit exam Version 2," provides a comprehensive study resource for nursing
leadership concepts, including client triage, management of care, and ethical considerations. It features 54
questions, each with the correct answer and detailed explanations, enabling students to review and understand
key leadership principles and clinical decision-making processes. This resource is ideal for students preparing for
their exit exam by reinforcing critical thinking and knowledge application in leadership scenarios.
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 54
A nurse is triaging telephone calls received at a busy urban clinic. Which client requires immediate
scheduling for the earliest appointment slot?
A) A 45-year-old receiving chemotherapy reporting mild nausea.
B) A 62-year-old with a history of hypertension experiencing a headache.
C) A 21-year-old with a history of a kidney transplant reporting flu-like symptoms and a temperature of
100.4°F (38°C).
D) A 70-year-old reporting a cough and nasal congestion for two days.
Page 1
,E) A 30-year-old with a known allergy to penicillin reporting a rash after taking amoxicillin.
F) A 55-year-old with diabetes mellitus reporting increased thirst.
CORRECT ANSWER
C) A 21-year-old with a history of a kidney transplant reporting flu-like symptoms and a temperature of
100.4°F (38°C).
RATIONALE
Clients with transplanted organs are immunocompromised, making flu-like symptoms with fever a potential sign
of serious infection requiring prompt evaluation to prevent rejection or systemic spread.
Q2 QUESTION 2 OF 54
The nurse is admitting a client with a history of end-stage renal disease, presenting with dyspnea and
palpitations. The client has a mature arteriovenous fistula in the left antecubital fossa. The unlicensed
assistive personnel (UAP) reports that the client's last hemodialysis treatment was missed 48 hours ago.
Which task is most appropriate to delegate to the UAP?
A) Palpate the AV fistula for a thrill
B) Measure the client's vital signs
C) Assess the client's lung sounds for crackles
D) Administer intravenous furosemide
CORRECT ANSWER
B) Measure the client's vital signs
RATIONALE
Measuring vital signs is a fundamental assessment task within the UAP scope of practice and is crucial for
monitoring the client's hemodynamic status in the setting of missed hemodialysis.
Q3 QUESTION 3 OF 54
A client's arterial occlusion is suspected to be causing a sensory deficit. Which nursing assessment should
be performed first to identify the extent of neurological compromise? (Select all that apply.)
A) Palpate the dorsalis pedis pulse.
B) Assess for presence of deep tendon reflexes.
Page 2
,C) Evaluate the client's ability to move the affected extremity.
D) Determine the client's sensation to light touch in the toes.
E) Auscultate for bruits over the affected artery.
CORRECT ANSWER
C) Evaluate the client's ability to move the affected extremity.
D) Determine the client's sensation to light touch in the toes.
RATIONALE
Paresthesia from arterial occlusion directly impacts motor and sensory function distal to the blockage; assessing
movement and sensation is crucial to monitor for ischemia-induced neurological deficits before evaluating
circulatory status or reflexes.
Q4 QUESTION 4 OF 54
A 45-year-old client diagnosed with glioblastoma multiforme is expressing a desire to cease all medical
interventions and accept palliative care, stating, "I've fought this long enough; I want to go home and be
with my family." The interdisciplinary team, including the attending oncologist, is hesitant to honor this
request due to aggressive treatment protocols. As the nurse assigned to this client's care on the neuro-
oncology unit, what actions should be prioritized? (Select all that apply.)
A) Document the client's stated wishes accurately in the electronic health record.
B) Contact the client's family to discuss their perspective on the client's wishes.
C) Initiate a discussion with the charge nurse to explore options for medical consultation.
D) Prepare to obtain a second medical opinion regarding the prognosis and treatment efficacy.
E) Ascertain the client's understanding of the potential outcomes of discontinuing treatment.
CORRECT ANSWER
A) Document the client's stated wishes accurately in the electronic health record.
C) Initiate a discussion with the charge nurse to explore options for medical consultation.
E) Ascertain the client's understanding of the potential outcomes of discontinuing treatment.
RATIONALE
The nurse must first document the client's autonomous decision and then facilitate further discussion by
escalating to the charge nurse and assessing the client's comprehension to ensure informed consent, aligning
with ethical principles of patient autonomy and beneficence.
Page 3
, Q5 QUESTION 5 OF 54
A nurse manager receives notification that new prescriptions have been issued for a client. The nurse
manager should prioritize which of the following actions upon receiving this information? (Select all that
apply.)
A) Verbalize the new prescriptions to the charge nurse.
B) Access the electronic health record to review the new prescriptions.
C) Ask a licensed assistive personnel to relay the prescriptions to the pharmacy.
D) Initiate the new prescriptions immediately without further review.
E) Document the new prescriptions in the client's chart.
CORRECT ANSWER
B) Access the electronic health record to review the new prescriptions.
E) Document the new prescriptions in the client's chart.
RATIONALE
The nurse must first review the new prescriptions for accuracy and safety in the electronic health record before
implementation or communication to ensure client care is based on verified information.
Q6 QUESTION 6 OF 54
The charge nurse on a medical-surgical unit is reviewing the care being provided by unlicensed assistive
personnel (UAP) to clients with compromised immune systems. The charge nurse observes a UAP taking
the blood pressure of a client diagnosed with HIV, utilizing standard droplet precautions, while wearing a
surgical mask. The charge nurse should intervene by providing immediate feedback to the UAP regarding:
A) The need to wear a mask when taking vital signs.
B) The correct procedure for donning and doffing personal protective equipment.
C) The appropriate type of personal protective equipment for droplet precautions.
D) The frequency with which vital signs should be assessed for this client.
CORRECT ANSWER
C) The appropriate type of personal protective equipment for droplet precautions.
Page 4
