Hesi Leadership and Management 2017
1. Newly hired UAP expresses fear to collect a sputum from HIV patient
Determine the UAP’s knowledge about HIV transmission.
2. RN, PN, UAP are working as a team
The UAP obtains an oxygen saturation level while RN reports finding to the health care
provider.
3. The most immediate follow-up
An UAP is assigned to check a client for fecal impaction.
4. Nurse receives a prescription over the telephone
Administer a nebulizer breathing treatment.
5. Patient uses the call system alarm
Ask a coworker to respond to the client whose call bell is alarming.
6. Emergency room, who to take care first
A female client with severe right lower abdominal pain who is febrile and vomiting.
7. No heroic measures
Give detailed report to accepting nurse.
8. Evaluate cardiac monitor system
Organize a committee of ICU nurses to identify potential problems of the new monitor-
ing system.
9. Client has reported feeling of being constipated
Assist the client to drink warm prune juice.
10. Sequential compression devices
Report any change in color in the client’s feet or legs.
11. Respiratory therapist cross-trained avoiding HIV positive client
Provide the employee with feedback about the observed behavior.
12. Medication error remains unchanged
Examine medication administration data to determine use of new policy by nursing
staff.
, 13. Increase of nurse-to-patient ratio by 25%
Disseminate factual information to all nursing staff to avoid misinformation and ru-
mors.
14. Calculation: 10080FTEs / 72 hours= 17.5 round to the nearest tenth =18
15. Respiratory rate decreases 14/ min -> 6/ min -> 4/min
The decision regarding when to call the health care provider
16. Glucometer checks post 2 days consistently 50-60 mg/dl higher
Evaluate calibration of glucometer in use per manufacturer guidelines.
17. Receptionist is responsible for taking client calls. Who to call back first?
Casted right leg has a funny feeling tingling sensation.
18. Two clients in one room. One client has MRSA the other one neutropenia. What interven-
tion should the nurse implement?
Transfer client with neutropenia to a private room.
19. Signed witnessed DNR
Confirm current resuscitation wishes with client and family
20. Staffing formula is based on what?
An accurate patient classification system (PCS)
Skills of staff and client acuity.
2016 LEADERSHIP HESI EXAM V1-V3
1. Hospice nurse for end of life care à Make sure the patient’s MUCOUS MEMBRANE
IS MOIST
2. New policy to prevent med errors- EXAMINE MED ADMINISTRATION DATA TO
DETERMINE USE OF NEW PROCEDURE
3. What patient would be given to the most experienced nurse à 72-YEAR-OLD WITH
DM 1
4. You have 4 clients and they all have IV infusing check patient taking- CEFTATRIAX-
ONE IN 5% DEXTROSE
, 5. The UAP can be delegated to check the Colostomy and to à RECORD AMOUNT
6. The charge nurse should delegate the patient that à CARDIAC CATH, NO PEDAL
PULSES
7. A patient on Fall risk precaution should undergo a à MINI MENTAL STATE EXAM
8. Patient with DKA check BG - HOURLY GLUCOSE CHECKS
9. Male patient with metastatic lung cancer à ASK PALLIATIVE TEAM TO TALK TO
CLIENT
10. Male patient with pneumonia should be checked for what? O2 SAT, (CONFUSED)
SATA: 0730 2 clients with dm- DELIVER MEAL TRAYS, PERFORM CAP GLUCOSE
MEASUREMENTS
11. charge nurse assigns to PN- TELL PN THAT ASSISTANCE IS AVAILABLE if
needed
12. Women with metastatic pancreatic cancer- GIVE THEM DETAILED REPORT
13. If nurse is doing a sterile procedure and there’s a code blue. Nurse should à FINISH
PROCEDURE
14. Your old patient has septic shock. What do you maintain? MAINTAIN INTAKE &
OUTPUT
15. In a surgical unit, how do you determine who goes first à DETERMINE WHO IS
READY TO GO TO SURGERY
16. A nurse that gets reported & appears to committee because she à DOCUMENTED
BEFORE ASSESSING PATIENT
17. A nurse is leading a teaching program. What does she teach her students - COM-
PARE INFECTION BEFORE AND AFTER
1. Newly hired UAP expresses fear to collect a sputum from HIV patient
Determine the UAP’s knowledge about HIV transmission.
2. RN, PN, UAP are working as a team
The UAP obtains an oxygen saturation level while RN reports finding to the health care
provider.
3. The most immediate follow-up
An UAP is assigned to check a client for fecal impaction.
4. Nurse receives a prescription over the telephone
Administer a nebulizer breathing treatment.
5. Patient uses the call system alarm
Ask a coworker to respond to the client whose call bell is alarming.
6. Emergency room, who to take care first
A female client with severe right lower abdominal pain who is febrile and vomiting.
7. No heroic measures
Give detailed report to accepting nurse.
8. Evaluate cardiac monitor system
Organize a committee of ICU nurses to identify potential problems of the new monitor-
ing system.
9. Client has reported feeling of being constipated
Assist the client to drink warm prune juice.
10. Sequential compression devices
Report any change in color in the client’s feet or legs.
11. Respiratory therapist cross-trained avoiding HIV positive client
Provide the employee with feedback about the observed behavior.
12. Medication error remains unchanged
Examine medication administration data to determine use of new policy by nursing
staff.
, 13. Increase of nurse-to-patient ratio by 25%
Disseminate factual information to all nursing staff to avoid misinformation and ru-
mors.
14. Calculation: 10080FTEs / 72 hours= 17.5 round to the nearest tenth =18
15. Respiratory rate decreases 14/ min -> 6/ min -> 4/min
The decision regarding when to call the health care provider
16. Glucometer checks post 2 days consistently 50-60 mg/dl higher
Evaluate calibration of glucometer in use per manufacturer guidelines.
17. Receptionist is responsible for taking client calls. Who to call back first?
Casted right leg has a funny feeling tingling sensation.
18. Two clients in one room. One client has MRSA the other one neutropenia. What interven-
tion should the nurse implement?
Transfer client with neutropenia to a private room.
19. Signed witnessed DNR
Confirm current resuscitation wishes with client and family
20. Staffing formula is based on what?
An accurate patient classification system (PCS)
Skills of staff and client acuity.
2016 LEADERSHIP HESI EXAM V1-V3
1. Hospice nurse for end of life care à Make sure the patient’s MUCOUS MEMBRANE
IS MOIST
2. New policy to prevent med errors- EXAMINE MED ADMINISTRATION DATA TO
DETERMINE USE OF NEW PROCEDURE
3. What patient would be given to the most experienced nurse à 72-YEAR-OLD WITH
DM 1
4. You have 4 clients and they all have IV infusing check patient taking- CEFTATRIAX-
ONE IN 5% DEXTROSE
, 5. The UAP can be delegated to check the Colostomy and to à RECORD AMOUNT
6. The charge nurse should delegate the patient that à CARDIAC CATH, NO PEDAL
PULSES
7. A patient on Fall risk precaution should undergo a à MINI MENTAL STATE EXAM
8. Patient with DKA check BG - HOURLY GLUCOSE CHECKS
9. Male patient with metastatic lung cancer à ASK PALLIATIVE TEAM TO TALK TO
CLIENT
10. Male patient with pneumonia should be checked for what? O2 SAT, (CONFUSED)
SATA: 0730 2 clients with dm- DELIVER MEAL TRAYS, PERFORM CAP GLUCOSE
MEASUREMENTS
11. charge nurse assigns to PN- TELL PN THAT ASSISTANCE IS AVAILABLE if
needed
12. Women with metastatic pancreatic cancer- GIVE THEM DETAILED REPORT
13. If nurse is doing a sterile procedure and there’s a code blue. Nurse should à FINISH
PROCEDURE
14. Your old patient has septic shock. What do you maintain? MAINTAIN INTAKE &
OUTPUT
15. In a surgical unit, how do you determine who goes first à DETERMINE WHO IS
READY TO GO TO SURGERY
16. A nurse that gets reported & appears to committee because she à DOCUMENTED
BEFORE ASSESSING PATIENT
17. A nurse is leading a teaching program. What does she teach her students - COM-
PARE INFECTION BEFORE AND AFTER
