Hesi Nur 204 /Nur 204 Leadership And Management Hesi Final Exam
HESI NUR 204 /NUR 204 LEADERSHIP AND MANAGEMENT HESI FINAL EXAM
NEWEST 2025 COMPLETE 300 QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
During evacuation of a group of clients from a medical unit because of a fire, the nurse observes
an ambulatory client walking alone toward the stairway at the end of the hall. Which action
should the nurse take?
A: Assign an unlicensed assistive personnel to transport the client via a wheelchair.
B: Remind the client to walk carefully down the stairs until reaching a lower floor.
C: Ask the client to help by assisting a wheelchair-bound client to a nearby elevator.
D: Open the closest fire doors so that ambulatory clients can evacuate more rapidly. - ANSWER-
B
The nurse is planning care for a client with an indwelling urinary catheter. Which nursing action
has the highest priority?
A: Assist the client with daily cleansing.
B: Tell the client that incontinence happens with aging.
C: Offer 200 mL of fluid every 2 hours while awake.
D: Take the client's temperature every 4 hours. - ANSWER-A
(Note: taking pt's temp every 4hrs is routine practice unless ordered differently)
The nurse is preparing to change the bed of a client who is nonresponsive and receiving
continuous enteral tube feedings. What step must the nurse take prior to changing the bed? -
ANSWER-Stopping the feeding for 15 minutes prior to changing the bed, because CLIENT IS AT
RISK FOR ASPIRATION since the head of the bed has to be lowered for bed change; this will help
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, Hesi Nur 204 /Nur 204 Leadership And Management Hesi Final Exam
decompress the stomach and decrease the risk of aspiration. Should also check the feeding for
residual--if the feeding is not moving out of the stomach, notify the HCP.
Whose responsibility is it to obtain a client's signature on an operative permit? - ANSWER-The
surgeon's; they must explain the procedure to the client and obtain the client's signature on the
permit
The clinic nurse is taking the vital signs of a 1-year-old. Which finding should the nurse bring to
the attention of the healthcare provider?
A: Temperature: 97.5°F/36.4°C
B: Pulse: 80 beats/min
C: Respirations: 26 breaths/min
D: Blood pressure: 90/53 mm Hg - ANSWER-B: Pulse: 80 beats/min
The nurse is providing care to a client who had major abdominal surgery. Upon return from the
recovery room, the client's vital signs were at the preoperative baseline. The client was sleepy,
but arousable, and the skin was warm and dry to the touch. At the 1 hour post admission
assessment the nurse notes: heart rate 120 and thready, B/P 70/40 mm Hg, and the skin is cool
and clammy to the touch. What are the priority nursing actions? (Select all that apply.)
A: Call the healthcare provider.
B: Elevate the head of the bed.
C: Observe for restlessness/confusion.
D: Administer oxygen by re-breather mask.
E: Observe the abdominal bandage. - ANSWER-A, C, D, E
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, Hesi Nur 204 /Nur 204 Leadership And Management Hesi Final Exam
Rationale: The client is showing signs of hemorrhagic shock. This is a medical emergency. The
head of bed may need to be lowered or placed in Trendelenburg position to increase circulation
to the brain. The remaining selections are correct.
The nurse is talking with the spouse of a client admitted to the long-term care center. The client
has end-stage renal cancer and is admitted for palliative care while awaiting hospice placement.
The client often moans and groans, but is otherwise noncommunicative and somnolent. What
will the nurse include in the spouse's teaching regarding the care of the client? (Select all that
apply.)
A: Repositioning every 2 hours
B: Round-the-clock pain medication administration
C: Assessment for skin breakdown
D: Back rubs three times a day
E: Bathing twice a day - ANSWER-A, B, C, D
(Note: back rubs are ok!)
The client 12 hours after a laparotomy reports to the nurse a pain rating of 7-10. The nurse
reviews the medication orders and it is another hour before the client can have another dose of
pain medication. What actions can the nurse take to assist the client? (Select all that apply.)
A: Administer the IV pain medication an hour early.
B: Assist the client into side-lying, curled position.
C: Obtain a warm pack to apply to the site of the incision.
D: Suggest to the client taking 10 deep breaths, in through the nose and out through the mouth.
E: Help the client with sustained concentration of a personally pleasant topic. - ANSWER-B, C, D,
E
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, Hesi Nur 204 /Nur 204 Leadership And Management Hesi Final Exam
The postoperative nurse is reviewing the use of an incentive spirometer. Which instructions will
the nurse include in the client's teaching plan? (Select all that apply.)
A: Sit in an upright position.
B: Cough deeply three times.
C: Hold breath for 5 seconds after inhaling on the spirometer.
D: Place mouth securely around the mouthpiece of the spirometer.
E: Remove mouth from mouthpiece and exhale through the nose. - ANSWER-A, C, D
Rationale:After the spirometer is used the nurse can encourage deep coughing. The client
should exhale through pursed lips. The remaining steps are correct.
(Note: coughing AFTER using the incentive spirometer helps mobilize mucus/secretions better)
The nurse is teaching an obese client, newly diagnosed with arteriosclerosis, about reducing the
risk of a heart attack or stroke. Which health promotion brochure is most important for the
nurse to provide to this client?
A: "Monitoring Your Blood Pressure at Home"
B: "Smoking Cessation as a Lifelong Commitment"
C: "Decreasing Cholesterol Levels Through Diet"
D: "Stress Management for a Healthier You" - ANSWER-C
Rationale:A health promotion brochure about decreasing cholesterol is most important to
provide this client, because the most significant risk factor contributing to development of
arteriosclerosis is excess dietary fat, particularly saturated fat and cholesterol. Option A does
not address the underlying causes of arteriosclerosis. Options B and D are also important factors
for reversing arteriosclerosis but are not as important as lowering cholesterol.
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HESI NUR 204 /NUR 204 LEADERSHIP AND MANAGEMENT HESI FINAL EXAM
NEWEST 2025 COMPLETE 300 QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
During evacuation of a group of clients from a medical unit because of a fire, the nurse observes
an ambulatory client walking alone toward the stairway at the end of the hall. Which action
should the nurse take?
A: Assign an unlicensed assistive personnel to transport the client via a wheelchair.
B: Remind the client to walk carefully down the stairs until reaching a lower floor.
C: Ask the client to help by assisting a wheelchair-bound client to a nearby elevator.
D: Open the closest fire doors so that ambulatory clients can evacuate more rapidly. - ANSWER-
B
The nurse is planning care for a client with an indwelling urinary catheter. Which nursing action
has the highest priority?
A: Assist the client with daily cleansing.
B: Tell the client that incontinence happens with aging.
C: Offer 200 mL of fluid every 2 hours while awake.
D: Take the client's temperature every 4 hours. - ANSWER-A
(Note: taking pt's temp every 4hrs is routine practice unless ordered differently)
The nurse is preparing to change the bed of a client who is nonresponsive and receiving
continuous enteral tube feedings. What step must the nurse take prior to changing the bed? -
ANSWER-Stopping the feeding for 15 minutes prior to changing the bed, because CLIENT IS AT
RISK FOR ASPIRATION since the head of the bed has to be lowered for bed change; this will help
1|Page
, Hesi Nur 204 /Nur 204 Leadership And Management Hesi Final Exam
decompress the stomach and decrease the risk of aspiration. Should also check the feeding for
residual--if the feeding is not moving out of the stomach, notify the HCP.
Whose responsibility is it to obtain a client's signature on an operative permit? - ANSWER-The
surgeon's; they must explain the procedure to the client and obtain the client's signature on the
permit
The clinic nurse is taking the vital signs of a 1-year-old. Which finding should the nurse bring to
the attention of the healthcare provider?
A: Temperature: 97.5°F/36.4°C
B: Pulse: 80 beats/min
C: Respirations: 26 breaths/min
D: Blood pressure: 90/53 mm Hg - ANSWER-B: Pulse: 80 beats/min
The nurse is providing care to a client who had major abdominal surgery. Upon return from the
recovery room, the client's vital signs were at the preoperative baseline. The client was sleepy,
but arousable, and the skin was warm and dry to the touch. At the 1 hour post admission
assessment the nurse notes: heart rate 120 and thready, B/P 70/40 mm Hg, and the skin is cool
and clammy to the touch. What are the priority nursing actions? (Select all that apply.)
A: Call the healthcare provider.
B: Elevate the head of the bed.
C: Observe for restlessness/confusion.
D: Administer oxygen by re-breather mask.
E: Observe the abdominal bandage. - ANSWER-A, C, D, E
2|Page
, Hesi Nur 204 /Nur 204 Leadership And Management Hesi Final Exam
Rationale: The client is showing signs of hemorrhagic shock. This is a medical emergency. The
head of bed may need to be lowered or placed in Trendelenburg position to increase circulation
to the brain. The remaining selections are correct.
The nurse is talking with the spouse of a client admitted to the long-term care center. The client
has end-stage renal cancer and is admitted for palliative care while awaiting hospice placement.
The client often moans and groans, but is otherwise noncommunicative and somnolent. What
will the nurse include in the spouse's teaching regarding the care of the client? (Select all that
apply.)
A: Repositioning every 2 hours
B: Round-the-clock pain medication administration
C: Assessment for skin breakdown
D: Back rubs three times a day
E: Bathing twice a day - ANSWER-A, B, C, D
(Note: back rubs are ok!)
The client 12 hours after a laparotomy reports to the nurse a pain rating of 7-10. The nurse
reviews the medication orders and it is another hour before the client can have another dose of
pain medication. What actions can the nurse take to assist the client? (Select all that apply.)
A: Administer the IV pain medication an hour early.
B: Assist the client into side-lying, curled position.
C: Obtain a warm pack to apply to the site of the incision.
D: Suggest to the client taking 10 deep breaths, in through the nose and out through the mouth.
E: Help the client with sustained concentration of a personally pleasant topic. - ANSWER-B, C, D,
E
3|Page
, Hesi Nur 204 /Nur 204 Leadership And Management Hesi Final Exam
The postoperative nurse is reviewing the use of an incentive spirometer. Which instructions will
the nurse include in the client's teaching plan? (Select all that apply.)
A: Sit in an upright position.
B: Cough deeply three times.
C: Hold breath for 5 seconds after inhaling on the spirometer.
D: Place mouth securely around the mouthpiece of the spirometer.
E: Remove mouth from mouthpiece and exhale through the nose. - ANSWER-A, C, D
Rationale:After the spirometer is used the nurse can encourage deep coughing. The client
should exhale through pursed lips. The remaining steps are correct.
(Note: coughing AFTER using the incentive spirometer helps mobilize mucus/secretions better)
The nurse is teaching an obese client, newly diagnosed with arteriosclerosis, about reducing the
risk of a heart attack or stroke. Which health promotion brochure is most important for the
nurse to provide to this client?
A: "Monitoring Your Blood Pressure at Home"
B: "Smoking Cessation as a Lifelong Commitment"
C: "Decreasing Cholesterol Levels Through Diet"
D: "Stress Management for a Healthier You" - ANSWER-C
Rationale:A health promotion brochure about decreasing cholesterol is most important to
provide this client, because the most significant risk factor contributing to development of
arteriosclerosis is excess dietary fat, particularly saturated fat and cholesterol. Option A does
not address the underlying causes of arteriosclerosis. Options B and D are also important factors
for reversing arteriosclerosis but are not as important as lowering cholesterol.
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