6/28/25, 7:14 PM
HESI RN LEADERSHIP AND MANAGEMENT ACTUAL EXAM
2025 \2026 \NEWEST VERSION WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS
\VERIFIED ANSWERS \ALREADY GRADED A+
1.A nurse is performing A 21 year old with a history of a kidney transplant. Today
telephone triage at the clinic the client reports flu-like symptoms with a fever of
office. Which client has the 100.4 F (38 C)
most acute problem and
should be scheduled for
the first available
appointment?
2.The nurse is admitting a Measure Vital Signs
woman who has an
arteriovenous (AV) fistula
in her right arm that is
used for hemodialysis. She
missed her last hemodialysis
session and is experiencing
shortness of breath and an
irregular heartbeat. Which
action should the nurse
assign to the UPA who is
working with the nurse?
3.The nurse should assess Paresthesia secondary to an arterial occlusion
the client with which
problem first?
4.A young adult client with Initiate a review of the situation by the hospital's ethics committee.
a brain tumor refuses
further treatment and
requests to be allowed to
die a natural death. The
healthcare provides does
/ 1/45
,6/28/25, 9:51 PM Leadership and Management Hesi Exam
not agree with the client's
decision and refuses to
write do-not-resuscitate
instructions. Which
action should the nurse
take?
5.A healthcare provider Read all of the new prescriptions for the client written by the
notifies the nurse that new provider
prescriptions have been
written
for a client. Which is the 1st
action the nurse should
implement?
6.The nurse is observing the Unlicensed assistive personnel wearing a mask to take client's
staff provide care to a client blood pressure.
with acquired immune
deficiency syndrome
7.The nurse caring for a Increasing Pulse Pressure
client with bacterial
meningitis is preparing
report for the
oncoming nurse. It is
most important to include
which assessment finding
in the report?
8.The charge nurse notices Provide the employee with feedback about observed behavior
that a
respiratory therapist who
has been cross- trained to
work as a phlebotomist
and
unlicensed assistive
personnel (UAP) seems to
be avoiding HIV positive
clients
2/45
,6/28/25, 9:51 PM Leadership and Management Hesi Exam
9.The nursing supervisor sends Observe the UAP obtain a fingerstick glucose level using the
an glucometer.
unlicensed assistant
personnel ( UAP) to a
medical unit to replace an
absent UAP.
When delegating the task of
obtaining client's blood
sugar levels using a
glucometer, which action is
most important for the
nurse to implement?
10.The nurse manager Conduct a closer examination of staff nurse's distribution
conducts regular audits of of pain medication from evening shift
patient care medication
records and notices that
the amount of narcotic
pain medications
administered during the
evening shift on a
postsurgical unit
11.The smell of cigarette Educate the client about the hospital smoking policy.
smoke is coming from a
client's bathroom. Which
action
should the nurse
12.The practical nurse (PN) Confirm the findings of the PN while securing the
reports to the charge nurse transparent dressing and notify the healthcare
that the transparent dressing provider.
covering a single lumen
central venous
catheter inserted in the
subclavian vein of a client
has come loose and the
insertion site is inflamed.
Which action should the
charge nurse implement?
3/45
, 6/28/25, 9:51 PM Leadership and Management Hesi Exam
13.At 0200 the nurse phones Call the healthcare or back, and report that the dosage
the healthcare provider to prescribed is our times the normal dosage.
request a PRN medication
for a client who is unable
to sleep. The
healthcare provider is
awakened and gives the
nurse a prescription for four
times the normal dosage.
When questioned by the
nurse, the healthcare
provider responds in a
sleepy
4/45
HESI RN LEADERSHIP AND MANAGEMENT ACTUAL EXAM
2025 \2026 \NEWEST VERSION WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS
\VERIFIED ANSWERS \ALREADY GRADED A+
1.A nurse is performing A 21 year old with a history of a kidney transplant. Today
telephone triage at the clinic the client reports flu-like symptoms with a fever of
office. Which client has the 100.4 F (38 C)
most acute problem and
should be scheduled for
the first available
appointment?
2.The nurse is admitting a Measure Vital Signs
woman who has an
arteriovenous (AV) fistula
in her right arm that is
used for hemodialysis. She
missed her last hemodialysis
session and is experiencing
shortness of breath and an
irregular heartbeat. Which
action should the nurse
assign to the UPA who is
working with the nurse?
3.The nurse should assess Paresthesia secondary to an arterial occlusion
the client with which
problem first?
4.A young adult client with Initiate a review of the situation by the hospital's ethics committee.
a brain tumor refuses
further treatment and
requests to be allowed to
die a natural death. The
healthcare provides does
/ 1/45
,6/28/25, 9:51 PM Leadership and Management Hesi Exam
not agree with the client's
decision and refuses to
write do-not-resuscitate
instructions. Which
action should the nurse
take?
5.A healthcare provider Read all of the new prescriptions for the client written by the
notifies the nurse that new provider
prescriptions have been
written
for a client. Which is the 1st
action the nurse should
implement?
6.The nurse is observing the Unlicensed assistive personnel wearing a mask to take client's
staff provide care to a client blood pressure.
with acquired immune
deficiency syndrome
7.The nurse caring for a Increasing Pulse Pressure
client with bacterial
meningitis is preparing
report for the
oncoming nurse. It is
most important to include
which assessment finding
in the report?
8.The charge nurse notices Provide the employee with feedback about observed behavior
that a
respiratory therapist who
has been cross- trained to
work as a phlebotomist
and
unlicensed assistive
personnel (UAP) seems to
be avoiding HIV positive
clients
2/45
,6/28/25, 9:51 PM Leadership and Management Hesi Exam
9.The nursing supervisor sends Observe the UAP obtain a fingerstick glucose level using the
an glucometer.
unlicensed assistant
personnel ( UAP) to a
medical unit to replace an
absent UAP.
When delegating the task of
obtaining client's blood
sugar levels using a
glucometer, which action is
most important for the
nurse to implement?
10.The nurse manager Conduct a closer examination of staff nurse's distribution
conducts regular audits of of pain medication from evening shift
patient care medication
records and notices that
the amount of narcotic
pain medications
administered during the
evening shift on a
postsurgical unit
11.The smell of cigarette Educate the client about the hospital smoking policy.
smoke is coming from a
client's bathroom. Which
action
should the nurse
12.The practical nurse (PN) Confirm the findings of the PN while securing the
reports to the charge nurse transparent dressing and notify the healthcare
that the transparent dressing provider.
covering a single lumen
central venous
catheter inserted in the
subclavian vein of a client
has come loose and the
insertion site is inflamed.
Which action should the
charge nurse implement?
3/45
, 6/28/25, 9:51 PM Leadership and Management Hesi Exam
13.At 0200 the nurse phones Call the healthcare or back, and report that the dosage
the healthcare provider to prescribed is our times the normal dosage.
request a PRN medication
for a client who is unable
to sleep. The
healthcare provider is
awakened and gives the
nurse a prescription for four
times the normal dosage.
When questioned by the
nurse, the healthcare
provider responds in a
sleepy
4/45
