Hesi Leadership Exam 2025/2026 With all 100 Questions
and Correct Answers Graded A+/ RN Hesi Leadership
Exam Latest Prep Qs and Correct As(Newest!)
Question:1
A new graduate nurse is employed in a small community hospital. The nurse
notices practices which seem to be very physician driven and that patients have
little input into their care. Families are seen as a nuisance rather than as partners
in potential care provision. What is the best approach for the new nurse to use for
improving care in this setting?
a)Do nothing. They are too new to the organization to make change.
b)Share with the physician the recommendations from various IOM reports.
c)Share with their team members what they know about the aims of providing
health care.
d)Report the team members to the chief nursing officer who is unlikely to know
the lack of details on this unit. ..ANSWER..C
1|Page
,Question:2
Mr. Grandion was admitted to a rehabilitation center after discharge from a
hospital. He has not walked in the 5 days while he was hospitalized and is
provided a wheelchair. Dining with other residents is expected, and staffing is
limited on a holiday weekend. What is the best strategy to ensure Mr. Grandion
has sufficient nutrition and exercise?
a)Tell Mr. Grandion to stay in bed and someone will bring a tray to his room
because the staff can't get him to the dining room in time for dinner
b)Assist Mr. Grandion into his wheelchair and remind him that in 2 hours he must
be in the dining room if he wishes to eat.
c)Request help from another unit before dinner and indicate the nature of help
needed.
d)Order a life device to transfer Mr. Grandion from his bed to the wheelchair.
..ANSWER..c
Question:3
When entering the postoperative care unit, the nurse manager notices that the
temporary agency nurse has incorrectly entered the rate of infusion for the
patient's vasopressor medication, and the arterial line blood pressure has a
reading of 76/40 mmHg. After discontinuing the intravenous medication infusion,
what is the nurse manager's next intervention?
a)Notify the nurse in charge of the unit.
b)Ask if there is an assigned resource nurse to serve as mentor for the temporary
nurse.
c)Ask if there are standing orders for interventions for hypotension.
d)Ask if the temporary nurse has had an orientation to the unit. ..ANSWER..C
2|Page
, Question:4
An incident report of the incident described in the previous question needs to be
completed. What is the appropriate wording to be included in the incident
report?
a)"Patient was noted to have a low arterial blood pressure (76/40), and the
vasopressor medication was discontinued."
b)"Patient's vasopressor medication was infusing at a higher rate than ordered
and the medication was discontinued when the patient's blood pressure dropped
to 76/40."
c)"Nurse M.J. started the vasopressor medication, the patient subsequently was
noted to have a blood pressure reading of 76/40, the medication was
discontinued, and the physician was also notified."
d)"Patient receiving vasopressor medication intravenously, blood pressure noted
to be 76/40, and intravenous infusion discontinued. Physician notified and orders
received for 500 mL normal saline administered for hypotension." ..ANSWER..D
Question:5
The nurse is needing to provide information for Foley catheter insertion to a
patient in the patient's primary language. Which action would the nurse follow for
the best outcome in this situation?
a) Assume the process of translating "word for word" is sufficient when a
treatment is ordered for a culturally diverse patient.
b) Request an English-speaking family member to provide the translation to the
patient about the treatment.
c) Create a cross-cultural semantic or word equivalency vocabulary list for the
nursing unit to use with patient.
3|Page
and Correct Answers Graded A+/ RN Hesi Leadership
Exam Latest Prep Qs and Correct As(Newest!)
Question:1
A new graduate nurse is employed in a small community hospital. The nurse
notices practices which seem to be very physician driven and that patients have
little input into their care. Families are seen as a nuisance rather than as partners
in potential care provision. What is the best approach for the new nurse to use for
improving care in this setting?
a)Do nothing. They are too new to the organization to make change.
b)Share with the physician the recommendations from various IOM reports.
c)Share with their team members what they know about the aims of providing
health care.
d)Report the team members to the chief nursing officer who is unlikely to know
the lack of details on this unit. ..ANSWER..C
1|Page
,Question:2
Mr. Grandion was admitted to a rehabilitation center after discharge from a
hospital. He has not walked in the 5 days while he was hospitalized and is
provided a wheelchair. Dining with other residents is expected, and staffing is
limited on a holiday weekend. What is the best strategy to ensure Mr. Grandion
has sufficient nutrition and exercise?
a)Tell Mr. Grandion to stay in bed and someone will bring a tray to his room
because the staff can't get him to the dining room in time for dinner
b)Assist Mr. Grandion into his wheelchair and remind him that in 2 hours he must
be in the dining room if he wishes to eat.
c)Request help from another unit before dinner and indicate the nature of help
needed.
d)Order a life device to transfer Mr. Grandion from his bed to the wheelchair.
..ANSWER..c
Question:3
When entering the postoperative care unit, the nurse manager notices that the
temporary agency nurse has incorrectly entered the rate of infusion for the
patient's vasopressor medication, and the arterial line blood pressure has a
reading of 76/40 mmHg. After discontinuing the intravenous medication infusion,
what is the nurse manager's next intervention?
a)Notify the nurse in charge of the unit.
b)Ask if there is an assigned resource nurse to serve as mentor for the temporary
nurse.
c)Ask if there are standing orders for interventions for hypotension.
d)Ask if the temporary nurse has had an orientation to the unit. ..ANSWER..C
2|Page
, Question:4
An incident report of the incident described in the previous question needs to be
completed. What is the appropriate wording to be included in the incident
report?
a)"Patient was noted to have a low arterial blood pressure (76/40), and the
vasopressor medication was discontinued."
b)"Patient's vasopressor medication was infusing at a higher rate than ordered
and the medication was discontinued when the patient's blood pressure dropped
to 76/40."
c)"Nurse M.J. started the vasopressor medication, the patient subsequently was
noted to have a blood pressure reading of 76/40, the medication was
discontinued, and the physician was also notified."
d)"Patient receiving vasopressor medication intravenously, blood pressure noted
to be 76/40, and intravenous infusion discontinued. Physician notified and orders
received for 500 mL normal saline administered for hypotension." ..ANSWER..D
Question:5
The nurse is needing to provide information for Foley catheter insertion to a
patient in the patient's primary language. Which action would the nurse follow for
the best outcome in this situation?
a) Assume the process of translating "word for word" is sufficient when a
treatment is ordered for a culturally diverse patient.
b) Request an English-speaking family member to provide the translation to the
patient about the treatment.
c) Create a cross-cultural semantic or word equivalency vocabulary list for the
nursing unit to use with patient.
3|Page
