LEADERSHIP MANAGEMENT HESI EXIT EXAM 2024–
2025 – 150 VERIFIED QUESTIONS AND DETAILED
ANSWERS || 100% GUARANTEED PASS <RECENT
VERSION>
Delegation & Supervision
1. A registered nurse (RN) is delegating tasks to a licensed practical nurse
(LPN) and an unlicensed assistive personnel (UAP). Which client should
the RN assign to the LPN?
A. A client who requires assistance with ambulation.
B. A client who requires routine vital signs every 4 hours.
C. A client who requires sterile wound irrigation.
D. A client who requires feeding.
Answer: C (Sterile procedures and client assessments are within the
LPN's scope with appropriate training, while UAPs can perform tasks like A,
B, and D.)
2. The nurse is supervising a UAP. Which action by the UAP requires
immediate intervention?
A. Providing a bed bath for a client on contact precautions.
, B. Ambulating a client who is post-operative day 1.
C. Refilling a nasogastric tube feeding bag.
D. Reporting a client's complaint of chest pain to the nurse.
Answer: C (Refilling or adjusting tube feedings is typically outside the
UAP's scope and requires nursing assessment and intervention.)
3. According to the "Five Rights of Delegation," which right is the nurse
upholding when considering the client's current condition and the
UAP's skill set?
A. Right Task
B. Right Circumstance
C. Right Person
D. Right Direction/Communication
Answer: B
4. An LPN reports that a client's blood pressure is 88/50 mmHg. What is
the RN's priority action?
A. Ask the LPN to recheck the blood pressure in 30 minutes.
B. Delegate to the UAP to take a full set of vital signs.
C. Assess the client immediately.
D. Document the finding in the client's chart.
, Answer: C (The RN cannot delegate the nursing process. Assessment
and analysis of this critical data require the RN's immediate action.)
5. A UAP tells the nurse, "The client in room 204 says his pain is a 9 out of
10." What is the nurse's best response?
A. "Please tell him I will be there in a few minutes."
B. "Thank you for telling me. I will assess him right now."
C. "Can you please get him a warm blanket to help him relax?"
D. "Please document that in the flow sheet."
Answer: B (The UAP has fulfilled their role by reporting. The RN must
now assess the client and initiate appropriate interventions.)
Prioritization & Time Management
6. The nurse is caring for four clients. Which client should the nurse see
first?
A. A client with diabetes whose blood glucose is 180 mg/dL.
B. A client with COPD with an oxygen saturation of 92% on 2L nasal
cannula.
C. A post-op abdominal surgery client with no bowel sounds.
D. A client with heart failure who reports new-onset shortness of breath.
Answer: D (New-onset shortness of breath in a heart failure client
, indicates potential acute decompensation and is an
airway/breathing/circulation priority.)
7. Using Maslow's Hierarchy of Needs, which client need is the priority?
A. The need for spiritual fulfillment.
B. The need to feel a sense of belonging.
C. The need for oxygenation.
D. The need for learning.
Answer: C (Physiological needs, especially airway, breathing, and
circulation, form the base of the pyramid and are always the priority.)
8. The nurse receives the following reports on four clients. Which client
should be assessed first?
A. A client 2 hours post-catheterization with a cool foot.
B. A client scheduled for a colonoscopy in 1 hour.
C. A client requesting pain medication for a headache.
D. A client who needs discharge teaching.
Answer: A (A cool extremity post-catheterization could indicate
vascular compromise or thrombosis, an urgent circulatory issue.)
9. Which task is the most appropriate for the nurse to delegate when
feeling overwhelmed?
2025 – 150 VERIFIED QUESTIONS AND DETAILED
ANSWERS || 100% GUARANTEED PASS <RECENT
VERSION>
Delegation & Supervision
1. A registered nurse (RN) is delegating tasks to a licensed practical nurse
(LPN) and an unlicensed assistive personnel (UAP). Which client should
the RN assign to the LPN?
A. A client who requires assistance with ambulation.
B. A client who requires routine vital signs every 4 hours.
C. A client who requires sterile wound irrigation.
D. A client who requires feeding.
Answer: C (Sterile procedures and client assessments are within the
LPN's scope with appropriate training, while UAPs can perform tasks like A,
B, and D.)
2. The nurse is supervising a UAP. Which action by the UAP requires
immediate intervention?
A. Providing a bed bath for a client on contact precautions.
, B. Ambulating a client who is post-operative day 1.
C. Refilling a nasogastric tube feeding bag.
D. Reporting a client's complaint of chest pain to the nurse.
Answer: C (Refilling or adjusting tube feedings is typically outside the
UAP's scope and requires nursing assessment and intervention.)
3. According to the "Five Rights of Delegation," which right is the nurse
upholding when considering the client's current condition and the
UAP's skill set?
A. Right Task
B. Right Circumstance
C. Right Person
D. Right Direction/Communication
Answer: B
4. An LPN reports that a client's blood pressure is 88/50 mmHg. What is
the RN's priority action?
A. Ask the LPN to recheck the blood pressure in 30 minutes.
B. Delegate to the UAP to take a full set of vital signs.
C. Assess the client immediately.
D. Document the finding in the client's chart.
, Answer: C (The RN cannot delegate the nursing process. Assessment
and analysis of this critical data require the RN's immediate action.)
5. A UAP tells the nurse, "The client in room 204 says his pain is a 9 out of
10." What is the nurse's best response?
A. "Please tell him I will be there in a few minutes."
B. "Thank you for telling me. I will assess him right now."
C. "Can you please get him a warm blanket to help him relax?"
D. "Please document that in the flow sheet."
Answer: B (The UAP has fulfilled their role by reporting. The RN must
now assess the client and initiate appropriate interventions.)
Prioritization & Time Management
6. The nurse is caring for four clients. Which client should the nurse see
first?
A. A client with diabetes whose blood glucose is 180 mg/dL.
B. A client with COPD with an oxygen saturation of 92% on 2L nasal
cannula.
C. A post-op abdominal surgery client with no bowel sounds.
D. A client with heart failure who reports new-onset shortness of breath.
Answer: D (New-onset shortness of breath in a heart failure client
, indicates potential acute decompensation and is an
airway/breathing/circulation priority.)
7. Using Maslow's Hierarchy of Needs, which client need is the priority?
A. The need for spiritual fulfillment.
B. The need to feel a sense of belonging.
C. The need for oxygenation.
D. The need for learning.
Answer: C (Physiological needs, especially airway, breathing, and
circulation, form the base of the pyramid and are always the priority.)
8. The nurse receives the following reports on four clients. Which client
should be assessed first?
A. A client 2 hours post-catheterization with a cool foot.
B. A client scheduled for a colonoscopy in 1 hour.
C. A client requesting pain medication for a headache.
D. A client who needs discharge teaching.
Answer: A (A cool extremity post-catheterization could indicate
vascular compromise or thrombosis, an urgent circulatory issue.)
9. Which task is the most appropriate for the nurse to delegate when
feeling overwhelmed?
