HESI Management Practice Exam
questions and answers 2024\2025 A+
Grade
The nurse is preparing assignments for the day shift. It is most important that the client with which
diagnosis and description is assigned to a registered nurse?
- correct answer Depression: Admitted during the night, following a suicide attempt with an overdose of
Tylenol
During report, the charge nurse informs a nurse that she must work on another unit. The nurse begins to
sign deeply and tosses about her belongings as she is preparing to leave, making it known that she is
very unhappy about having to "float." What is the best immediate action for the charge nurse to take?
- correct answer Continue with report, and talk to the nurse about the incident at a later time.
A 15-year-old sexually active girl diagnosed with pelvic inflammatory disease (PID) is admitted to the
hospital with a temperature of 101.6° F and a purulent vaginal discharge. She has no insurance and tells
the nurse she enjoys small children. Which room should the nurse assign this client?
- correct answer A private room
The registered nurse (RN) and unlicensed assisted personnel (UAP) are working together to provide care
for a bedfast client needing total care, medication, and Foley catheter irrigation. How should the RN
assign the client's care?
- correct answer UAP: Personal care, I&O. RN: Catheter irrigation, medications
The charge nurse assigns the care of a client with diabetes who has hyperglycemia to a practical nurse
(PN). In supervising the PN, what is the charge nurse's most important action?
- correct answer Confer with the PN about any manifestations the client is exhibiting.
A registered nurse (RN) is caring for several clients on a progressive care "step-down" unit. After
assessing the clients, which clerical task should the nurse assign to a unlicensed assistive personnel
(UAP)?
, - correct answer Transcribe the vital signs from a unit worksheet to the individual graphic page in the
client charts
Which situation requires intervention by the nurse who is caring for a terminally ill client in a hospital?
- correct answer The case manager notifies the family that the critical pathway requires transfer to a
hospice facility.
The unlicensed assistive personnel (UAP) reports morning vital signs to the primary nurse. Which client
should the nurse assess first? The client who is
- correct answer diagnosed with pneumonia and has a respiratory rate of 26 breaths/min.
A female client is receiving an enteral feeding via nasogastric feeding tube. The daughter reports to the
charge nurse that her mother is coughing vigorously and sounds congested. Which staff member should
the charge nurse ask to check on the client?
- correct answer Registered Nurse (RN) who is entering nursing notes at the computer
The charge nurse, along with two registered nurses (RN), one practical nurse (PN), and one unlicensed
assistive personnel (UAP), is working in an emergency department. What activity should be assigned to
the UAP?
- correct answer Transport a client diagnosed with septicemia to the medical unit.
The charge nurse working in a long-term care facility is informed by the LPN that a client's son is
unhappy with the care his mother is receiving. What action should the nurse take first?
- correct answer Discuss with the LPN the son's concerns about his mother's care
When the charge nurse is making assignments, which tasks can be assigned to an unlicensed assistive
personnel (UAP)?
- correct answer Take vital signs, give a cleansing enema, and apply soft restraints to an older client.
The charge nurse is assigning a room for a newly-admitted client, diagnosed with acute Pneumocystis
carinii pneumonia, secondary to acquired immunodeficiency syndrome (AIDS). Which room would be
best to assign to this client?
- correct answer A semi-private room that does not have a client in the other bed at this time
questions and answers 2024\2025 A+
Grade
The nurse is preparing assignments for the day shift. It is most important that the client with which
diagnosis and description is assigned to a registered nurse?
- correct answer Depression: Admitted during the night, following a suicide attempt with an overdose of
Tylenol
During report, the charge nurse informs a nurse that she must work on another unit. The nurse begins to
sign deeply and tosses about her belongings as she is preparing to leave, making it known that she is
very unhappy about having to "float." What is the best immediate action for the charge nurse to take?
- correct answer Continue with report, and talk to the nurse about the incident at a later time.
A 15-year-old sexually active girl diagnosed with pelvic inflammatory disease (PID) is admitted to the
hospital with a temperature of 101.6° F and a purulent vaginal discharge. She has no insurance and tells
the nurse she enjoys small children. Which room should the nurse assign this client?
- correct answer A private room
The registered nurse (RN) and unlicensed assisted personnel (UAP) are working together to provide care
for a bedfast client needing total care, medication, and Foley catheter irrigation. How should the RN
assign the client's care?
- correct answer UAP: Personal care, I&O. RN: Catheter irrigation, medications
The charge nurse assigns the care of a client with diabetes who has hyperglycemia to a practical nurse
(PN). In supervising the PN, what is the charge nurse's most important action?
- correct answer Confer with the PN about any manifestations the client is exhibiting.
A registered nurse (RN) is caring for several clients on a progressive care "step-down" unit. After
assessing the clients, which clerical task should the nurse assign to a unlicensed assistive personnel
(UAP)?
, - correct answer Transcribe the vital signs from a unit worksheet to the individual graphic page in the
client charts
Which situation requires intervention by the nurse who is caring for a terminally ill client in a hospital?
- correct answer The case manager notifies the family that the critical pathway requires transfer to a
hospice facility.
The unlicensed assistive personnel (UAP) reports morning vital signs to the primary nurse. Which client
should the nurse assess first? The client who is
- correct answer diagnosed with pneumonia and has a respiratory rate of 26 breaths/min.
A female client is receiving an enteral feeding via nasogastric feeding tube. The daughter reports to the
charge nurse that her mother is coughing vigorously and sounds congested. Which staff member should
the charge nurse ask to check on the client?
- correct answer Registered Nurse (RN) who is entering nursing notes at the computer
The charge nurse, along with two registered nurses (RN), one practical nurse (PN), and one unlicensed
assistive personnel (UAP), is working in an emergency department. What activity should be assigned to
the UAP?
- correct answer Transport a client diagnosed with septicemia to the medical unit.
The charge nurse working in a long-term care facility is informed by the LPN that a client's son is
unhappy with the care his mother is receiving. What action should the nurse take first?
- correct answer Discuss with the LPN the son's concerns about his mother's care
When the charge nurse is making assignments, which tasks can be assigned to an unlicensed assistive
personnel (UAP)?
- correct answer Take vital signs, give a cleansing enema, and apply soft restraints to an older client.
The charge nurse is assigning a room for a newly-admitted client, diagnosed with acute Pneumocystis
carinii pneumonia, secondary to acquired immunodeficiency syndrome (AIDS). Which room would be
best to assign to this client?
- correct answer A semi-private room that does not have a client in the other bed at this time
