1|Page
Hesi Leadership Exam 2025 With all 100 Questions
and Correct Answers Graded A+/ RN Hesi
Leadership Exam Latest Prep Qs and Correct
As(Newest!)
1.A nurse is performing telephone triage at the clinic
office. Which client has the most acute problem and
should be scheduled for the first available appointment? -
...✔✔ANSWER✔✔...A 21 year old with a history of a kidney
transplant. Today the client reports flu-like symptoms
with a fever of 100.4 F (38 C)
2.The nurse is admitting a 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? -
...✔✔ANSWER✔✔...Measure Vital Signs
3.The nurse should assess the client with which problem
first? - ...✔✔ANSWER✔✔...Paresthesia secondary to an
arterial occlusion
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4.A young adult client with a brain tumor refuses further
treatment and requests to be allowed to die a natural
death. The healthcare provides does not agree with the
client's decision and refuses to write do-not-resuscitate
instructions. Which action should the nurse take? -
...✔✔ANSWER✔✔...Initiate a review of the situation by the
hospital's ethics committee.
5.A healthcare provider notifies the nurse that new
prescriptions have been written for a client. Which is the
1st action the nurse should implement? -
...✔✔ANSWER✔✔...Read all of the new prescriptions for
the client written by the provider
6.The nurse is observing the staff provide care to a client
with acquired immune deficiency syndrome -
...✔✔ANSWER✔✔...Unlicensed assistive personnel
wearing a mask to take client's blood pressure.
7.The nurse caring for a client with bacterial meningitis is
preparing report for the oncoming nurse. It is most
important to include which assessment finding in the
report? - ...✔✔ANSWER✔✔...Increasing Pulse Pressure
,3|Page
8.The charge nurse notices 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 - ...✔✔ANSWER✔✔...Provide
the employee with feedback about observed behavior
9.The nursing supervisor sends an 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? -
...✔✔ANSWER✔✔...Observe the UAP obtain a fingerstick
glucose level using the glucometer.
10.The nurse manager conducts regular audits of patient
care medication records and notices that the amount of
narcotic pain medications administered during the
evening shift on a postsurgical unit -
...✔✔ANSWER✔✔...Conduct a closer examination of staff
nurse's distribution of pain medication from evening shift
11.The smell of cigarette smoke is coming from a client's
bathroom. Which action should the nurse -
...✔✔ANSWER✔✔...Educate the client about the hospital
smoking policy.
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12.The practical nurse (PN) reports to the charge nurse
that the transparent dressing 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? -
...✔✔ANSWER✔✔...Confirm the findings of the PN while
securing the transparent dressing and notify the
healthcare provider.
13.At 0200 the nurse phones the healthcare provider to
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 - ...✔✔ANSWER✔✔...Call the
healthcare or back, and report that the dosage prescribed
is our times the normal dosage.
14.The charge nurse notices that a female practical nurse
(PN), who has a long work history on the unit and is a
valued employee, seems tired and slow to respond
verbally during the change of shift report. One hour later
the charge nurse overhears the PN telling an unlicensed
assistive personnel (UAP) that she took a sleeping pill 4
Hesi Leadership Exam 2025 With all 100 Questions
and Correct Answers Graded A+/ RN Hesi
Leadership Exam Latest Prep Qs and Correct
As(Newest!)
1.A nurse is performing telephone triage at the clinic
office. Which client has the most acute problem and
should be scheduled for the first available appointment? -
...✔✔ANSWER✔✔...A 21 year old with a history of a kidney
transplant. Today the client reports flu-like symptoms
with a fever of 100.4 F (38 C)
2.The nurse is admitting a 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? -
...✔✔ANSWER✔✔...Measure Vital Signs
3.The nurse should assess the client with which problem
first? - ...✔✔ANSWER✔✔...Paresthesia secondary to an
arterial occlusion
,2|Page
4.A young adult client with a brain tumor refuses further
treatment and requests to be allowed to die a natural
death. The healthcare provides does not agree with the
client's decision and refuses to write do-not-resuscitate
instructions. Which action should the nurse take? -
...✔✔ANSWER✔✔...Initiate a review of the situation by the
hospital's ethics committee.
5.A healthcare provider notifies the nurse that new
prescriptions have been written for a client. Which is the
1st action the nurse should implement? -
...✔✔ANSWER✔✔...Read all of the new prescriptions for
the client written by the provider
6.The nurse is observing the staff provide care to a client
with acquired immune deficiency syndrome -
...✔✔ANSWER✔✔...Unlicensed assistive personnel
wearing a mask to take client's blood pressure.
7.The nurse caring for a client with bacterial meningitis is
preparing report for the oncoming nurse. It is most
important to include which assessment finding in the
report? - ...✔✔ANSWER✔✔...Increasing Pulse Pressure
,3|Page
8.The charge nurse notices 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 - ...✔✔ANSWER✔✔...Provide
the employee with feedback about observed behavior
9.The nursing supervisor sends an 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? -
...✔✔ANSWER✔✔...Observe the UAP obtain a fingerstick
glucose level using the glucometer.
10.The nurse manager conducts regular audits of patient
care medication records and notices that the amount of
narcotic pain medications administered during the
evening shift on a postsurgical unit -
...✔✔ANSWER✔✔...Conduct a closer examination of staff
nurse's distribution of pain medication from evening shift
11.The smell of cigarette smoke is coming from a client's
bathroom. Which action should the nurse -
...✔✔ANSWER✔✔...Educate the client about the hospital
smoking policy.
, 4|Page
12.The practical nurse (PN) reports to the charge nurse
that the transparent dressing 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? -
...✔✔ANSWER✔✔...Confirm the findings of the PN while
securing the transparent dressing and notify the
healthcare provider.
13.At 0200 the nurse phones the healthcare provider to
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 - ...✔✔ANSWER✔✔...Call the
healthcare or back, and report that the dosage prescribed
is our times the normal dosage.
14.The charge nurse notices that a female practical nurse
(PN), who has a long work history on the unit and is a
valued employee, seems tired and slow to respond
verbally during the change of shift report. One hour later
the charge nurse overhears the PN telling an unlicensed
assistive personnel (UAP) that she took a sleeping pill 4
