1|Page
HESI PN Leadership Exit Exam 2025 — Study Guide,
Practice Questions & Practical Nursing Leadership Prep
Prepare for the HESI PN Leadership Exit Exam 2025 with a complete study guide, practice
questions, and review materials. Learn essential leadership, delegation, communication,
patient safety, and management skills to excel in your Practical Nursing leadership exit
exam and advance your nursing career.
• HESI PN Leadership Exit 2025
• HESI Practical Nursing leadership exam
• PN leadership exit study guide
• HESI PN practice test questions
The nurse is preparing to administer medications to an assigned client and notes that the prescription
for furosemide (Lasix) is higher than the recommended dosage. The nurse calls the health care provider
to clarify the prescription and asks the health care provider to prescribe a dosage within the
recommended range. The health care provider refuses to change the prescription and instructs the
nurse to administer the dose as prescribed. Which action should the nurse take? - ANSWER-Contact the
nursing supervisor.
The nurse discovers that one of her assigned clients is bleeding excessively from an abdominal incision.
The nurse gives specific prescriptions to an unlicensed assistive personnel (UAP) to attend to the other
clients and tells another nurse to call the health care provider immediately. In this situation, the nurse is
implementing which leadership style? - ANSWER-Autocratic
A client who had a lung resection for cancer has been told that bone metastasis has occurred. The client
is considering megavitamin and diet therapy because the original surgery did not provide a cure. The
client asks the nurse for an opinion of these therapies. In formulating a response, the nurse incorporates
which concepts? - ANSWER-The client's right to autonomy and the nurse's obligation to behave ethically
,2|Page
The nurse shares with a client that violation of a civil law usually results in which type of penalty? Select
all that apply. - ANSWER-Monetary fine
Public service
Replacement of property
The licensed practical nurse knows that which items are examples of common law? Select all that apply.
- ANSWER-Malpractice
Informed consent
Client's right to refuse treatment
The nurse in charge of a nursing unit in a long-term care facility is concerned because staff members
openly verbalize racial comments about clients on the unit. What should the nurse do to appropriately
manage this concern? - ANSWER-Discourage the racial comments.
The nurse is documenting information regarding a client's care into the computerized medical record.
Which actions by the nurse would be most effective in ensuring client confidentiality? Select all that
apply. - ANSWER-Change the password for entering computer files at least monthly.
Shred the printout of the nurse's flowchart at the end of the nurse's shift.
Use own user name and password when logging into the computer system.
A nurse lawyer provides an education session to the nursing staff regarding client rights. The nurse asks
the lawyer to describe an example that may relate to invasion of client privacy. Which nursing action
indicates a violation of client privacy? - ANSWER-Taking photographs of the client without consent
, 3|Page
The nurse calls the health care provider (HCP) of a client scheduled for a cardiac catheterization because
the client has numerous questions regarding the procedure and has requested to speak to the HCP. The
HCP is very upset and arrives at the unit to visit the client after prompting by the nurse. The nurse is
outside the client's room and hears the HCP tell the client in a derogatory manner that the nurse
"doesn't know anything." The nurse plans to address the HCP's remark, understanding that the HCP has
violated which legal tort? - ANSWER-Slander
A client who has heart failure receives an additional dose of bumetanide as prescribed 4 hours after the
daily dose. The nurse assesses the client 15 minutes after administering the medication and reminds the
client to save all urine in the bathroom. Thirty minutes later the nurse finds the client on the floor,
unresponsive, and bleeding from a laceration. Which issues support the client's malpractice claim?
Select all that apply. - ANSWER-Increased risk of hypotension
Failure to teach the client adequately
Increased need to protect the client
Lack of follow-up nursing actions
A client with a headache arrives in the emergency department and is staggering, confused, smells of
alcohol, and is verbally abusive. The nurse explains to the client that the health care provider will need
to perform an assessment before the administration of medication. When the client becomes verbally
abusive, the nurse threatens to place the client in restraints. With what can the client legally charge the
nurse as a result of this nursing action? - ANSWER-Assault
The nurse is caring for a client who is receiving intramuscular antibiotics. The nurse enters the client's
room to administer the prescribed antibiotic, and the client tells the nurse that the medication burns
and that he does not want the medication to be given. The nurse tells the client that the medication is
necessary and administers the medication. With which crime can the client legally charge the nurse as a
result of the nursing action? - ANSWER-Battery
The nurse is caring for a client with a diagnosis of end-stage renal disease. The client tells the nurse that
a lawyer has prepared a living will and will be visiting the client today so that the will can be reviewed.
The client also tells the nurse that the lawyer has asked for a witness to sign the will and requests that
HESI PN Leadership Exit Exam 2025 — Study Guide,
Practice Questions & Practical Nursing Leadership Prep
Prepare for the HESI PN Leadership Exit Exam 2025 with a complete study guide, practice
questions, and review materials. Learn essential leadership, delegation, communication,
patient safety, and management skills to excel in your Practical Nursing leadership exit
exam and advance your nursing career.
• HESI PN Leadership Exit 2025
• HESI Practical Nursing leadership exam
• PN leadership exit study guide
• HESI PN practice test questions
The nurse is preparing to administer medications to an assigned client and notes that the prescription
for furosemide (Lasix) is higher than the recommended dosage. The nurse calls the health care provider
to clarify the prescription and asks the health care provider to prescribe a dosage within the
recommended range. The health care provider refuses to change the prescription and instructs the
nurse to administer the dose as prescribed. Which action should the nurse take? - ANSWER-Contact the
nursing supervisor.
The nurse discovers that one of her assigned clients is bleeding excessively from an abdominal incision.
The nurse gives specific prescriptions to an unlicensed assistive personnel (UAP) to attend to the other
clients and tells another nurse to call the health care provider immediately. In this situation, the nurse is
implementing which leadership style? - ANSWER-Autocratic
A client who had a lung resection for cancer has been told that bone metastasis has occurred. The client
is considering megavitamin and diet therapy because the original surgery did not provide a cure. The
client asks the nurse for an opinion of these therapies. In formulating a response, the nurse incorporates
which concepts? - ANSWER-The client's right to autonomy and the nurse's obligation to behave ethically
,2|Page
The nurse shares with a client that violation of a civil law usually results in which type of penalty? Select
all that apply. - ANSWER-Monetary fine
Public service
Replacement of property
The licensed practical nurse knows that which items are examples of common law? Select all that apply.
- ANSWER-Malpractice
Informed consent
Client's right to refuse treatment
The nurse in charge of a nursing unit in a long-term care facility is concerned because staff members
openly verbalize racial comments about clients on the unit. What should the nurse do to appropriately
manage this concern? - ANSWER-Discourage the racial comments.
The nurse is documenting information regarding a client's care into the computerized medical record.
Which actions by the nurse would be most effective in ensuring client confidentiality? Select all that
apply. - ANSWER-Change the password for entering computer files at least monthly.
Shred the printout of the nurse's flowchart at the end of the nurse's shift.
Use own user name and password when logging into the computer system.
A nurse lawyer provides an education session to the nursing staff regarding client rights. The nurse asks
the lawyer to describe an example that may relate to invasion of client privacy. Which nursing action
indicates a violation of client privacy? - ANSWER-Taking photographs of the client without consent
, 3|Page
The nurse calls the health care provider (HCP) of a client scheduled for a cardiac catheterization because
the client has numerous questions regarding the procedure and has requested to speak to the HCP. The
HCP is very upset and arrives at the unit to visit the client after prompting by the nurse. The nurse is
outside the client's room and hears the HCP tell the client in a derogatory manner that the nurse
"doesn't know anything." The nurse plans to address the HCP's remark, understanding that the HCP has
violated which legal tort? - ANSWER-Slander
A client who has heart failure receives an additional dose of bumetanide as prescribed 4 hours after the
daily dose. The nurse assesses the client 15 minutes after administering the medication and reminds the
client to save all urine in the bathroom. Thirty minutes later the nurse finds the client on the floor,
unresponsive, and bleeding from a laceration. Which issues support the client's malpractice claim?
Select all that apply. - ANSWER-Increased risk of hypotension
Failure to teach the client adequately
Increased need to protect the client
Lack of follow-up nursing actions
A client with a headache arrives in the emergency department and is staggering, confused, smells of
alcohol, and is verbally abusive. The nurse explains to the client that the health care provider will need
to perform an assessment before the administration of medication. When the client becomes verbally
abusive, the nurse threatens to place the client in restraints. With what can the client legally charge the
nurse as a result of this nursing action? - ANSWER-Assault
The nurse is caring for a client who is receiving intramuscular antibiotics. The nurse enters the client's
room to administer the prescribed antibiotic, and the client tells the nurse that the medication burns
and that he does not want the medication to be given. The nurse tells the client that the medication is
necessary and administers the medication. With which crime can the client legally charge the nurse as a
result of the nursing action? - ANSWER-Battery
The nurse is caring for a client with a diagnosis of end-stage renal disease. The client tells the nurse that
a lawyer has prepared a living will and will be visiting the client today so that the will can be reviewed.
The client also tells the nurse that the lawyer has asked for a witness to sign the will and requests that
