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LEADERSHIP MANAGEMENT HESI EXIT EXAM
NEWEST ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT VERIFIED ANSWERS
(DETAILED ANSWERS) ALREADY GRADED A+
100% GUARANTEED TO PASS CONCEPTS!!!
When preparing to administer a prescribed medication
to a homeless client at a community psychiatric clinic. The
client tells the nurse that the usual dosage taken is
different from the dose the nurse is giving. Which action
should the nurse take?
A) Inform the client that he may refuse the medication
and document whether or not the client takes it.
B) Withhold the medication until the dosage can be
confirmed.
C) Explain to the client that the dosage has been
changed.
D) Tell the client to take the medication then verify the
dosage at the next healthcare team meeting. -
.....ANSWER ...✔✔ B) Withhold the medication until
the dosage can be confirmed.
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The charge nurse is making assignments for one practical
nurse and three registered nurses who are caring for
neurologically compromised clients. Which client with
which change in status is best to assign to the PN?
A) Subdural hematoma whose blood pressure changed
from 150/80 to 170/60.
B) Viral meningitis whose temperature change from 101
S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale
score changed from 10 to 7.
D) Myxedema, whose blood pressure change from
80/50 to 70/40. - .....ANSWER ...✔✔ B) Viral
meningitis whose temperature change from 101 S to
102F.
The nurse is caring for a client with pneumonia who now
develops initial signs of septic shock and multi organ
failure. The healthcare provider prescribes a sepsis
protocol. Which intervention is most important for the
nurse to include in the plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
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D) Monitor blood glucose level. - .....ANSWER ...✔✔
A) Maintain strict intake and output.
And adolescent client is admitted to the hospital because
of writing a suicide note to a teacher at school. On the
second day of hospitalization, the nurse asked the client
to meet with the treatment team. After the team
meeting, the client leaves in tears and goes to their
room. Which nursing intervention is best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened. -
.....ANSWER ...✔✔ D) Go to the clients room and ask
what happened.
The healthcare provider prescribes dalteparin 200 units
per kilogram subcutaneous once a day for a client who
weighs 154 pounds. The medication is available and
25,000 units per milliliter vial. How many milliliters
should the nurse administer? (Enter numerical value only.
If rounding is required, round to the nearest 10th.) -
.....ANSWER ...✔✔ 0.6
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NGN: The client is a 49-year-old male who reports flu
like symptoms including fever and chest congestion for
four days. He came to the emergency department last
night when he was having more difficulty breathing he
has a history of 1/2 pack a day cigarette smoking for
20 years. He has no significant medical or surgical
history.
Which two orders should the nurse complete first?
A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
D) Chest x-ray.
E) Acetominophen 350 mg PO every six hours for
temperature control.
F) Run 0.9% sodium chloride IV infusion at 150 mL per
hour.
G) Start peripheral IV.
H) NPO. - .....ANSWER ...✔✔ B) Start oxygen 3 L per
minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
NGN: 0330: place the client on a cardio respiratory
monitor, NPO, sputum culture, start a peripheral IV
infusion, start oxygen 3 L per minute via nasal cannula,
LEADERSHIP MANAGEMENT HESI EXIT EXAM
NEWEST ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT VERIFIED ANSWERS
(DETAILED ANSWERS) ALREADY GRADED A+
100% GUARANTEED TO PASS CONCEPTS!!!
When preparing to administer a prescribed medication
to a homeless client at a community psychiatric clinic. The
client tells the nurse that the usual dosage taken is
different from the dose the nurse is giving. Which action
should the nurse take?
A) Inform the client that he may refuse the medication
and document whether or not the client takes it.
B) Withhold the medication until the dosage can be
confirmed.
C) Explain to the client that the dosage has been
changed.
D) Tell the client to take the medication then verify the
dosage at the next healthcare team meeting. -
.....ANSWER ...✔✔ B) Withhold the medication until
the dosage can be confirmed.
,2|Page
The charge nurse is making assignments for one practical
nurse and three registered nurses who are caring for
neurologically compromised clients. Which client with
which change in status is best to assign to the PN?
A) Subdural hematoma whose blood pressure changed
from 150/80 to 170/60.
B) Viral meningitis whose temperature change from 101
S to 102F.
C) Diabetic keto acidosis who is Glasgow coma scale
score changed from 10 to 7.
D) Myxedema, whose blood pressure change from
80/50 to 70/40. - .....ANSWER ...✔✔ B) Viral
meningitis whose temperature change from 101 S to
102F.
The nurse is caring for a client with pneumonia who now
develops initial signs of septic shock and multi organ
failure. The healthcare provider prescribes a sepsis
protocol. Which intervention is most important for the
nurse to include in the plan of care?
A) Maintain strict intake and output.
B) Keep head of bed raised 45°.
C) Excess warmth of extremities.
,3|Page
D) Monitor blood glucose level. - .....ANSWER ...✔✔
A) Maintain strict intake and output.
And adolescent client is admitted to the hospital because
of writing a suicide note to a teacher at school. On the
second day of hospitalization, the nurse asked the client
to meet with the treatment team. After the team
meeting, the client leaves in tears and goes to their
room. Which nursing intervention is best?
A) Let the client rest quietly in their room for a while.
B) Explore the clients goals and desire for treatment.
C) Ask the treatment team about the clients behavior.
D) Go to the clients room and ask what happened. -
.....ANSWER ...✔✔ D) Go to the clients room and ask
what happened.
The healthcare provider prescribes dalteparin 200 units
per kilogram subcutaneous once a day for a client who
weighs 154 pounds. The medication is available and
25,000 units per milliliter vial. How many milliliters
should the nurse administer? (Enter numerical value only.
If rounding is required, round to the nearest 10th.) -
.....ANSWER ...✔✔ 0.6
, 4|Page
NGN: The client is a 49-year-old male who reports flu
like symptoms including fever and chest congestion for
four days. He came to the emergency department last
night when he was having more difficulty breathing he
has a history of 1/2 pack a day cigarette smoking for
20 years. He has no significant medical or surgical
history.
Which two orders should the nurse complete first?
A) Sputum culture.
B) Start oxygen 3 L per minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
D) Chest x-ray.
E) Acetominophen 350 mg PO every six hours for
temperature control.
F) Run 0.9% sodium chloride IV infusion at 150 mL per
hour.
G) Start peripheral IV.
H) NPO. - .....ANSWER ...✔✔ B) Start oxygen 3 L per
minute via nasal cannula.
C) Place the client on a cardio respiratory monitor.
NGN: 0330: place the client on a cardio respiratory
monitor, NPO, sputum culture, start a peripheral IV
infusion, start oxygen 3 L per minute via nasal cannula,
