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EVOLVE HESI
LEADERSHIP/MANAGEMENT EXAM
2026 QUESTIONS AND ANSWERS| ACE
YOUR GRADES.
The charge nurse must assign a room for a client who was
transferred from a long-term care facility and is scheduled for
extensive surgical debridement to remove infected tissue from an
unstageable pressure injury. Which room assignment is the most
appropriate for this client?
1. Room A: Client with multiple myeloma who is being treated with
corticosteroids
2. Room B: Client with diabetes mellitus and osteomyelitis
receiving IV antibiotics
3. Room C: Client with a gastrointestinal bleed who has a
nasogastric tube
4. Room D: Client with influenza with a high fever who is receiving
oseltamivir - correct answer -3
Surgical debridement of an unstageable pressure injury involves
using a scalpel to remove necrotic (eschar) or infected tissue from
the wound to promote healing. The most appropriate room
assignment for this client is Room C, as the client with a
gastrointestinal bleed and nasogastric tube is the least
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susceptible to infection compared with the clients in Rooms A and
B (Option 3).
(Option 1) Multiple myeloma is a cancer that involves proliferation
of malignant plasma cells (monoclonal antibodies), which are
ineffective in providing protection against infection and suppress
normal bone marrow cell production (eg, erythrocytes, platelets,
leukocytes). This client in Room A is especially vulnerable to
infection due to immunosuppression related to the disease
process and to drug therapy with corticosteroids.
(Option 2) The postoperative client should not be assigned to
Room B with a client who has osteomyelitis, an infection of bone.
(Option 4) The client with influenza requires droplet precautions
and would likely require a private room (Room D). Clients with
severe disease (ie, requiring hospitalization) should receive
antiviral medication (eg, zanamivir, oseltamivir) as they are at
high risk for complications.
Educational objective: A client undergoing an extensive surgical
debridement for an infected pressure injury should not be
assigned to a room with a client who is vulnerable to infection (eg,
immunocompromised) or who has an active infection.
A nurse is providing anticipatory guidance to a client with early
Alzheimer disease and osteoarthritis. Current symptoms include
, Page | 3
mild forgetfulness and cognition changes. Which is the best
example of an educational goal for anticipatory guidance?
1. The client will demonstrate proper organization of medications
in a weekly pill box by the end of the teaching session.
2. The client will identify and attend a support group meeting for
clients with dementia by the end of the month.
3. The client will verbalize 2 home safety changes that can
prevent falls during disease progression by the end of the
session.
4. The client will verbalize 3 examples of easy, nutritious meals
that can be prepared independently by the end of the clinic visit. -
correct answer -3
Anticipatory guidance prepares clients and caregivers for future
health needs and is useful throughout life, from pediatric growth
and development to anticipated changes related to disease
processes. This type of education promotes health and helps to
reduce client/caregiver stress and anxiety, which heighten with
unexpected cognitive, physical, and emotional changes.
Anticipatory guidance educational goals should be client-oriented,
realistic, objective, measurable, and focused on preparing for
future needs specific to the client.
The client with Alzheimer disease and osteoarthritis is at high risk
for falls with disease progression. In the early stage, the client can
make changes in the home to promote safety in the future (Option
3).
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(Option 1) Memory aids (eg, pill organizers, alarms) should be
used now, while the client has only mild cognition changes. As the
disease progresses, a caregiver should take over medication
management.
(Option 2) Support groups are an appropriate intervention for
current psychosocial needs (eg, depression).
(Option 4) Clients with osteoarthritis are at risk for nutritional
deficits due to functional decline (eg, inability to open jars), and
clients with Alzheimer disease can forget to eat. The nurse should
address this current need by teaching simple meal planning.
Educational objective: Anticipatory guidance addresses expected
changes related to growth and development or disease
progression. Educational goals should be client-oriented, realistic,
objective, measurable, and focused on preparing for future needs
specific to the client.
The charge nurse must assign a semi-private room to a client with
diabetes mellitus admitted for IV antibiotic therapy to treat leg
cellulitis. Which of the 4 room assignments is the best option for
this client?
EVOLVE HESI
LEADERSHIP/MANAGEMENT EXAM
2026 QUESTIONS AND ANSWERS| ACE
YOUR GRADES.
The charge nurse must assign a room for a client who was
transferred from a long-term care facility and is scheduled for
extensive surgical debridement to remove infected tissue from an
unstageable pressure injury. Which room assignment is the most
appropriate for this client?
1. Room A: Client with multiple myeloma who is being treated with
corticosteroids
2. Room B: Client with diabetes mellitus and osteomyelitis
receiving IV antibiotics
3. Room C: Client with a gastrointestinal bleed who has a
nasogastric tube
4. Room D: Client with influenza with a high fever who is receiving
oseltamivir - correct answer -3
Surgical debridement of an unstageable pressure injury involves
using a scalpel to remove necrotic (eschar) or infected tissue from
the wound to promote healing. The most appropriate room
assignment for this client is Room C, as the client with a
gastrointestinal bleed and nasogastric tube is the least
, Page | 2
susceptible to infection compared with the clients in Rooms A and
B (Option 3).
(Option 1) Multiple myeloma is a cancer that involves proliferation
of malignant plasma cells (monoclonal antibodies), which are
ineffective in providing protection against infection and suppress
normal bone marrow cell production (eg, erythrocytes, platelets,
leukocytes). This client in Room A is especially vulnerable to
infection due to immunosuppression related to the disease
process and to drug therapy with corticosteroids.
(Option 2) The postoperative client should not be assigned to
Room B with a client who has osteomyelitis, an infection of bone.
(Option 4) The client with influenza requires droplet precautions
and would likely require a private room (Room D). Clients with
severe disease (ie, requiring hospitalization) should receive
antiviral medication (eg, zanamivir, oseltamivir) as they are at
high risk for complications.
Educational objective: A client undergoing an extensive surgical
debridement for an infected pressure injury should not be
assigned to a room with a client who is vulnerable to infection (eg,
immunocompromised) or who has an active infection.
A nurse is providing anticipatory guidance to a client with early
Alzheimer disease and osteoarthritis. Current symptoms include
, Page | 3
mild forgetfulness and cognition changes. Which is the best
example of an educational goal for anticipatory guidance?
1. The client will demonstrate proper organization of medications
in a weekly pill box by the end of the teaching session.
2. The client will identify and attend a support group meeting for
clients with dementia by the end of the month.
3. The client will verbalize 2 home safety changes that can
prevent falls during disease progression by the end of the
session.
4. The client will verbalize 3 examples of easy, nutritious meals
that can be prepared independently by the end of the clinic visit. -
correct answer -3
Anticipatory guidance prepares clients and caregivers for future
health needs and is useful throughout life, from pediatric growth
and development to anticipated changes related to disease
processes. This type of education promotes health and helps to
reduce client/caregiver stress and anxiety, which heighten with
unexpected cognitive, physical, and emotional changes.
Anticipatory guidance educational goals should be client-oriented,
realistic, objective, measurable, and focused on preparing for
future needs specific to the client.
The client with Alzheimer disease and osteoarthritis is at high risk
for falls with disease progression. In the early stage, the client can
make changes in the home to promote safety in the future (Option
3).
, Page | 4
(Option 1) Memory aids (eg, pill organizers, alarms) should be
used now, while the client has only mild cognition changes. As the
disease progresses, a caregiver should take over medication
management.
(Option 2) Support groups are an appropriate intervention for
current psychosocial needs (eg, depression).
(Option 4) Clients with osteoarthritis are at risk for nutritional
deficits due to functional decline (eg, inability to open jars), and
clients with Alzheimer disease can forget to eat. The nurse should
address this current need by teaching simple meal planning.
Educational objective: Anticipatory guidance addresses expected
changes related to growth and development or disease
progression. Educational goals should be client-oriented, realistic,
objective, measurable, and focused on preparing for future needs
specific to the client.
The charge nurse must assign a semi-private room to a client with
diabetes mellitus admitted for IV antibiotic therapy to treat leg
cellulitis. Which of the 4 room assignments is the best option for
this client?
