HESI MANAGEMENT COMPREHENSIVE
STUDY GUIDE 2026 FULL QUESTIONS AND
SOLUTIONS GRADED A+
◍ A new graduate nurse is employed in a small community hospital. The nurse
notices practices which seem to be very physician driven and that patients
have little input into their care. Families are seen as a nuisance rather than as
partners in potential care provision. What is the best approach for the new
nurse to use for improving care in this setting?a)Do nothing. They are too
new to the organization to make change.b)Share with the physician the
recommendations from various IOM reports.c)Share with their team
members what they know about the aims of providing health care.d)Report
the team members to the chief nursing officer who is unlikely to know the
lack of details on this unit..
Answer: C
◍ Mr. Grandion was admitted to a rehabilitation center after discharge from a
hospital. He has not walked in the 5 days while he was hospitalized and is
provided a wheelchair. Dining with other residents is expected, and staffing
is limited on a holiday weekend. What is the best strategy to ensure Mr.
Grandion has sufficient nutrition and exercise?a)Tell Mr. Grandion to stay
in bed and someone will bring a tray to his room because the staff can't get
him to the dining room in time for dinnerb)Assist Mr. Grandion into his
wheelchair and remind him that in 2 hours he must be in the dining room if
he wishes to eat.c)Request help from another unit before dinner and indicate
the nature of help needed.d)Order a life device to transfer Mr. Grandion
from his bed to the wheelchair..
Answer: c
◍ When entering the postoperative care unit, the nurse manager notices that
, the temporary agency nurse has incorrectly entered the rate of infusion for
the patient's vasopressor medication, and the arterial line blood pressure has
a reading of 76/40 mmHg. After discontinuing the intravenous medication
infusion, what is the nurse manager's next intervention?a)Notify the nurse in
charge of the unit.b)Ask if there is an assigned resource nurse to serve as
mentor for the temporary nurse.c)Ask if there are standing orders for
interventions for hypotension.d)Ask if the temporary nurse has had an
orientation to the unit..
Answer: C
◍ An incident report of the incident described in the previous question needs
to be completed. What is the appropriate wording to be included in the
incident report?a)"Patient was noted to have a low arterial blood pressure
(76/40), and the vasopressor medication was discontinued."b)"Patient's
vasopressor medication was infusing at a higher rate than ordered and the
medication was discontinued when the patient's blood pressure dropped to
76/40."c)"Nurse
M. J. started the vasopressor medication, the patient subsequently was noted
to have a blood pressure reading of 76/40, the medication was discontinued,
and the physician was also notified."d)"Patient receiving vasopressor
medication intravenously, blood pressure noted to be 76/40, and intravenous
infusion discontinued. Physician notified and orders received for 500 mL
normal saline administered for hypotension.".
Answer: D
◍ The nurse is needing to provide information for Foley catheter insertion to a
patient in the patient's primary language. Which action would the nurse
follow for the best outcome in this situation?a) Assume the process of
translating "word for word" is sufficient when a treatment is ordered for a
culturally diverse patient.b) Request an English-speaking family member to
provide the translation to the patient about the treatment.c) Create a
cross-cultural semantic or word equivalency vocabulary list for the nursing
unit to use with patient.
D. Request a healthcare professional translator to translate verbally the
STUDY GUIDE 2026 FULL QUESTIONS AND
SOLUTIONS GRADED A+
◍ A new graduate nurse is employed in a small community hospital. The nurse
notices practices which seem to be very physician driven and that patients
have little input into their care. Families are seen as a nuisance rather than as
partners in potential care provision. What is the best approach for the new
nurse to use for improving care in this setting?a)Do nothing. They are too
new to the organization to make change.b)Share with the physician the
recommendations from various IOM reports.c)Share with their team
members what they know about the aims of providing health care.d)Report
the team members to the chief nursing officer who is unlikely to know the
lack of details on this unit..
Answer: C
◍ Mr. Grandion was admitted to a rehabilitation center after discharge from a
hospital. He has not walked in the 5 days while he was hospitalized and is
provided a wheelchair. Dining with other residents is expected, and staffing
is limited on a holiday weekend. What is the best strategy to ensure Mr.
Grandion has sufficient nutrition and exercise?a)Tell Mr. Grandion to stay
in bed and someone will bring a tray to his room because the staff can't get
him to the dining room in time for dinnerb)Assist Mr. Grandion into his
wheelchair and remind him that in 2 hours he must be in the dining room if
he wishes to eat.c)Request help from another unit before dinner and indicate
the nature of help needed.d)Order a life device to transfer Mr. Grandion
from his bed to the wheelchair..
Answer: c
◍ When entering the postoperative care unit, the nurse manager notices that
, the temporary agency nurse has incorrectly entered the rate of infusion for
the patient's vasopressor medication, and the arterial line blood pressure has
a reading of 76/40 mmHg. After discontinuing the intravenous medication
infusion, what is the nurse manager's next intervention?a)Notify the nurse in
charge of the unit.b)Ask if there is an assigned resource nurse to serve as
mentor for the temporary nurse.c)Ask if there are standing orders for
interventions for hypotension.d)Ask if the temporary nurse has had an
orientation to the unit..
Answer: C
◍ An incident report of the incident described in the previous question needs
to be completed. What is the appropriate wording to be included in the
incident report?a)"Patient was noted to have a low arterial blood pressure
(76/40), and the vasopressor medication was discontinued."b)"Patient's
vasopressor medication was infusing at a higher rate than ordered and the
medication was discontinued when the patient's blood pressure dropped to
76/40."c)"Nurse
M. J. started the vasopressor medication, the patient subsequently was noted
to have a blood pressure reading of 76/40, the medication was discontinued,
and the physician was also notified."d)"Patient receiving vasopressor
medication intravenously, blood pressure noted to be 76/40, and intravenous
infusion discontinued. Physician notified and orders received for 500 mL
normal saline administered for hypotension.".
Answer: D
◍ The nurse is needing to provide information for Foley catheter insertion to a
patient in the patient's primary language. Which action would the nurse
follow for the best outcome in this situation?a) Assume the process of
translating "word for word" is sufficient when a treatment is ordered for a
culturally diverse patient.b) Request an English-speaking family member to
provide the translation to the patient about the treatment.c) Create a
cross-cultural semantic or word equivalency vocabulary list for the nursing
unit to use with patient.
D. Request a healthcare professional translator to translate verbally the
