HESI MANAGEMENT PRACTICE
EXAMINATION 2026 QUESTIONS WITH
ANSWERS GRADED A+
◍ The charge nurse, along with two RNs, one PN, and one UAP, is working in
an E
D. What activity should be assigned to the UAP?
A. Monitor a client with mid-sternal chest pain, nausea, and vomiting.
B. Give instructions to the EMS about a patient being transferred to a
nursing home.
C. Transport a client diagnosed with septicemia to the medical unit.
D. Obtain the history from a female client who presents in early labor..
Answer: C. Transport a client diagnosed with septicemia to the medical
unit.Rationale: The client with septicemia could be safely transported by the
UAP to the medical unit. A is unstable and should be monitored by an RN.
EMS need transfer instructions from the RN.
◍ Which task should the nurse delegate to an UAP?
A. Accompany the healthcare provider during client visits.
B. Determine a client's response to pain.
C. Observe a client's CVC site.
D. Feed a client with minical dysphagia..
Answer: D. Feed a client with minical dysphagia.Rationale: This is a basic
client care measure within the scope of practice for a UAP. A, B, and C
require assessment and analysis.
◍ Since the RN will assume care of this additional client, the day shift charge
nurse selects another client for the PN to provide care for..
Answer: -----
◍ The charge nurse working the 3 to 11 shift of a 24-bed medical unit in a
, large acute care hospital is making assignments. Currently, there are 20
clients on the unit and 4 admissions are scheduled to arrive during the shift.
Besides the charge nurse, the staff consists of two experienced PNs and one
UAP who has worked on the unit for 10 yrs. Taking into consideration the
acuity of each client, which distribution of clients is the best assignment for
the nurse to make?
A. 10 clients and 2 admissions to each P
N. Have the UAP take all vitals and collect all I&Os.
B. 10 clients to each P
N. Have the UAP take vitals. The charge nurse take the 4 new admissions.
C. 8 clients to each PN, 4 clients to the charge nurse, and the 4 admissions to
the UA
P. D. 8 clients to each PN, 4 admissions to the charge nurse, and 4
low-acuity clients to the UA
P. .
Answer: B. 10 clients to each PN. Have the UAP take vitals. The charge
nurse take the 4 new admissions.Rationale: Considering acuity, B is best.
UAP is not qualified to conduct an admission assessment or take
resposibility for total care of clients.
◍ 11. What action should the nurse implement?--Instruct the UAP to take the
tray to the client's room and assist the client with the meal.Take the tray to
the room, but advise the client about the risks of eating before surgery.Ask
the client what instructions she received regarding eating before
surgery.Hold the tray and contact the surgeon for clarification of the client's
preoperative needs..
Answer: Hold the tray and contact the surgeon for clarification of the client's
preoperative needs.This proactive decision by the nurse demonstrates
effective client advocacy. Recognizing that it may be unsafe for the client to
eat, the nurse should confirm the surgeon's directions before taking the tray
to the room.
◍ Section 11.
Answer: Nursing Process: ImplementationLater in the day, the unit manager
, advises the day shift charge nurse about the increasing incidents of
postoperative infections throughout the medical center. An agency-wide
policy will be instituted regarding wound care management, with all initial
postoperative dressings to be changed by a wound care team rather than the
unit nursing staff. The charge nurse recognizes that this may anger many of
the staff nurses.
◍ Both staff members appear angry about the situation and continue to insist
the other is at fault..
Answer: ----
◍ The nurse is designing a program to control nosocomial infections on a geri
unit of an acute care hospital. What strategy should be included in this plan?
A. Do not allow those with influenze to be admitted to the unit.
B. Require that all clients receive a pneumonia vaccine prior to admission.
C. Ensure that sterile technique is followed when changing surgical
dressings.
D. Encourage clients to drink water to prevent UTIs..
Answer: C. Ensure that sterile technique is followed when changing surgical
dressings.Rationale: A nonsocomial infection is one that was not present or
incubating at the time of admission, and using good sterile technique and
medical asepsis helps to prevent this. A, B, and D are not specific to
nosocomial infections.
◍ 4. Which additional client should be assigned to the same PN?--A client
who is receiving peritoneal dialysis while awaiting a kidney transplant.A
client who is fearful about undergoing a pneumonectomy for lung cancer,
which is scheduled for the following day.A client who is experiencing
hypoactive bowel sounds on the second postoperative day after a colon
resection.A client who is exhibiting pain that is being managed with an
epidural infusion of hydromorphone..
Answer: A client who is experiencing hypoactive bowel sounds on the
second postoperative day after a colon resection.This is an expected finding
at this stage of postoperative recovery. This is the correct assignment for the
EXAMINATION 2026 QUESTIONS WITH
ANSWERS GRADED A+
◍ The charge nurse, along with two RNs, one PN, and one UAP, is working in
an E
D. What activity should be assigned to the UAP?
A. Monitor a client with mid-sternal chest pain, nausea, and vomiting.
B. Give instructions to the EMS about a patient being transferred to a
nursing home.
C. Transport a client diagnosed with septicemia to the medical unit.
D. Obtain the history from a female client who presents in early labor..
Answer: C. Transport a client diagnosed with septicemia to the medical
unit.Rationale: The client with septicemia could be safely transported by the
UAP to the medical unit. A is unstable and should be monitored by an RN.
EMS need transfer instructions from the RN.
◍ Which task should the nurse delegate to an UAP?
A. Accompany the healthcare provider during client visits.
B. Determine a client's response to pain.
C. Observe a client's CVC site.
D. Feed a client with minical dysphagia..
Answer: D. Feed a client with minical dysphagia.Rationale: This is a basic
client care measure within the scope of practice for a UAP. A, B, and C
require assessment and analysis.
◍ Since the RN will assume care of this additional client, the day shift charge
nurse selects another client for the PN to provide care for..
Answer: -----
◍ The charge nurse working the 3 to 11 shift of a 24-bed medical unit in a
, large acute care hospital is making assignments. Currently, there are 20
clients on the unit and 4 admissions are scheduled to arrive during the shift.
Besides the charge nurse, the staff consists of two experienced PNs and one
UAP who has worked on the unit for 10 yrs. Taking into consideration the
acuity of each client, which distribution of clients is the best assignment for
the nurse to make?
A. 10 clients and 2 admissions to each P
N. Have the UAP take all vitals and collect all I&Os.
B. 10 clients to each P
N. Have the UAP take vitals. The charge nurse take the 4 new admissions.
C. 8 clients to each PN, 4 clients to the charge nurse, and the 4 admissions to
the UA
P. D. 8 clients to each PN, 4 admissions to the charge nurse, and 4
low-acuity clients to the UA
P. .
Answer: B. 10 clients to each PN. Have the UAP take vitals. The charge
nurse take the 4 new admissions.Rationale: Considering acuity, B is best.
UAP is not qualified to conduct an admission assessment or take
resposibility for total care of clients.
◍ 11. What action should the nurse implement?--Instruct the UAP to take the
tray to the client's room and assist the client with the meal.Take the tray to
the room, but advise the client about the risks of eating before surgery.Ask
the client what instructions she received regarding eating before
surgery.Hold the tray and contact the surgeon for clarification of the client's
preoperative needs..
Answer: Hold the tray and contact the surgeon for clarification of the client's
preoperative needs.This proactive decision by the nurse demonstrates
effective client advocacy. Recognizing that it may be unsafe for the client to
eat, the nurse should confirm the surgeon's directions before taking the tray
to the room.
◍ Section 11.
Answer: Nursing Process: ImplementationLater in the day, the unit manager
, advises the day shift charge nurse about the increasing incidents of
postoperative infections throughout the medical center. An agency-wide
policy will be instituted regarding wound care management, with all initial
postoperative dressings to be changed by a wound care team rather than the
unit nursing staff. The charge nurse recognizes that this may anger many of
the staff nurses.
◍ Both staff members appear angry about the situation and continue to insist
the other is at fault..
Answer: ----
◍ The nurse is designing a program to control nosocomial infections on a geri
unit of an acute care hospital. What strategy should be included in this plan?
A. Do not allow those with influenze to be admitted to the unit.
B. Require that all clients receive a pneumonia vaccine prior to admission.
C. Ensure that sterile technique is followed when changing surgical
dressings.
D. Encourage clients to drink water to prevent UTIs..
Answer: C. Ensure that sterile technique is followed when changing surgical
dressings.Rationale: A nonsocomial infection is one that was not present or
incubating at the time of admission, and using good sterile technique and
medical asepsis helps to prevent this. A, B, and D are not specific to
nosocomial infections.
◍ 4. Which additional client should be assigned to the same PN?--A client
who is receiving peritoneal dialysis while awaiting a kidney transplant.A
client who is fearful about undergoing a pneumonectomy for lung cancer,
which is scheduled for the following day.A client who is experiencing
hypoactive bowel sounds on the second postoperative day after a colon
resection.A client who is exhibiting pain that is being managed with an
epidural infusion of hydromorphone..
Answer: A client who is experiencing hypoactive bowel sounds on the
second postoperative day after a colon resection.This is an expected finding
at this stage of postoperative recovery. This is the correct assignment for the
