Hesi Leadership Exit Exam version 1 & 2
Newest Version 2026/2027 Over 100 Real
Exam-Based Questions with Verified
Answers | 100% Accuracy | Practical
Nursing Leadership Prep | Graded A+
Version 1
1. The unlicensed assistive personnel (UP) reports to the nurse that a male
client with fluid volume overload will not allow the UAP to blain his dally
weight Which action should the nurse implement? - ANSWER ✅ Ask the
client why he does not want to be weighed
2. . A fire is reported in the kitchen on the first floor of a three-floor
community hospital, and the operator notifies the charge nurse on the third
floor to start evacuation procedures. Which intervention should the charge
nurse implement? - ANSWER ✅ Shut all doors to client rooms and tell
everyone to stay in their rooms until the fire dept arrives
3. It is most important for the charge nurse to schedule a multi-disciplinary
team meeting to discuss which client? - ANSWER ✅ An elderly client
admitted through the emergency department with a broken hip whose blood
glucose is 400 mg/dl.
4. An older adult woman with end stage heart disease is alert and oriented and
states that she does not want any heroic measures taken in the event she
stops breathing. The client's children tell the nurse that they accept their
mother's wishes and do not want to watch her suffer. Which action should
, the nurse take first? - ANSWER ✅ OBTAIN A DO NOT RESUSCITATE
PRSCRIPTION
5. An older client who had a hernia repair 12 hours ago suddenly becomes
agitated, pulls out the intravenous catheter, and staggers out into the corridor
demanding to be set free. The nurse assists the client back to bed and re-
establishes the IV access. What intervention is most important for the nurse
to implement prior to leaving the client's room? - ANSWER ✅ Determine if
the client is manifesting other neurologic changes
6. To help prevent litigation by a dissatisfied client, which objective is most
important to include in the orientation classes for staff nurses? New nursing
staff members will - ANSWER ✅ Discuss how to handle complaints from
clients and or their families
7. A male practical nurse is reluctant to use new blood glucose monitoring
equipment despite having attended the mandatory in service about the
equipment. Which action is best for the charge nurse to take? - ANSWER ✅
Observe the PN while he uses the equipment
8. The charge nurse needs to determine if an additional nurse should be called
to help staff the unit for the next shift. Which information is most important
for the charge nurse to consider when making this decision? - ANSWER ✅
The acuity level of the clients on the unit.
9. . The home health aide caring for a homebound hospice client calls to inform
the nurse that the client has reported feeling constipated. Which task should
the nurse instruct the home health aide to perform? - ANSWER ✅ Assist the
client to drink warm prune juice
, 10.. The charge nurse is making client assignments in the intensive Care
Department. The healthcare team consists of one nurse with 10 years
experience, one nurse with 5 years experience, and a new graduate nurse
who just completed a 12-week internship. Which client should the nurse
assign to the new graduate - ANSWER ✅ A client in end stage liver failure
who is experiencing esophageal bleeding
11.The charge nurse, along with one nurse, two practical nurses (PN) , a unit
secretary, and two unlicensed assistive personnel (UP), is caring for 24
clients on a medical surgical unit. Which task is best for the charge nurse to
assign to the nurse? - ANSWER ✅ The insertion of a foley catheter for a
client diagnosed with septicemia.
12.An unlicensed assistive personnel (UP) who is working on a skilled nursing
unit is diagnosed with hepatitis A (HVA). Two weeks later, a nurse
complains of headache, nausea, anorexia, arthralgia, and low-grade fever.
What action should the nurse-manager take next? - ANSWER ✅ Refer the
nurse to employee health for serological testing.
13.The practical nurse reports that a client with a deep vein thrombosis (DVT)
was mistakenly given heparin in addition to the prescribed warfarin. Which
priority action should the nurse take. - ANSWER ✅ Notify Healthcare
Provider
14.An adult woman who had gastric bypass surgery two weeks ago is admitted
because she is exhibiting signs of anastomosis leakage. Her vital signs are:
temperature 100° F (37.8° C), blood pressure 98/50 mmHg, heart rate 135
beats/minute, and respiratory rate 24 breaths/minute. Which intervention is
most important for the nurse to include in this client's plan of care? -
ANSWER ✅ Assess the amount of wound drainage daily
Newest Version 2026/2027 Over 100 Real
Exam-Based Questions with Verified
Answers | 100% Accuracy | Practical
Nursing Leadership Prep | Graded A+
Version 1
1. The unlicensed assistive personnel (UP) reports to the nurse that a male
client with fluid volume overload will not allow the UAP to blain his dally
weight Which action should the nurse implement? - ANSWER ✅ Ask the
client why he does not want to be weighed
2. . A fire is reported in the kitchen on the first floor of a three-floor
community hospital, and the operator notifies the charge nurse on the third
floor to start evacuation procedures. Which intervention should the charge
nurse implement? - ANSWER ✅ Shut all doors to client rooms and tell
everyone to stay in their rooms until the fire dept arrives
3. It is most important for the charge nurse to schedule a multi-disciplinary
team meeting to discuss which client? - ANSWER ✅ An elderly client
admitted through the emergency department with a broken hip whose blood
glucose is 400 mg/dl.
4. An older adult woman with end stage heart disease is alert and oriented and
states that she does not want any heroic measures taken in the event she
stops breathing. The client's children tell the nurse that they accept their
mother's wishes and do not want to watch her suffer. Which action should
, the nurse take first? - ANSWER ✅ OBTAIN A DO NOT RESUSCITATE
PRSCRIPTION
5. An older client who had a hernia repair 12 hours ago suddenly becomes
agitated, pulls out the intravenous catheter, and staggers out into the corridor
demanding to be set free. The nurse assists the client back to bed and re-
establishes the IV access. What intervention is most important for the nurse
to implement prior to leaving the client's room? - ANSWER ✅ Determine if
the client is manifesting other neurologic changes
6. To help prevent litigation by a dissatisfied client, which objective is most
important to include in the orientation classes for staff nurses? New nursing
staff members will - ANSWER ✅ Discuss how to handle complaints from
clients and or their families
7. A male practical nurse is reluctant to use new blood glucose monitoring
equipment despite having attended the mandatory in service about the
equipment. Which action is best for the charge nurse to take? - ANSWER ✅
Observe the PN while he uses the equipment
8. The charge nurse needs to determine if an additional nurse should be called
to help staff the unit for the next shift. Which information is most important
for the charge nurse to consider when making this decision? - ANSWER ✅
The acuity level of the clients on the unit.
9. . The home health aide caring for a homebound hospice client calls to inform
the nurse that the client has reported feeling constipated. Which task should
the nurse instruct the home health aide to perform? - ANSWER ✅ Assist the
client to drink warm prune juice
, 10.. The charge nurse is making client assignments in the intensive Care
Department. The healthcare team consists of one nurse with 10 years
experience, one nurse with 5 years experience, and a new graduate nurse
who just completed a 12-week internship. Which client should the nurse
assign to the new graduate - ANSWER ✅ A client in end stage liver failure
who is experiencing esophageal bleeding
11.The charge nurse, along with one nurse, two practical nurses (PN) , a unit
secretary, and two unlicensed assistive personnel (UP), is caring for 24
clients on a medical surgical unit. Which task is best for the charge nurse to
assign to the nurse? - ANSWER ✅ The insertion of a foley catheter for a
client diagnosed with septicemia.
12.An unlicensed assistive personnel (UP) who is working on a skilled nursing
unit is diagnosed with hepatitis A (HVA). Two weeks later, a nurse
complains of headache, nausea, anorexia, arthralgia, and low-grade fever.
What action should the nurse-manager take next? - ANSWER ✅ Refer the
nurse to employee health for serological testing.
13.The practical nurse reports that a client with a deep vein thrombosis (DVT)
was mistakenly given heparin in addition to the prescribed warfarin. Which
priority action should the nurse take. - ANSWER ✅ Notify Healthcare
Provider
14.An adult woman who had gastric bypass surgery two weeks ago is admitted
because she is exhibiting signs of anastomosis leakage. Her vital signs are:
temperature 100° F (37.8° C), blood pressure 98/50 mmHg, heart rate 135
beats/minute, and respiratory rate 24 breaths/minute. Which intervention is
most important for the nurse to include in this client's plan of care? -
ANSWER ✅ Assess the amount of wound drainage daily
