MANAGEMENT AND LEADERSHIP HESI NEWEST (3 LATEST VERSIONS) 2024 COMPLETE EACH VERSION
WITH 55 QUESTIONS AND CORRECT DETAILED ANSWERS
The nurse is preparing assignments for the day shift. It is most important that the client with which
diagnosis and description is assigned to a registered nurse?
A. Menorrhagia: 24 hours post vaginal hysterectomy
B. Myocardial infarction: 4-days post infarction, transferred from ICU yesterday
C. Depression: Admitted during the night, following a suicide attempt with an overdose of Tylenol
D. Pneumonia: A 4-year old who is receiving IV antibiotics - (answer) C. Depression: Admitted during
the night, following a suicide attempt with an overdose of Tylenol
During report, the charge nurse informs a nurse that she must work on another unit. The nurse begins to
sigh deeply and tosses about her belongings as she is preparing to leave, making it known that she is
very unhappy about having to "float." What is the best immediate action for the charge nurse to take?
A. Continue with report, and talk to the nurse about the incident at a later time
B. Ask the nurse to call the supervisor to see if she can be reassigned
C. Stop report and remind the nurse that all staff must "float" at some time
D. In the presence of other staff members, inform the nurse that her behavior is inappropriate -
(answer) A. Continue with report, and talk to the nurse about the incident at a later time
A 15-year-old sexually active girl diagnosed with pelvic inflammatory disease (PID) is admitted to the
hospital with a temperature of 101.6F and a purulent vaginal discharge. She has no insurance and tells
the nurse she enjoys small children. Which room should the nurse assign this client?
A. A semi-private room with a 4-year-old girl who is currently receiving chemotherapy
B. A semi-private room with an older adolescent girl who had surgery yesterday
C. A room close to the nurse's station
D. A private room - (answer) D. A private room
The registered nurse (RN) and unlicensed assistive personnel (UAP) are working together to provide care
for a bedfast client needing total care, medications, and Foley catheter irrigation. How should the RN
assign the client's care?
A. UAP: Personal care, catheter irrigation, I&O. RN: Medications
B. UAP: Personal care. RN: Medications, catheter irrigation, I&O
C. UAP: Catheter irrigation, I&O. RN: Medications. Both provide personal care.
, MANAGEMENT AND LEADERSHIP HESI NEWEST (3 LATEST VERSIONS) 2024 COMPLETE EACH VERSION
WITH 55 QUESTIONS AND CORRECT DETAILED ANSWERS
D. UAP: Personal care, I&O. RN: Catheter irrigation, medications. - (answer) D. UAP: Personal care, I&O.
RN: Catheter irrigation, medications.
The charge nurse assigns the care of a client with diabetes who has hyperglycemia to a practical nurse
(RN). In supervising the PN, what is the charge nurse's most important action?
A. Decide which sliding scale insulin dose should be administered
B. Obtain the blood sugar results via skin puncture and glucometer
C. Notify the healthcare provider of the daily serum glucose results
D. Confer with the PN about any manifestations the client is exhibiting - (answer) D. Confer with the PN
about any manifestations the client is exhibiting
A registered nurse (RN) is caring for several clients on a progressive care "step-down" unit. After
assessing the clients, which clerical tasks should the nurse assign to a UAP?
A. Chart pulse oximeter readings and type of breath sounds auscultated in the medical record.
B. Record the presence of blood-tinged urine and the hourly Foley output on the flow sheet.
C. Document the type and amount of drainage on a new surgical dressing in the progress note.
D. Transcribe vital signs from a unit worksheet to the individual graphic page in the client charts. -
(answer) D. Transcribe vital signs from a unit worksheet to the individual graphic page in the client
charts.
Which situation requires intervention by the nurse who is caring for a terminally ill client in a hospital?
A. The case manager notifies the family that the critical pathway requires transfer to a hospice facility.
B. The case manager notifies the social worker of the client's financial needs related to hospice care
C. The social worker describes the client's feelings of grief to the spiritual counselor
D. The social worker provides information about long-term care facilities to the client - (answer) A. The
case manager notifies the family that the critical pathway requires transfer to a hospice facility.
The UAP reports morning vital signs to the primary nurse. Which client should the nurse assist first? The
client who is:
A. diagnosed with myxedema with a temperature of 96.8F
B. one-day postoperative abdominal surgery with a pulse of 104 beats/minute
WITH 55 QUESTIONS AND CORRECT DETAILED ANSWERS
The nurse is preparing assignments for the day shift. It is most important that the client with which
diagnosis and description is assigned to a registered nurse?
A. Menorrhagia: 24 hours post vaginal hysterectomy
B. Myocardial infarction: 4-days post infarction, transferred from ICU yesterday
C. Depression: Admitted during the night, following a suicide attempt with an overdose of Tylenol
D. Pneumonia: A 4-year old who is receiving IV antibiotics - (answer) C. Depression: Admitted during
the night, following a suicide attempt with an overdose of Tylenol
During report, the charge nurse informs a nurse that she must work on another unit. The nurse begins to
sigh deeply and tosses about her belongings as she is preparing to leave, making it known that she is
very unhappy about having to "float." What is the best immediate action for the charge nurse to take?
A. Continue with report, and talk to the nurse about the incident at a later time
B. Ask the nurse to call the supervisor to see if she can be reassigned
C. Stop report and remind the nurse that all staff must "float" at some time
D. In the presence of other staff members, inform the nurse that her behavior is inappropriate -
(answer) A. Continue with report, and talk to the nurse about the incident at a later time
A 15-year-old sexually active girl diagnosed with pelvic inflammatory disease (PID) is admitted to the
hospital with a temperature of 101.6F and a purulent vaginal discharge. She has no insurance and tells
the nurse she enjoys small children. Which room should the nurse assign this client?
A. A semi-private room with a 4-year-old girl who is currently receiving chemotherapy
B. A semi-private room with an older adolescent girl who had surgery yesterday
C. A room close to the nurse's station
D. A private room - (answer) D. A private room
The registered nurse (RN) and unlicensed assistive personnel (UAP) are working together to provide care
for a bedfast client needing total care, medications, and Foley catheter irrigation. How should the RN
assign the client's care?
A. UAP: Personal care, catheter irrigation, I&O. RN: Medications
B. UAP: Personal care. RN: Medications, catheter irrigation, I&O
C. UAP: Catheter irrigation, I&O. RN: Medications. Both provide personal care.
, MANAGEMENT AND LEADERSHIP HESI NEWEST (3 LATEST VERSIONS) 2024 COMPLETE EACH VERSION
WITH 55 QUESTIONS AND CORRECT DETAILED ANSWERS
D. UAP: Personal care, I&O. RN: Catheter irrigation, medications. - (answer) D. UAP: Personal care, I&O.
RN: Catheter irrigation, medications.
The charge nurse assigns the care of a client with diabetes who has hyperglycemia to a practical nurse
(RN). In supervising the PN, what is the charge nurse's most important action?
A. Decide which sliding scale insulin dose should be administered
B. Obtain the blood sugar results via skin puncture and glucometer
C. Notify the healthcare provider of the daily serum glucose results
D. Confer with the PN about any manifestations the client is exhibiting - (answer) D. Confer with the PN
about any manifestations the client is exhibiting
A registered nurse (RN) is caring for several clients on a progressive care "step-down" unit. After
assessing the clients, which clerical tasks should the nurse assign to a UAP?
A. Chart pulse oximeter readings and type of breath sounds auscultated in the medical record.
B. Record the presence of blood-tinged urine and the hourly Foley output on the flow sheet.
C. Document the type and amount of drainage on a new surgical dressing in the progress note.
D. Transcribe vital signs from a unit worksheet to the individual graphic page in the client charts. -
(answer) D. Transcribe vital signs from a unit worksheet to the individual graphic page in the client
charts.
Which situation requires intervention by the nurse who is caring for a terminally ill client in a hospital?
A. The case manager notifies the family that the critical pathway requires transfer to a hospice facility.
B. The case manager notifies the social worker of the client's financial needs related to hospice care
C. The social worker describes the client's feelings of grief to the spiritual counselor
D. The social worker provides information about long-term care facilities to the client - (answer) A. The
case manager notifies the family that the critical pathway requires transfer to a hospice facility.
The UAP reports morning vital signs to the primary nurse. Which client should the nurse assist first? The
client who is:
A. diagnosed with myxedema with a temperature of 96.8F
B. one-day postoperative abdominal surgery with a pulse of 104 beats/minute
