HESI PN Leadership Exit Exam — Newest
Version 2025/2026 | 100 Questions
Real Exam-Based Questions and Verified Answers | 100% Accuracy | Paramedic
Program Admission Prep | Graded A+
Introduction
This expert-reviewed exam prep includes 100 verified multiple-choice questions and
correct answers from the HESI PN Leadership Exit Exam – Newest Version for the
2025/2026 cycle. It covers essential leadership principles, delegation, prioritization, legal and
ethical responsibilities, communication, and decision-making—fully aligned with the latest
HESI testing standards for LPN/LVN leadership competencies.
Answer Format
All correct answers are clearly marked in bold and green for efficient review and
confident preparation.
Section 2: Exam Questions and Answers
HESI PN Leadership Exit Exam Questions - 100 Questions
Question 1
A charge nurse observes a new LPN struggling to prioritize tasks during a busy shift. What
should the charge nurse do first?
A) Assign another nurse to take over the LPN’s tasks
B) Provide guidance on prioritizing patient care needs
C) Document the LPN’s performance for evaluation
D) Request the LPN work faster to catch up
Rationale: Guidance helps the LPN develop prioritization skills, supporting growth.
Question 2
A client with a pressure ulcer refuses treatment, citing personal beliefs. What should the
nurse do?
A) Proceed with treatment to prevent infection
B) Respect the client’s autonomy and document the refusal
C) Notify the physician to override the refusal
D) Restrict the client’s visitors until compliance
Rationale: Respecting autonomy and documenting adheres to ethical and legal standards.
Question 3
A nurse manager needs to delegate wound care to an LPN. What should the manager consider
first?
,A) The LPN’s years of experience
B) The LPN’s competency and scope of practice
C) The manager’s workload that day
D) The client’s preference for care provider
Rationale: Competency ensures safe delegation within the LPN’s scope.
Question 4
A staff nurse reports a medication error to the charge nurse. What should the charge nurse do
first?
A) Discipline the nurse immediately
B) Assess the client for adverse effects
C) Complete an incident report later
D) Inform the nurse manager without investigation
Rationale: Client safety is priority; assessment addresses potential harm.
Question 5
An LPN asks the RN to clarify a physician’s order that seems unclear. What should the RN
do?
A) Instruct the LPN to follow the order as written
B) Contact the physician for clarification
C) Delegate the task to another nurse
D) Ignore the request and proceed
Rationale: Clarification ensures safe care and complies with legal standards.
Question 6
A nurse observes a coworker taking supplies home without permission. What should the
nurse do?
A) Confront the coworker immediately
B) Report the observation to the nurse manager
C) Ignore the behavior if it’s minor
D) Join the coworker to avoid conflict
Rationale: Reporting upholds ethical responsibility and facility policy.
Question 7
During a staffing shortage, a charge nurse must assign tasks. What is the highest priority?
A) Completing administrative paperwork
B) Ensuring critical patient care needs are met
C) Scheduling a staff meeting
D) Reviewing the next shift’s assignments
Rationale: Patient care takes precedence during shortages.
Question 8
A client complains about a nurse’s rude behavior. What should the charge nurse do first?
A) Apologize to the client on behalf of the nurse
, B) Investigate the complaint by speaking with the client
C) Reassign the nurse to another unit
D) Document the complaint without action
Rationale: Investigation ensures fairness and gathers facts.
Question 9
An LPN reports feeling overwhelmed by a heavy assignment. What should the RN do?
A) Take over all the LPN’s tasks
B) Assist in reprioritizing and provide support
C) Report the LPN to the manager
D) Ignore the complaint to build resilience
Rationale: Support and reprioritization enhance teamwork and safety.
Question 10
A nurse manager conducts a performance review. What should be the focus?
A) The nurse’s personal life
B) The nurse’s clinical performance and goals
C) The manager’s own workload
D) Other staff’s opinions of the nurse
Rationale: Performance reviews center on professional development.
Question 11
A client’s family requests a change in care plan. What should the nurse do?
A) Deny the request without discussion
B) Discuss with the healthcare team and involve the family
C) Implement the change immediately
D) Refer the family to the billing department
Rationale: Collaboration ensures family input is considered ethically.
Question 12
An RN delegates a task to a nursing assistant but later finds it incomplete. What should the
RN do?
A) Complete the task personally
B) Follow up with the assistant and provide clear instructions
C) Report the assistant to the manager
D) Reassign the task without discussion
Rationale: Follow-up clarifies expectations and supports accountability.
Question 13
A nurse receives a subpoena to testify in a malpractice case. What should the nurse do?
A) Ignore the subpoena
B) Contact the facility’s legal department for guidance
C) Provide testimony without preparation
Version 2025/2026 | 100 Questions
Real Exam-Based Questions and Verified Answers | 100% Accuracy | Paramedic
Program Admission Prep | Graded A+
Introduction
This expert-reviewed exam prep includes 100 verified multiple-choice questions and
correct answers from the HESI PN Leadership Exit Exam – Newest Version for the
2025/2026 cycle. It covers essential leadership principles, delegation, prioritization, legal and
ethical responsibilities, communication, and decision-making—fully aligned with the latest
HESI testing standards for LPN/LVN leadership competencies.
Answer Format
All correct answers are clearly marked in bold and green for efficient review and
confident preparation.
Section 2: Exam Questions and Answers
HESI PN Leadership Exit Exam Questions - 100 Questions
Question 1
A charge nurse observes a new LPN struggling to prioritize tasks during a busy shift. What
should the charge nurse do first?
A) Assign another nurse to take over the LPN’s tasks
B) Provide guidance on prioritizing patient care needs
C) Document the LPN’s performance for evaluation
D) Request the LPN work faster to catch up
Rationale: Guidance helps the LPN develop prioritization skills, supporting growth.
Question 2
A client with a pressure ulcer refuses treatment, citing personal beliefs. What should the
nurse do?
A) Proceed with treatment to prevent infection
B) Respect the client’s autonomy and document the refusal
C) Notify the physician to override the refusal
D) Restrict the client’s visitors until compliance
Rationale: Respecting autonomy and documenting adheres to ethical and legal standards.
Question 3
A nurse manager needs to delegate wound care to an LPN. What should the manager consider
first?
,A) The LPN’s years of experience
B) The LPN’s competency and scope of practice
C) The manager’s workload that day
D) The client’s preference for care provider
Rationale: Competency ensures safe delegation within the LPN’s scope.
Question 4
A staff nurse reports a medication error to the charge nurse. What should the charge nurse do
first?
A) Discipline the nurse immediately
B) Assess the client for adverse effects
C) Complete an incident report later
D) Inform the nurse manager without investigation
Rationale: Client safety is priority; assessment addresses potential harm.
Question 5
An LPN asks the RN to clarify a physician’s order that seems unclear. What should the RN
do?
A) Instruct the LPN to follow the order as written
B) Contact the physician for clarification
C) Delegate the task to another nurse
D) Ignore the request and proceed
Rationale: Clarification ensures safe care and complies with legal standards.
Question 6
A nurse observes a coworker taking supplies home without permission. What should the
nurse do?
A) Confront the coworker immediately
B) Report the observation to the nurse manager
C) Ignore the behavior if it’s minor
D) Join the coworker to avoid conflict
Rationale: Reporting upholds ethical responsibility and facility policy.
Question 7
During a staffing shortage, a charge nurse must assign tasks. What is the highest priority?
A) Completing administrative paperwork
B) Ensuring critical patient care needs are met
C) Scheduling a staff meeting
D) Reviewing the next shift’s assignments
Rationale: Patient care takes precedence during shortages.
Question 8
A client complains about a nurse’s rude behavior. What should the charge nurse do first?
A) Apologize to the client on behalf of the nurse
, B) Investigate the complaint by speaking with the client
C) Reassign the nurse to another unit
D) Document the complaint without action
Rationale: Investigation ensures fairness and gathers facts.
Question 9
An LPN reports feeling overwhelmed by a heavy assignment. What should the RN do?
A) Take over all the LPN’s tasks
B) Assist in reprioritizing and provide support
C) Report the LPN to the manager
D) Ignore the complaint to build resilience
Rationale: Support and reprioritization enhance teamwork and safety.
Question 10
A nurse manager conducts a performance review. What should be the focus?
A) The nurse’s personal life
B) The nurse’s clinical performance and goals
C) The manager’s own workload
D) Other staff’s opinions of the nurse
Rationale: Performance reviews center on professional development.
Question 11
A client’s family requests a change in care plan. What should the nurse do?
A) Deny the request without discussion
B) Discuss with the healthcare team and involve the family
C) Implement the change immediately
D) Refer the family to the billing department
Rationale: Collaboration ensures family input is considered ethically.
Question 12
An RN delegates a task to a nursing assistant but later finds it incomplete. What should the
RN do?
A) Complete the task personally
B) Follow up with the assistant and provide clear instructions
C) Report the assistant to the manager
D) Reassign the task without discussion
Rationale: Follow-up clarifies expectations and supports accountability.
Question 13
A nurse receives a subpoena to testify in a malpractice case. What should the nurse do?
A) Ignore the subpoena
B) Contact the facility’s legal department for guidance
C) Provide testimony without preparation
