LEADERSHIP HESI, EVOLVE HESI
LEADERSHIP/MANAGEMENT EXAM
WITH 100% CORRECT ANSWERS
2025/2026
The nurse calls the surgeon to report that a male client who has
transitioned from a PCA to PO analgesic one hour ago is now
complaining in a loud voice and asking for the PCA pump. The
nurse explains that the client's behavior is disturbing his
roommate. The client's BP has increased from 120/72 to 150/98.
Which question is best to include in the recommendation
component of the SBAR report the the surgeon? correct
answers >> Could the behavior be a manifestation of drug
seeking?
The nurse caring for a client with bacterial meningitis is preparing
report for the oncoming nurse. It is most important to include
which assessment finding in the report? correct answers >>
Increasing pulse pressure.
The nurse is assigned to care for four clients. After receiving the
change of shift report, which client should the nurse assess first?
A client with diabetes and a history of coronary artery disease
who is complaining of increased SOB
A 10 year old with sickle cell disease who has a PCA pump and is
complaining of pain2-3/10
,A 29 year old who has had CKD for the past year and had an AV
fistula placed yesterday
An older client with COPD who is experiencing SOB and who O2
sat is 88% on RA correct answers >> A client with diabetes
and a history of coronary artery disease who is complaining of
increased SOB
A HCP notifies the nurse that new prescriptions have been written
for a client. Which is the first action the nurse should implement?
correct answers >> Read all of the new prescriptions for the
client written by the provider
A RN, PN and UAP are working as team to provide care for a
acutely ill client requiring immediate bedside insertion of a chest
tube. Which assignment is the best use of each person's skills?
correct answers >> The UAP obtains an O2 sat level while the
RN reports the findings to the HCP
An older woman with a long history of HTN is transferred from a
long term care unit because of HF. She has a signed and
witnessed DNR in her record. What action should the nurse take?
correct answers >> Confirm current resuscitation wishes with
client and family
When caring for an older adult with septic shock, which
intervention is most important for the nurse to include in this
client's plan of care? correct answers >> Assess warmth of
extremities
,A client is admitted with exacerbation of COPD and reports that it
is difficult to eat due to SOB. Which tasks should the nurse
delegate to UAP? Select all that apply. correct answers >>
Assist the client with eating small, frequent high calorie meals
Offer high caloric foods such as milk and ice cream
Maintain a clean and pleasant environment during meals
Set up the food and drink containers within easy reach
The nurse watches the UAP bring soap, washcloths, towel and a
basin into the room of a male client who had a suprapubic
catheter inserted earlier that day. Which action should the nurse
implement? correct answers >> Tell the UAP that the nurse
will perform the client's catheter care while the UAP assists with
his personal care
The nurse observes a PN placing a client on the right side with left
leg bent in prep for lumbar puncture. Which action should the RN
take? correct answers >> Demonstrate to the PN how to
position the client more effectively for the procedure
The charge nurse observes a newly employed nurse begin to
administered liquid meds via the clients gastrostomy feeding tube
system via the bag hanging at above delivery pump. What action
should the charge nurse take? correct answers >> Direct the
nurse to stop medication administration
, The nurse assigns a UAP to apply sequential compression devices
to a client. Which instruction should the nurse include when
assigning this task? correct answers >> Report changes in
color in the client's feet or legs
The nurse hears new UAP who is working in long term care facility
calling adult residents "honey" and "dearie." Which is the best
action the nurse should take? correct answers >> Meet with
the UAP to discuss respectful client care strategies
A nationally known management consultant, whose fee is very
high, is scheduled to speak at a day long hospital education
conference. The head nurses wants the information presented at
the meeting to be disseminated among the staff. Which plan will
be most useful in achieving this goal? correct answers >>
Ask two staff members to attend and report what they learned to
the unit staff
Four clients are scheduled to receive IV infusions, but there are
only three pumps available. Which prescribed infusion can most
safely be administered without a pump?
A. Regular insulin in NS prescribed for ketoacidosis
B. Heparin in NS prescribed for DVT
C. Magnesium in NS prescribed for hypomagnesemia
D. Ceftriaxone in 5% dextrose in Water prescribed for pneumonia
correct answers >> D. Ceftriaxone in 5% dextrose in Water
prescribed for pneumonia?
LEADERSHIP/MANAGEMENT EXAM
WITH 100% CORRECT ANSWERS
2025/2026
The nurse calls the surgeon to report that a male client who has
transitioned from a PCA to PO analgesic one hour ago is now
complaining in a loud voice and asking for the PCA pump. The
nurse explains that the client's behavior is disturbing his
roommate. The client's BP has increased from 120/72 to 150/98.
Which question is best to include in the recommendation
component of the SBAR report the the surgeon? correct
answers >> Could the behavior be a manifestation of drug
seeking?
The nurse caring for a client with bacterial meningitis is preparing
report for the oncoming nurse. It is most important to include
which assessment finding in the report? correct answers >>
Increasing pulse pressure.
The nurse is assigned to care for four clients. After receiving the
change of shift report, which client should the nurse assess first?
A client with diabetes and a history of coronary artery disease
who is complaining of increased SOB
A 10 year old with sickle cell disease who has a PCA pump and is
complaining of pain2-3/10
,A 29 year old who has had CKD for the past year and had an AV
fistula placed yesterday
An older client with COPD who is experiencing SOB and who O2
sat is 88% on RA correct answers >> A client with diabetes
and a history of coronary artery disease who is complaining of
increased SOB
A HCP notifies the nurse that new prescriptions have been written
for a client. Which is the first action the nurse should implement?
correct answers >> Read all of the new prescriptions for the
client written by the provider
A RN, PN and UAP are working as team to provide care for a
acutely ill client requiring immediate bedside insertion of a chest
tube. Which assignment is the best use of each person's skills?
correct answers >> The UAP obtains an O2 sat level while the
RN reports the findings to the HCP
An older woman with a long history of HTN is transferred from a
long term care unit because of HF. She has a signed and
witnessed DNR in her record. What action should the nurse take?
correct answers >> Confirm current resuscitation wishes with
client and family
When caring for an older adult with septic shock, which
intervention is most important for the nurse to include in this
client's plan of care? correct answers >> Assess warmth of
extremities
,A client is admitted with exacerbation of COPD and reports that it
is difficult to eat due to SOB. Which tasks should the nurse
delegate to UAP? Select all that apply. correct answers >>
Assist the client with eating small, frequent high calorie meals
Offer high caloric foods such as milk and ice cream
Maintain a clean and pleasant environment during meals
Set up the food and drink containers within easy reach
The nurse watches the UAP bring soap, washcloths, towel and a
basin into the room of a male client who had a suprapubic
catheter inserted earlier that day. Which action should the nurse
implement? correct answers >> Tell the UAP that the nurse
will perform the client's catheter care while the UAP assists with
his personal care
The nurse observes a PN placing a client on the right side with left
leg bent in prep for lumbar puncture. Which action should the RN
take? correct answers >> Demonstrate to the PN how to
position the client more effectively for the procedure
The charge nurse observes a newly employed nurse begin to
administered liquid meds via the clients gastrostomy feeding tube
system via the bag hanging at above delivery pump. What action
should the charge nurse take? correct answers >> Direct the
nurse to stop medication administration
, The nurse assigns a UAP to apply sequential compression devices
to a client. Which instruction should the nurse include when
assigning this task? correct answers >> Report changes in
color in the client's feet or legs
The nurse hears new UAP who is working in long term care facility
calling adult residents "honey" and "dearie." Which is the best
action the nurse should take? correct answers >> Meet with
the UAP to discuss respectful client care strategies
A nationally known management consultant, whose fee is very
high, is scheduled to speak at a day long hospital education
conference. The head nurses wants the information presented at
the meeting to be disseminated among the staff. Which plan will
be most useful in achieving this goal? correct answers >>
Ask two staff members to attend and report what they learned to
the unit staff
Four clients are scheduled to receive IV infusions, but there are
only three pumps available. Which prescribed infusion can most
safely be administered without a pump?
A. Regular insulin in NS prescribed for ketoacidosis
B. Heparin in NS prescribed for DVT
C. Magnesium in NS prescribed for hypomagnesemia
D. Ceftriaxone in 5% dextrose in Water prescribed for pneumonia
correct answers >> D. Ceftriaxone in 5% dextrose in Water
prescribed for pneumonia?
