LEADERSHIP HESI CORE EXAM SET 2026/2027
QUESTIONS AND SOLUTIONS RATED A+
✔✔UAP - ✔✔CNA
They cannot perform invasive or sterile procedures
They may not do any activity that requires nursing judgement
The UAP may perform care that falls within implementation of the nursing process
✔✔Critical thinking skills for leadership and management situations - ✔✔Assessment:
what are the needs or problems?
Analysis: what has the highest priority?
Planning: what outcomes and goals must be accomplished? What are the available
resources? Like nursing staff, interdisciplinary team members, time, equipment and
supplies, space
Implementation: communicating expectations. Is documentation complete?
Evaluation: were the desired outcomes achieved? Was safe, effective care provided?
✔✔How to determine which client the nurse should assess first - ✔✔Which client is the
most critically ill and unstable?
Which client is most likely to experience a significant change in condition?
Which client requires assessment by an RN?
✔✔Levels of prevention in disaster management - ✔✔Primary prevention: participate in
the development of a disaster plan, train rescue workers in triage and basic first aid,
educate personnel about shelter management, educate the public about the disaster
plan and personal preparation for disaster
Secondary prevention: triage, treatment of injuries, treatment of other conditions,
including mental health, shelter supervision
Tertiary prevention: follow up care for injuries, follow up care for psychological
problems, recovery assistance, prevention of future disasters and their consequences
✔✔Triage - ✔✔The goal is to maximize the number of survivors by sorting the injured
according to treatable and untreatable victims
Primary criteria used is:
Potential for survival and availability of resources
, ✔✔Triage-Red - ✔✔Most urgent, first priority
Life threatening injuries-ABC's
High probability for survival when stabilized
Need continuous evaluation
Cannot delay treatment
Ex) trauma victims, chest pain, severe respiratory distress or cardiac arrest, limb
amputation, acute neurological deficits (confused), sustained chemical splashes to the
eyes
✔✔Triage-Yellow - ✔✔Urgent, second priority
Injuries with systemic effects and complications that are not life-threatening
Need continuous evaluation every 30 to 60 minutes
Can delay for 30-60 minutes
Ex) open fracture with a distal pulse and large wounds
✔✔Triage-Green - ✔✔Third priority
Minimal injuries with no systemic complications "walking wounded"
Need evaluation every 1 to 2 hours
Can delay for several hours
Ex) closed fracture, minor lacerations, sprains, strains, or contusions
✔✔Triage-Black - ✔✔Dying or dead
Catastrophic injuries
No hope for survival, no treatment
✔✔Possible agents of bio terrorism - ✔✔Biologic agents:
Anthrax, pneumonic plague, botulism, smallpox, inhalation tularemia, viral hemorrhagic
fever
Chemical agents:
Biotoxin agents-ricin
QUESTIONS AND SOLUTIONS RATED A+
✔✔UAP - ✔✔CNA
They cannot perform invasive or sterile procedures
They may not do any activity that requires nursing judgement
The UAP may perform care that falls within implementation of the nursing process
✔✔Critical thinking skills for leadership and management situations - ✔✔Assessment:
what are the needs or problems?
Analysis: what has the highest priority?
Planning: what outcomes and goals must be accomplished? What are the available
resources? Like nursing staff, interdisciplinary team members, time, equipment and
supplies, space
Implementation: communicating expectations. Is documentation complete?
Evaluation: were the desired outcomes achieved? Was safe, effective care provided?
✔✔How to determine which client the nurse should assess first - ✔✔Which client is the
most critically ill and unstable?
Which client is most likely to experience a significant change in condition?
Which client requires assessment by an RN?
✔✔Levels of prevention in disaster management - ✔✔Primary prevention: participate in
the development of a disaster plan, train rescue workers in triage and basic first aid,
educate personnel about shelter management, educate the public about the disaster
plan and personal preparation for disaster
Secondary prevention: triage, treatment of injuries, treatment of other conditions,
including mental health, shelter supervision
Tertiary prevention: follow up care for injuries, follow up care for psychological
problems, recovery assistance, prevention of future disasters and their consequences
✔✔Triage - ✔✔The goal is to maximize the number of survivors by sorting the injured
according to treatable and untreatable victims
Primary criteria used is:
Potential for survival and availability of resources
, ✔✔Triage-Red - ✔✔Most urgent, first priority
Life threatening injuries-ABC's
High probability for survival when stabilized
Need continuous evaluation
Cannot delay treatment
Ex) trauma victims, chest pain, severe respiratory distress or cardiac arrest, limb
amputation, acute neurological deficits (confused), sustained chemical splashes to the
eyes
✔✔Triage-Yellow - ✔✔Urgent, second priority
Injuries with systemic effects and complications that are not life-threatening
Need continuous evaluation every 30 to 60 minutes
Can delay for 30-60 minutes
Ex) open fracture with a distal pulse and large wounds
✔✔Triage-Green - ✔✔Third priority
Minimal injuries with no systemic complications "walking wounded"
Need evaluation every 1 to 2 hours
Can delay for several hours
Ex) closed fracture, minor lacerations, sprains, strains, or contusions
✔✔Triage-Black - ✔✔Dying or dead
Catastrophic injuries
No hope for survival, no treatment
✔✔Possible agents of bio terrorism - ✔✔Biologic agents:
Anthrax, pneumonic plague, botulism, smallpox, inhalation tularemia, viral hemorrhagic
fever
Chemical agents:
Biotoxin agents-ricin
