Leadership HESI (with NGN) Comprehensive Study Guide –
Expert Strategies, Review of Key Quizzes, And Practice
Questions for Guaranteed Success / Newest 2025/2026.
A nurse working on a medical-surgical unit receives a telephone call requesting the
status of a client from an individual who identifies themself as the client's parent.
Which of the following actions should the nurse take?
a. Ask the caller for verification of their identity.
b. Give the caller limited information about the client.
c. Transfer the call to the client's room.
d. Inform the caller that they should obtain permission from the client's provider. -
ANSWER✔✔-a. Ask the caller for verification of their identity.
COPYRIGHT © 2025 BY OLIVIA GREENWAYS, ALL RIGHTS RESERVED 1
,RATIONALE: According to HIPAA, if someone requests information about a client it is
the nurse's duty to protect that information. Therefore, the nurse should inform the
caller that nurses cannot release any client information over the phone without the
permission of the client. The nurse should ask for verification of the caller's identity to
determine if they have been authorized by the client to receive information.
________________________________________________________________________
b. This action by the nurse violates HIPAA because the client's personal health
information is protected legally by the facility and the nurse should not disclose
information, even in a limited form.
c. According to HIPAA, if someone requests information about a client, it is the nurse's
duty to protect that information. Therefore, the nurse should inform the caller that they
cannot transfer the call or release any client information over the phone without the
permission of the client.
d. The client's provider must receive permission from the client to release specific
medical information to family members. Therefore, this action by the nurse violates the
client's right to privacy.
COPYRIGHT © 2025 BY OLIVIA GREENWAYS, ALL RIGHTS RESERVED 2
, A nurse is caring for a client who has a fractured femur and has had a fiberglass leg
cylinder cast for 24 hr. Which of the following assessment findings should the nurse
identify as the priority?
a. The client reports leg itching under the cast around the mid-upper thigh area.
b. The client reports increased pain when the leg is lowered below the level of the heart.
c. The client's cast became wet during a sponge bath.
d. The client's heel is reddened and tender. - ANSWER✔✔-d. The client's heel is
reddened and tender.
RATIONALE: The greatest risk to this client is injury from a pressure injury. Therefore,
the priority assessment finding the nurse should identify is a reddened and tender heel.
________________________________________________________________________
COPYRIGHT © 2025 BY OLIVIA GREENWAYS, ALL RIGHTS RESERVED 3
Expert Strategies, Review of Key Quizzes, And Practice
Questions for Guaranteed Success / Newest 2025/2026.
A nurse working on a medical-surgical unit receives a telephone call requesting the
status of a client from an individual who identifies themself as the client's parent.
Which of the following actions should the nurse take?
a. Ask the caller for verification of their identity.
b. Give the caller limited information about the client.
c. Transfer the call to the client's room.
d. Inform the caller that they should obtain permission from the client's provider. -
ANSWER✔✔-a. Ask the caller for verification of their identity.
COPYRIGHT © 2025 BY OLIVIA GREENWAYS, ALL RIGHTS RESERVED 1
,RATIONALE: According to HIPAA, if someone requests information about a client it is
the nurse's duty to protect that information. Therefore, the nurse should inform the
caller that nurses cannot release any client information over the phone without the
permission of the client. The nurse should ask for verification of the caller's identity to
determine if they have been authorized by the client to receive information.
________________________________________________________________________
b. This action by the nurse violates HIPAA because the client's personal health
information is protected legally by the facility and the nurse should not disclose
information, even in a limited form.
c. According to HIPAA, if someone requests information about a client, it is the nurse's
duty to protect that information. Therefore, the nurse should inform the caller that they
cannot transfer the call or release any client information over the phone without the
permission of the client.
d. The client's provider must receive permission from the client to release specific
medical information to family members. Therefore, this action by the nurse violates the
client's right to privacy.
COPYRIGHT © 2025 BY OLIVIA GREENWAYS, ALL RIGHTS RESERVED 2
, A nurse is caring for a client who has a fractured femur and has had a fiberglass leg
cylinder cast for 24 hr. Which of the following assessment findings should the nurse
identify as the priority?
a. The client reports leg itching under the cast around the mid-upper thigh area.
b. The client reports increased pain when the leg is lowered below the level of the heart.
c. The client's cast became wet during a sponge bath.
d. The client's heel is reddened and tender. - ANSWER✔✔-d. The client's heel is
reddened and tender.
RATIONALE: The greatest risk to this client is injury from a pressure injury. Therefore,
the priority assessment finding the nurse should identify is a reddened and tender heel.
________________________________________________________________________
COPYRIGHT © 2025 BY OLIVIA GREENWAYS, ALL RIGHTS RESERVED 3
