NEXT GENERATION (NGN) HESI LEADERSHIP AND
MANAGEMENT EXAM 2025
Actual Questions and Answers
Expert-Verified Explanation
This Exam contains:
✪ Multiple-choice and True/False Format
✪ Expert-Verified Explanations
✪ Verified with Trusted Textbooks
1.
A female client presents in the emergency department and tells the nurse that she was raped last night.
Which question is most important for the nurse to ask?
A) Has she taken a bath since the rape occurred?
B) Is the place where she lives a safe place?
C) Does she know the person who raped her?
D) Did she report the rape to the police department?
Answer: A
EXPLANATION: Asking about bathing helps preserve forensic evidence crucial for the investigation and
treatment.
2.
Which finding in a 3-year-old with meningitis and hydrocephalus indicates increased intracranial
pressure?
A) Tachycardia and tachypnea
B) Sluggish and unequal pupillary responses
C) Increased head circumference and bulging fontanels
D) BP fluctuations and syncope
Answer: B
EXPLANATION: Pupillary changes reflect neurological compromise and are direct signs of increased ICP.
3.
A client with pancreatitis reports piercing abdominal pain. What finding is most expected?
A) Pain relieved by lying supine
B) Pain lasts an hour and leaves tenderness
C) RUQ pain radiating to scapula
D) Drinks alcohol until intoxicated twice weekly
Answer: A
,EXPLANATION: Pain with pancreatitis often improves when lying supine due to decreased pancreatic
stimulation.
4.
What is the most important discharge teaching point for a child with sickle cell anemia?
A) Fluid intake guidelines
B) Risk of opioid addiction
C) Non-pharma pain relief
D) Referral to social services
Answer: A
EXPLANATION: Hydration prevents sickling and reduces crises.
5.
What is the correct location to auscultate a carotid bruit?
Answer: Base of neck, right side
EXPLANATION: This placement detects turbulent blood flow in the carotid artery, suggesting stenosis.
6.
Which client should be assessed first on an inpatient unit?
A) Large bowel obstruction with distention
B) Post-op paralytic ileus
C) SBO with green NG drainage
D) Bowel obstruction with rigidity from volvulus
Answer: D
EXPLANATION: Rigidity suggests peritonitis or ischemia—immediate intervention needed.
7.
What acid-base imbalance is expected in a teen hyperventilating after vaping?
A) Respiratory acidosis
B) Metabolic alkalosis
C) Metabolic acidosis
D) Respiratory alkalosis
Answer: D
EXPLANATION: Hyperventilation causes excessive CO₂ loss, leading to alkalosis.
8.
, What is the best bed position for a client with dyspnea?
A) Supine
B) Supine, feet elevated
C) Supine, head elevated
D) Fowler’s
Answer: D
EXPLANATION: Fowler’s promotes lung expansion and better oxygenation.
9.
What assessment info is most relevant to BP readings in Parkinson’s disease? (Select all that apply)
A) Frequent syncope ✔️
B) Occasional nocturia
C) Flat affect ✔️
D) Blurred vision ✔️
E) Frequent drooling
Answer: A, C, D
EXPLANATION: Autonomic dysfunction in Parkinson’s can cause orthostatic hypotension, affecting BP
accuracy.
10.
What lab value should the nurse check before reporting purulent drainage post-op?
A) Serum albumin
B) Wound culture and sensitivity
C) Serum glucose
D) Creatinine
Answer: B
EXPLANATION: Wound cultures guide targeted antibiotic therapy.
11.
Which action is best when a sibling of a near-drowning victim becomes withdrawn?
A) Develop water safety plan
B) Ask sibling about feelings
C) Tell sibling they seem depressed
D) Praise sibling’s heroism
Answer: B
EXPLANATION: Open-ended inquiry facilitates emotional expression and support.
12.
MANAGEMENT EXAM 2025
Actual Questions and Answers
Expert-Verified Explanation
This Exam contains:
✪ Multiple-choice and True/False Format
✪ Expert-Verified Explanations
✪ Verified with Trusted Textbooks
1.
A female client presents in the emergency department and tells the nurse that she was raped last night.
Which question is most important for the nurse to ask?
A) Has she taken a bath since the rape occurred?
B) Is the place where she lives a safe place?
C) Does she know the person who raped her?
D) Did she report the rape to the police department?
Answer: A
EXPLANATION: Asking about bathing helps preserve forensic evidence crucial for the investigation and
treatment.
2.
Which finding in a 3-year-old with meningitis and hydrocephalus indicates increased intracranial
pressure?
A) Tachycardia and tachypnea
B) Sluggish and unequal pupillary responses
C) Increased head circumference and bulging fontanels
D) BP fluctuations and syncope
Answer: B
EXPLANATION: Pupillary changes reflect neurological compromise and are direct signs of increased ICP.
3.
A client with pancreatitis reports piercing abdominal pain. What finding is most expected?
A) Pain relieved by lying supine
B) Pain lasts an hour and leaves tenderness
C) RUQ pain radiating to scapula
D) Drinks alcohol until intoxicated twice weekly
Answer: A
,EXPLANATION: Pain with pancreatitis often improves when lying supine due to decreased pancreatic
stimulation.
4.
What is the most important discharge teaching point for a child with sickle cell anemia?
A) Fluid intake guidelines
B) Risk of opioid addiction
C) Non-pharma pain relief
D) Referral to social services
Answer: A
EXPLANATION: Hydration prevents sickling and reduces crises.
5.
What is the correct location to auscultate a carotid bruit?
Answer: Base of neck, right side
EXPLANATION: This placement detects turbulent blood flow in the carotid artery, suggesting stenosis.
6.
Which client should be assessed first on an inpatient unit?
A) Large bowel obstruction with distention
B) Post-op paralytic ileus
C) SBO with green NG drainage
D) Bowel obstruction with rigidity from volvulus
Answer: D
EXPLANATION: Rigidity suggests peritonitis or ischemia—immediate intervention needed.
7.
What acid-base imbalance is expected in a teen hyperventilating after vaping?
A) Respiratory acidosis
B) Metabolic alkalosis
C) Metabolic acidosis
D) Respiratory alkalosis
Answer: D
EXPLANATION: Hyperventilation causes excessive CO₂ loss, leading to alkalosis.
8.
, What is the best bed position for a client with dyspnea?
A) Supine
B) Supine, feet elevated
C) Supine, head elevated
D) Fowler’s
Answer: D
EXPLANATION: Fowler’s promotes lung expansion and better oxygenation.
9.
What assessment info is most relevant to BP readings in Parkinson’s disease? (Select all that apply)
A) Frequent syncope ✔️
B) Occasional nocturia
C) Flat affect ✔️
D) Blurred vision ✔️
E) Frequent drooling
Answer: A, C, D
EXPLANATION: Autonomic dysfunction in Parkinson’s can cause orthostatic hypotension, affecting BP
accuracy.
10.
What lab value should the nurse check before reporting purulent drainage post-op?
A) Serum albumin
B) Wound culture and sensitivity
C) Serum glucose
D) Creatinine
Answer: B
EXPLANATION: Wound cultures guide targeted antibiotic therapy.
11.
Which action is best when a sibling of a near-drowning victim becomes withdrawn?
A) Develop water safety plan
B) Ask sibling about feelings
C) Tell sibling they seem depressed
D) Praise sibling’s heroism
Answer: B
EXPLANATION: Open-ended inquiry facilitates emotional expression and support.
12.
