6/28/25, 7:14 PM
HESI RN LEADERSHIP AND MANAGEMENT ACTUAL EXAM
2025 \2026 \NEWEST VERSION WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS
\VERIFIED ANSWERS \ALREADY GRADED A+
One open bed in ICU but Take patient to ICU and arrange for respiratory patient to stay in
reserved for PACU
patient coming from PACU
with respiratory problems,
what to do
The ICU is full and short Staff nurse who was cross-trained to work in the critical care dept
staffed, so nursing super
informs charge nurse in
the med
dept that one nurse must float
to the ICU
Prescriptions-telephone repeat order back to doctor to make sure it is correct
A nurse working on a D
medical-surgical unit is
managing care of four
clients. The nurse should
schedule an
interdisciplinary
conference for which of
the following clients?
a. A client who is at risk for
pressure ulcers and has an
albumin levelof 4.2 g/dL
A client who has Type 1
diabetes and uses an
insulin pump
c. A client who has
/ 1/44
,6/28/25, 8:29 PM
orthostatic hypotension and
is receiving IV fluids
d. A client who is receiving
heparin and has an aPTT of
34 seconds (On heparin: 45-
80 sec)
A facility provides annual D
staff education regarding
ethical practice. A charge
nurse recognizes a need
for
further education when
which of the following
behaviors is observed?
a. A nurse gives prescribed
opioids to a client who
has a terminal illness
and
respirations of 8/min.
b. A nurse refuses to
actively participate during
an elective abortion
procedure scheduled for
her client.
c. A nurse informs a
confused client who wants
to go home that he is going
to stay at the facility until
he is better.
d. A nurse explains to a
client's family that a DNR
includes withholding
comfort
measures
DNR Notify family
/ 2/44
,6/28/25, 8:29 PM
An elderly patient with 3. Notify the physician.
respiratory failure informs The physician must determine patient competency
the nurse that she does not before a DNR or DNI form can be signed. Also, the DNR
want to be placed on a order must be signed by the physician in order to make
ventilator. What should the it valid.
nurse do NEXT?
1) Consult with the patient's
family
.2) Notify the hospice team
3) Notify the physician
4) Have the patient sign a DNR
form.
male with cancer admitted Consult with the client about his expected goals for his
to the oncology unit tells the hospitalization and current treatment plan
nurse that he is in the
hospital for palliative care
measures but ordered
prescriptions include radiation
therapy
Assign UAP hygiene, feeding, ADLS, ROM, ambulation
A nurse is precepting a B
newly licensed nurse who is
caring for a client who is
confused and has an IV
infusion.
The newly licensed nurse
has placed the client in
wrist restraints to prevent
dislodging the IV catheter.
Which of the
following questions should
the precepting nurse ask?
a. "Are you removing the
client's restraints every 4
hours?"
b. "Are you able to
insert two fingers
between the restraints
and the client's skin?"
c. "Did you tie the restraints
/ 3/44
, 6/28/25, 8:29 PM
using a double knot?"
d. "Did you secure the
restraints to the side rails of
the bed?"
The nurse coming on for the 2
evening shift receives report
that one of her patients on
the psychiatric unit is in 4-
point restraints.
Which of the following is
true regarding assessment
of the patient?
1) The nurse will assess
the patient at change of
shift and then assign a
mental health worker to
check VS every hour.
2) The nurse will assess
the patient at change of
shift and then at least
every hour.
3) The nurse will assess
the patient at change of
shift and then at least
every 2 hours.
4) The nurse will assess
the patient at change of
shift and then at least
every 4 hours when a
/ 4/44
HESI RN LEADERSHIP AND MANAGEMENT ACTUAL EXAM
2025 \2026 \NEWEST VERSION WITH COMPLETE
QUESTIONS AND CORRECT DETAILED ANSWERS
\VERIFIED ANSWERS \ALREADY GRADED A+
One open bed in ICU but Take patient to ICU and arrange for respiratory patient to stay in
reserved for PACU
patient coming from PACU
with respiratory problems,
what to do
The ICU is full and short Staff nurse who was cross-trained to work in the critical care dept
staffed, so nursing super
informs charge nurse in
the med
dept that one nurse must float
to the ICU
Prescriptions-telephone repeat order back to doctor to make sure it is correct
A nurse working on a D
medical-surgical unit is
managing care of four
clients. The nurse should
schedule an
interdisciplinary
conference for which of
the following clients?
a. A client who is at risk for
pressure ulcers and has an
albumin levelof 4.2 g/dL
A client who has Type 1
diabetes and uses an
insulin pump
c. A client who has
/ 1/44
,6/28/25, 8:29 PM
orthostatic hypotension and
is receiving IV fluids
d. A client who is receiving
heparin and has an aPTT of
34 seconds (On heparin: 45-
80 sec)
A facility provides annual D
staff education regarding
ethical practice. A charge
nurse recognizes a need
for
further education when
which of the following
behaviors is observed?
a. A nurse gives prescribed
opioids to a client who
has a terminal illness
and
respirations of 8/min.
b. A nurse refuses to
actively participate during
an elective abortion
procedure scheduled for
her client.
c. A nurse informs a
confused client who wants
to go home that he is going
to stay at the facility until
he is better.
d. A nurse explains to a
client's family that a DNR
includes withholding
comfort
measures
DNR Notify family
/ 2/44
,6/28/25, 8:29 PM
An elderly patient with 3. Notify the physician.
respiratory failure informs The physician must determine patient competency
the nurse that she does not before a DNR or DNI form can be signed. Also, the DNR
want to be placed on a order must be signed by the physician in order to make
ventilator. What should the it valid.
nurse do NEXT?
1) Consult with the patient's
family
.2) Notify the hospice team
3) Notify the physician
4) Have the patient sign a DNR
form.
male with cancer admitted Consult with the client about his expected goals for his
to the oncology unit tells the hospitalization and current treatment plan
nurse that he is in the
hospital for palliative care
measures but ordered
prescriptions include radiation
therapy
Assign UAP hygiene, feeding, ADLS, ROM, ambulation
A nurse is precepting a B
newly licensed nurse who is
caring for a client who is
confused and has an IV
infusion.
The newly licensed nurse
has placed the client in
wrist restraints to prevent
dislodging the IV catheter.
Which of the
following questions should
the precepting nurse ask?
a. "Are you removing the
client's restraints every 4
hours?"
b. "Are you able to
insert two fingers
between the restraints
and the client's skin?"
c. "Did you tie the restraints
/ 3/44
, 6/28/25, 8:29 PM
using a double knot?"
d. "Did you secure the
restraints to the side rails of
the bed?"
The nurse coming on for the 2
evening shift receives report
that one of her patients on
the psychiatric unit is in 4-
point restraints.
Which of the following is
true regarding assessment
of the patient?
1) The nurse will assess
the patient at change of
shift and then assign a
mental health worker to
check VS every hour.
2) The nurse will assess
the patient at change of
shift and then at least
every hour.
3) The nurse will assess
the patient at change of
shift and then at least
every 2 hours.
4) The nurse will assess
the patient at change of
shift and then at least
every 4 hours when a
/ 4/44
