Hesi Leadership Exam 1 2025 With all 250
Questions and Correct Answers Graded A+/
RN Hesi Leadership Exam Latest Prep Qs and
Correct As(Newest!)
The nurse is caring for a newborn who was born to a mother infected with HIV. The nurse knows
what manifestations of treatment are included in the care of this neonate? Select all that apply.
The newborn must be isolated from the mother.
All neonates born to HIV-positive clients will acquire infection.
Administer zidovudine to the newborn as prescribed for the first 6 weeks.
For all neonates born to HIV-positive clients, an HIV culture is recommended at 1 and 4 months
after birth.
All HIV-exposed newborns should be treated with medication to prevent infection by
Pneumocystis jiroveci.
Neonates born to HIV-positive clients never test positive at birth because antibodies received
from the mother may persist for 18 months after birth.
A+ TEST BANK 1
, Hesi Leadership Exam 2025
- Correct Answer :Administer zidovudine to the newborn as prescribed for the first 6 weeks.
For all neonates born to HIV-positive clients, an HIV culture is recommended at 1 and 4 months
after birth.
All HIV-exposed newborns should be treated with medication to prevent infection by
Pneumocystis jiroveci.
Rationale:
The nurse should administer zidovudine to the newborn as prescribed for the first 6 weeks of
life. Also, for all neonates born to HIV-positive clients, an HIV culture is recommended at 1 and 4
months after birth. In addition, all HIV-exposed newborns should be treated with medication to
prevent infection by Pneumocystis jiroveci. The newborn can room with the mother. All
neonates acquire maternal antibody to HIV infection, but not all acquire infection. Neonates
born to HIV-positive clients may test positive because antibodies received from the mother may
persist for 18 months after birth.
A client is found to have iron-deficiency anemia, and ferrous sulfate is prescribed. What does the
nurse tell the client is best to take the medication with?
Milk
Apple juice
Orange juice
Scrambled eggs –
Correct Answer :Orange juice
Rationale:
A+ TEST BANK 2
, Hesi Leadership Exam 2025
Ferrous sulfate is an iron preparation, and the client is instructed to take the medication with
orange juice or another vitamin C-containing product to increase absorption of the iron. Milk and
eggs inhibit the absorption of iron. Orange juice is higher in vitamin C than apple juice.
A nurse is monitoring a client with pheochromocytoma who is receiving an intravenous (IV)
infusion of phentolamine. Which vital sign does the nurse monitor most closely during the
infusion?
Apical pulse
Respirations
Temperature
Blood pressure –
Correct Answer :Blood pressure
Rationale:
The nurse most closely checks the client's blood pressure every 15 minutes during infusion of
the medication. Pheochromocytoma is a catecholamine-producing tumor arising from cells of
the adrenal medulla and sympathetic ganglia. These tumors release excessive amounts of
catecholamines, mainly norepinephrine. Most affected clients present with hypertensive crises
that may be treated with phentolamine. This medication, a short-acting alpha-adrenergic blocker
is given by way of IV bolus or infusion for a hypertensive crisis.
Prednisone 5 mg/day has been prescribed for a client with a chronic respiratory disorder, and
the nurse provides instructions to the client about the medication. What does the nurse tell the
client to do?
Take the medication on an empty stomach
Take half of the daily dose if weight gain occurs
A+ TEST BANK 3
, Hesi Leadership Exam 2025
Stop taking the medication if the ankles begin to swell
Call the primary health care provider if a fever, sore throat, or muscle aches develop –
Correct Answer :Call the primary health care provider if a fever, sore throat, or muscle aches
develop
Rationale:
Prednisone is a glucocorticoid that prevents or diminishes tissue response to an inflammatory
process. The client taking this medication should notify the primary health care provider if fever,
sore throat, muscle aches, or sudden weight gain or swelling occurs. The medication is taken
with food or milk because it can cause gastrointestinal irritation. The client is instructed not to
change the dose and to not stop taking the medication without contacting the primary health
care provider. The medication must be tapered gradually under medical supervision.
As a nurse prepares to administer medications to an assigned client, the client asks, "Why don't
you just leave me alone?" What is the best response by the nurse?
"Don't yell at me."
"These medications will help you feel much better."
"Why do you want to be left alone? I'm here to help you."
"I can see that you're upset. Would you like to talk about it?" –
Correct Answer :"I can see that you're upset. Would you like to talk about it?"
Rationale:
The best response is, "I can see that you're upset. Would you like to talk about it?" The nurse
addresses the client's feelings. The client may not want to talk about his/her feelings, but the
nurse has provided the opportunity to the client and is maintaining an open channel of
communication. "Don't yell at me" is confrontational and nonfacilitative and imposes control.
A+ TEST BANK 4