Hesi Leadership & Management Exam
Questions With Complete Solutions
/. Rn is planning assignments for 5 clients on the nursing unit. the team includes a LPN
and a nursing assistant. which clients should the nurse assign to the LPN? - Answer-
✅1. a client w/ a colostomy who requires reinforcement regarding the procedure for
irrigation
2. a pt w/ DM who requires the administration or regular insulin in accordance w/ a
sliding dosage scale every 4 hrs
/.A client scheduled for surgery tells the nurse that he signed an informed consent for
the surgical procedure but was never told about the risks of the surgery. The nurse
serves as the client's advocate by: - Answer-✅calling surgeon and asking that the risks
be explained to the client
/.A nurse is preparing the client assignments for the day. One of the nurses on the team
has just learned that she is pregnant. Which client does the nurse refrain from assigning
to the pregnant team member? - Answer-✅a client w/ a solid sealed cervical radiation
implant
/.A RN is supervising a nursing assistant ambulating a client with right-sided weakness.
The RN would conclude that the nursing assistant is performing the procedure
incorrectly after observing that the nursing assistant: - Answer-✅stands behind the
client
/.A RN is watching as a new LPN administer an IM injection in a client's deltoid muscle.
the RN determines that the LPN is performing the procedure correctly if the LPN: -
Answer-✅administers the injection 2 in below the acromion process
/.The nurse is preparing client assignments for the day. Which client should the nurse
assign to a nursing assistant? - Answer-✅unconscious pt who requires oral care
/.A RN who has a LPN and a nursing assistant on the nursing team is planning client
assignments for the day. Which client should the RN assign to the LPN? - Answer-✅a
pt receiving oxygen who requires frequent pulse oximetry monitoring and resp
treatments
/.A nurse has delegated several nursing tasks to staff members. The nurse's primary
responsibility after the delegation of the tasks is to: - Answer-✅follow up with each staff
member regarding the performance of the task and the outcomes r/t implementation of
the task
, /.A nurse is planning the client assignments for the shift. Which of the following clients
should the nurse assign to the nursing assistant? - Answer-✅a client who needs
frequent ambulation with a walker
/.A nurse employed at a hospital is asked by a nurse manager to review the
organizational chart. The nurse reviews the chart so that he will: - Answer-✅be familiar
with the organizations line of authority
/.A nurse leader in a med-surg unit overhears the nursing staff openly discussing a
client and stating that the client is "uncooperative and a real pain to care for." the nurse
leader would most appropriately manage this issue by: - Answer-✅discourage the
judgemental comments
/.a nurse educator describes the standards of care formulated by the american nurse
association to a group of new nursing graduates hired by the hospital. which of the
following are accurate descriptions of these standards of care - Answer-✅1. define
professional practice
2. have some similarity to policies & procedures
3. are authoritative statements that describe a common or acceptable level of client care
or performance
/.the nurse educator, discussing care maps, asks the graduate nurse whether she
understands how a care map is used. which response indicates understanding -
Answer-✅care map outlines the day-to day expected outcomes of care and the
outcomes anticipated at discharge
/.the unit secretary says to the nurse "i read in mr. gage's medical record that he has
gonorrhea." how should the nurse respond to the secretary - Answer-✅we cant discuss
a clients medical condition
/.during the program, a crew from a local television station arrives to film the
proceedings because the station is publicizing a series on hospital services. the nurse
conducting the program should - Answer-✅explain to the television crew that
videotaping is not allowed
/.a nurse manager discusses staff empowerment with the nursing team. the nurse
manager explains that staff empowerment - Answer-✅fosters the growth of others so
that they are less dependent on the leader
/.which notes in a client's record indicated an unexpected outcome and the need for
follow-up? - Answer-✅pt w/ a central venous catheter has a temp of 100.6
/.an ed nurse is performing an assessment of a client who has sustained circumferential
burns of both legs. what should the nurse assess first - Answer-✅peripheral pulses
Questions With Complete Solutions
/. Rn is planning assignments for 5 clients on the nursing unit. the team includes a LPN
and a nursing assistant. which clients should the nurse assign to the LPN? - Answer-
✅1. a client w/ a colostomy who requires reinforcement regarding the procedure for
irrigation
2. a pt w/ DM who requires the administration or regular insulin in accordance w/ a
sliding dosage scale every 4 hrs
/.A client scheduled for surgery tells the nurse that he signed an informed consent for
the surgical procedure but was never told about the risks of the surgery. The nurse
serves as the client's advocate by: - Answer-✅calling surgeon and asking that the risks
be explained to the client
/.A nurse is preparing the client assignments for the day. One of the nurses on the team
has just learned that she is pregnant. Which client does the nurse refrain from assigning
to the pregnant team member? - Answer-✅a client w/ a solid sealed cervical radiation
implant
/.A RN is supervising a nursing assistant ambulating a client with right-sided weakness.
The RN would conclude that the nursing assistant is performing the procedure
incorrectly after observing that the nursing assistant: - Answer-✅stands behind the
client
/.A RN is watching as a new LPN administer an IM injection in a client's deltoid muscle.
the RN determines that the LPN is performing the procedure correctly if the LPN: -
Answer-✅administers the injection 2 in below the acromion process
/.The nurse is preparing client assignments for the day. Which client should the nurse
assign to a nursing assistant? - Answer-✅unconscious pt who requires oral care
/.A RN who has a LPN and a nursing assistant on the nursing team is planning client
assignments for the day. Which client should the RN assign to the LPN? - Answer-✅a
pt receiving oxygen who requires frequent pulse oximetry monitoring and resp
treatments
/.A nurse has delegated several nursing tasks to staff members. The nurse's primary
responsibility after the delegation of the tasks is to: - Answer-✅follow up with each staff
member regarding the performance of the task and the outcomes r/t implementation of
the task
, /.A nurse is planning the client assignments for the shift. Which of the following clients
should the nurse assign to the nursing assistant? - Answer-✅a client who needs
frequent ambulation with a walker
/.A nurse employed at a hospital is asked by a nurse manager to review the
organizational chart. The nurse reviews the chart so that he will: - Answer-✅be familiar
with the organizations line of authority
/.A nurse leader in a med-surg unit overhears the nursing staff openly discussing a
client and stating that the client is "uncooperative and a real pain to care for." the nurse
leader would most appropriately manage this issue by: - Answer-✅discourage the
judgemental comments
/.a nurse educator describes the standards of care formulated by the american nurse
association to a group of new nursing graduates hired by the hospital. which of the
following are accurate descriptions of these standards of care - Answer-✅1. define
professional practice
2. have some similarity to policies & procedures
3. are authoritative statements that describe a common or acceptable level of client care
or performance
/.the nurse educator, discussing care maps, asks the graduate nurse whether she
understands how a care map is used. which response indicates understanding -
Answer-✅care map outlines the day-to day expected outcomes of care and the
outcomes anticipated at discharge
/.the unit secretary says to the nurse "i read in mr. gage's medical record that he has
gonorrhea." how should the nurse respond to the secretary - Answer-✅we cant discuss
a clients medical condition
/.during the program, a crew from a local television station arrives to film the
proceedings because the station is publicizing a series on hospital services. the nurse
conducting the program should - Answer-✅explain to the television crew that
videotaping is not allowed
/.a nurse manager discusses staff empowerment with the nursing team. the nurse
manager explains that staff empowerment - Answer-✅fosters the growth of others so
that they are less dependent on the leader
/.which notes in a client's record indicated an unexpected outcome and the need for
follow-up? - Answer-✅pt w/ a central venous catheter has a temp of 100.6
/.an ed nurse is performing an assessment of a client who has sustained circumferential
burns of both legs. what should the nurse assess first - Answer-✅peripheral pulses
