Leadership HESI test questions and answers plus Rationales||
GRADED A+|| LATEST UPDATE 2026/27
1. Which patient should the nurse assess first?
A. A client with chronic pain requesting medication
B. A client with a new onset of chest pain
C. A client awaiting discharge teaching
D. A client with stable vital signs post-op
✅ Correct Answer: B
📝 Rationale: New chest pain is a potential life-threatening emergency (ABCs, circulation).
2. The nurse receives report on four patients. Which one requires immediate
intervention?
A. BP 150/90, headache
B. RR 10 and shallow
C. Temp 100.6°F
D. Pain score 6/10
✅ Correct Answer: B
📝 Rationale: Respiratory depression threatens airway and breathing.
3. Which task should the nurse complete first?
A. Administer scheduled antibiotics
B. Answer a family member’s questions
C. Respond to a low oxygen saturation alarm
D. Document intake and output
✅ Correct Answer: C
📝 Rationale: Oxygenation takes priority over all other tasks.
4. Which client can the nurse safely see last?
, A. New post-op patient
B. Client with hypoglycemia
C. Client with chronic stable COPD
D. Client with chest tube drainage
✅ Correct Answer: C
📝 Rationale: Chronic, stable conditions are lower priority.
5. A nurse suspects patient deterioration. What is the priority action?
A. Notify the family
B. Document findings
C. Call rapid response
D. Reassess in 30 minutes
✅ Correct Answer: C
📝 Rationale: Early escalation prevents adverse outcomes.
SECTION 2: DELEGATION & ASSIGNMENT
6. Which task can be delegated to a UAP?
A. Teaching insulin injections
B. Assessing pain
C. Obtaining vital signs on a stable patient
D. Evaluating IV site
✅ Correct Answer: C
📝 Rationale: UAPs can perform routine, non-invasive tasks on stable clients.
7. Which patient assignment is appropriate for an LPN?
A. Newly admitted unstable patient
B. Client requiring initial assessment
C. Client with wound care and oral meds
D. Client needing discharge teaching
GRADED A+|| LATEST UPDATE 2026/27
1. Which patient should the nurse assess first?
A. A client with chronic pain requesting medication
B. A client with a new onset of chest pain
C. A client awaiting discharge teaching
D. A client with stable vital signs post-op
✅ Correct Answer: B
📝 Rationale: New chest pain is a potential life-threatening emergency (ABCs, circulation).
2. The nurse receives report on four patients. Which one requires immediate
intervention?
A. BP 150/90, headache
B. RR 10 and shallow
C. Temp 100.6°F
D. Pain score 6/10
✅ Correct Answer: B
📝 Rationale: Respiratory depression threatens airway and breathing.
3. Which task should the nurse complete first?
A. Administer scheduled antibiotics
B. Answer a family member’s questions
C. Respond to a low oxygen saturation alarm
D. Document intake and output
✅ Correct Answer: C
📝 Rationale: Oxygenation takes priority over all other tasks.
4. Which client can the nurse safely see last?
, A. New post-op patient
B. Client with hypoglycemia
C. Client with chronic stable COPD
D. Client with chest tube drainage
✅ Correct Answer: C
📝 Rationale: Chronic, stable conditions are lower priority.
5. A nurse suspects patient deterioration. What is the priority action?
A. Notify the family
B. Document findings
C. Call rapid response
D. Reassess in 30 minutes
✅ Correct Answer: C
📝 Rationale: Early escalation prevents adverse outcomes.
SECTION 2: DELEGATION & ASSIGNMENT
6. Which task can be delegated to a UAP?
A. Teaching insulin injections
B. Assessing pain
C. Obtaining vital signs on a stable patient
D. Evaluating IV site
✅ Correct Answer: C
📝 Rationale: UAPs can perform routine, non-invasive tasks on stable clients.
7. Which patient assignment is appropriate for an LPN?
A. Newly admitted unstable patient
B. Client requiring initial assessment
C. Client with wound care and oral meds
D. Client needing discharge teaching
