NGN HESI LEADERSHIP AND MANAGEMENT
EXAM ACTUAL TEST PAPER 2026 COMPLETE
QUESTIONS AND ANSWERS GRADED A+
◉ 2.The nurse is admitting a woman who has an arteriovenous (AV)
fistula in her right arm that is used for hemodialysis. She missed her
last hemodialysis session and is experiencing shortness of breath
and an irregular heartbeat. Which action should the nurse assign to
the UPA who is working with the nurse? Answer: Measure Vital
Signs
◉ 3.The nurse should assess the client with which problem first?
Answer: Paresthesia secondary to an arterial occlusion
◉ 4.A young adult client with a brain tumor refuses further
treatment and requests to be allowed to die a natural death. The
healthcare provides does not agree with the client's decision and
refuses to write do-not-resuscitate instructions. Which action should
the nurse take? Answer: Initiate a review of the situation by the
hospital's ethics committee.
◉ 5.A healthcare provider notifies the nurse that new prescriptions
have been written for a client. Which is the 1st action the nurse
should implement? Answer: Read all of the new prescriptions for the
client written by the provider
, ◉ 6.The nurse is observing the staff provide care to a client with
acquired immune deficiency syndrome Answer: Unlicensed assistive
personnel wearing a mask to take client's blood pressure.
◉ 7.The nurse caring for a client with bacterial meningitis is
preparing report for the oncoming nurse. It is most important to
include which assessment finding in the report? Answer: Increasing
Pulse Pressure
◉ 8.The charge nurse notices that a respiratory therapist who has
been cross-trained to work as a phlebotomist and unlicensed
assistive personnel (UAP) seems to be avoiding HIV positive clients
Answer: Provide the employee with feedback about observed
behavior
◉ 9.The nursing supervisor sends an unlicensed assistant personnel
( UAP) to a medical unit to replace an absent UAP. When delegating
the task of obtaining client's blood sugar levels using a glucometer,
which action is most important for the nurse to implement? Answer:
Observe the UAP obtain a fingerstick glucose level using the
glucometer.
◉ 10.The nurse manager conducts regular audits of patient care
medication records and notices that the amount of narcotic pain
medications administered during the evening shift on a postsurgical
EXAM ACTUAL TEST PAPER 2026 COMPLETE
QUESTIONS AND ANSWERS GRADED A+
◉ 2.The nurse is admitting a woman who has an arteriovenous (AV)
fistula in her right arm that is used for hemodialysis. She missed her
last hemodialysis session and is experiencing shortness of breath
and an irregular heartbeat. Which action should the nurse assign to
the UPA who is working with the nurse? Answer: Measure Vital
Signs
◉ 3.The nurse should assess the client with which problem first?
Answer: Paresthesia secondary to an arterial occlusion
◉ 4.A young adult client with a brain tumor refuses further
treatment and requests to be allowed to die a natural death. The
healthcare provides does not agree with the client's decision and
refuses to write do-not-resuscitate instructions. Which action should
the nurse take? Answer: Initiate a review of the situation by the
hospital's ethics committee.
◉ 5.A healthcare provider notifies the nurse that new prescriptions
have been written for a client. Which is the 1st action the nurse
should implement? Answer: Read all of the new prescriptions for the
client written by the provider
, ◉ 6.The nurse is observing the staff provide care to a client with
acquired immune deficiency syndrome Answer: Unlicensed assistive
personnel wearing a mask to take client's blood pressure.
◉ 7.The nurse caring for a client with bacterial meningitis is
preparing report for the oncoming nurse. It is most important to
include which assessment finding in the report? Answer: Increasing
Pulse Pressure
◉ 8.The charge nurse notices that a respiratory therapist who has
been cross-trained to work as a phlebotomist and unlicensed
assistive personnel (UAP) seems to be avoiding HIV positive clients
Answer: Provide the employee with feedback about observed
behavior
◉ 9.The nursing supervisor sends an unlicensed assistant personnel
( UAP) to a medical unit to replace an absent UAP. When delegating
the task of obtaining client's blood sugar levels using a glucometer,
which action is most important for the nurse to implement? Answer:
Observe the UAP obtain a fingerstick glucose level using the
glucometer.
◉ 10.The nurse manager conducts regular audits of patient care
medication records and notices that the amount of narcotic pain
medications administered during the evening shift on a postsurgical
