HESI LEADERSHIP EXIT EXAM VERSION 2
2026 EDITION COMPREHENSIVE
PRACTICE QUESTIONS AND ANSWERS
COMPLETE EXAM PREPARATION
RESOURCE LEADERSHIP AND
MANAGEMENT, NGN-STYLE CLINICAL
JUDGMENT, PRIORITIZATION,
DELEGATION, DETAILED RATIONALES
AND NURSING STUDY GUIDE
39. In planning care on the nursing unit, which task is best to assign to the
nurse (RN), rather than a practical nurse PN? - CORRECT ANSWER -Teach a
client with diabetes to inject insulin
40.The nurse is reviewing fall risk precautions with a practical nurse
employed at an extended care facility. Which finding should the nurse
include that identifies a client at the highest risk for falls? - CORRECT
ANSWER -Mini-Metal State Exam score of 22.
41.Which older client should the charge nurse assign to the most
experienced nurse? - CORRECT ANSWER -A 72-yr old with type 1 diabetes
mellitus who is newly diagnosed and scheduled for discharged today
, 42. The nurse is assigned to care for clients on a medical unit. Based on the
notes taken during the shift report, which client situation warrants the
nurse's immediate attention? - CORRECT ANSWER -A 10 year old child who
is receiving chemotherapy and the infusion pump is beeping
43.An older male client who lives alone has a history of heart failure and is
admitted to the hospital after passing out while walking to the mailbox. The
nurse notes multiple bruises at various stages of healing.The client is being
treated with a cardiac glycoside, diuretic and restricted sodium diet. Which
intervention is most important for the nurse to include in the clients plan of
care? - CORRECT ANSWER -Continuous electrocardiogram monitoring.
44. The hospice nurse reviews the plan of care for a client receiving
palliative end of life home care. The client is cachexic and only able to take
sips of water by mouth occasionally. Which instruction should the nurse
provide to the unlicensed assistive personnel UAP, assisting with the clients
care? - CORRECT ANSWER -Keep Mucous membranes Moist
45. The charge nurse in an emergency center is planning client care
assignments for the staff. Which action may be safely delegated to the
practical nurse? ( PN) - CORRECT ANSWER -Remove Peripheral
Intravenous (PIV) Catheter
46. A client is transferred to the surgical intensive care unit after an
exploratory laparotomy following a gunshot wound to the abdomen. The
post anesthesia care unit ( PACU) nurse reports to the receiving nurse the
total amount of blood loss during surgery, intravenous catheter sites and
fluid currently infusing. The PACU nurse also includes the time of the last
administration of pain and nausea mediations. Which additional
2026 EDITION COMPREHENSIVE
PRACTICE QUESTIONS AND ANSWERS
COMPLETE EXAM PREPARATION
RESOURCE LEADERSHIP AND
MANAGEMENT, NGN-STYLE CLINICAL
JUDGMENT, PRIORITIZATION,
DELEGATION, DETAILED RATIONALES
AND NURSING STUDY GUIDE
39. In planning care on the nursing unit, which task is best to assign to the
nurse (RN), rather than a practical nurse PN? - CORRECT ANSWER -Teach a
client with diabetes to inject insulin
40.The nurse is reviewing fall risk precautions with a practical nurse
employed at an extended care facility. Which finding should the nurse
include that identifies a client at the highest risk for falls? - CORRECT
ANSWER -Mini-Metal State Exam score of 22.
41.Which older client should the charge nurse assign to the most
experienced nurse? - CORRECT ANSWER -A 72-yr old with type 1 diabetes
mellitus who is newly diagnosed and scheduled for discharged today
, 42. The nurse is assigned to care for clients on a medical unit. Based on the
notes taken during the shift report, which client situation warrants the
nurse's immediate attention? - CORRECT ANSWER -A 10 year old child who
is receiving chemotherapy and the infusion pump is beeping
43.An older male client who lives alone has a history of heart failure and is
admitted to the hospital after passing out while walking to the mailbox. The
nurse notes multiple bruises at various stages of healing.The client is being
treated with a cardiac glycoside, diuretic and restricted sodium diet. Which
intervention is most important for the nurse to include in the clients plan of
care? - CORRECT ANSWER -Continuous electrocardiogram monitoring.
44. The hospice nurse reviews the plan of care for a client receiving
palliative end of life home care. The client is cachexic and only able to take
sips of water by mouth occasionally. Which instruction should the nurse
provide to the unlicensed assistive personnel UAP, assisting with the clients
care? - CORRECT ANSWER -Keep Mucous membranes Moist
45. The charge nurse in an emergency center is planning client care
assignments for the staff. Which action may be safely delegated to the
practical nurse? ( PN) - CORRECT ANSWER -Remove Peripheral
Intravenous (PIV) Catheter
46. A client is transferred to the surgical intensive care unit after an
exploratory laparotomy following a gunshot wound to the abdomen. The
post anesthesia care unit ( PACU) nurse reports to the receiving nurse the
total amount of blood loss during surgery, intravenous catheter sites and
fluid currently infusing. The PACU nurse also includes the time of the last
administration of pain and nausea mediations. Which additional
