HESI RN MANAGEMENT OF CARE ACCURATE
COMPREHENSIVE PRACTICE EXAM WITH ALL
POSSIBLE APPROVED WELL ELABORATED
PRACTICE QUESTIONS AND 100% CORRECT
VERIFIED ANSWERS WITH DETAILED RATIONALES
PLUS EXPERT ANSWER KEY (100% CORRECT
VERIFIED SOLUTIONS) 2026-2027 CURRENTLY
UPDATED VERSION Q&A GUARANTEED PASS A+
INSTANT DOWNLOAD PDF
The nurse is caring for a client who refuses a prescribed blood
transfusion. The client is alert, oriented, and understands the
consequences of refusal. Which action should the nurse take first?
A. Notify the healthcare provider immediately
B. Respect the client’s right to refuse treatment
C. Contact the hospital ethics committee
D. Ask the client’s family to persuade the client
B. Respect the client’s right to refuse treatment
A competent adult client has the legal and ethical right to refuse
treatment even if the refusal may result in harm or death. The nurse’s
first action is to respect autonomy, document the refusal, and ensure
informed refusal was given.
, 2. A nurse observes a colleague diverting controlled substances for
personal use. What is the nurse’s initial obligation?
A. Confront the colleague directly
B. Report the observation to the nurse manager or supervisor
C. Document suspicions in the client’s chart
D. Call the state board of nursing first
B. Report the observation to the nurse manager or supervisor
The nurse must report suspected impairment or diversion through the
proper chain of command immediately to protect clients and uphold
professional standards. Direct confrontation may be unsafe and
documentation belongs in incident reports, not client charts.
3. The nurse is assigned to care for four clients. Which client should
the nurse assess first?
A. A client with chronic obstructive pulmonary disease who has an
oxygen saturation of 91% on 2 L oxygen
B. A client with diabetes mellitus who reports feeling shaky and is
diaphoretic
C. A client with heart failure who has 2+ pitting edema in lower
extremities
D. A client with a urinary tract infection who reports frequency
and urgency
B. A client with diabetes mellitus who reports feeling shaky and is
diaphoretic
Symptoms of shakiness and diaphoresis suggest hypoglycemia, which
requires immediate intervention to prevent neuroglycopenic
complications. The other clients have stable or expected findings.
4. Which task is appropriate for the nurse to delegate to unlicensed
assistive personnel (UAP)?
A. Assessing a client’s lung sounds after nebulizer treatment
, B. Ambulating a stable client who is one day post-hip replacement
C. Teaching a client how to use an incentive spirometer
D. Evaluating a client’s response to pain medication
B. Ambulating a stable client who is one day post-hip replacement
Ambulation of a stable client is within UAP scope of practice.
Assessment, teaching, and evaluation require nursing judgment and
cannot be delegated.
5. A client asks the nurse to review the advance directive. The client
states, “I want to change my healthcare proxy.” Which response is
best?
A. “You cannot change your proxy once the document is signed.”
B. “You may revoke or change your advance directive at any time
while competent.”
C. “Only your physician can change your healthcare proxy.”
D. “You must wait until your next hospitalization to make
changes.”
B. “You may revoke or change your advance directive at any time
while competent.”
Advance directives may be changed or revoked by a competent client
at any time. The nurse should provide accurate information and
support the client’s right to self-determination.
6. The nurse is planning care for a client with active tuberculosis.
Which type of precautions should be implemented?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
, C. Airborne precautions
Tuberculosis is transmitted via airborne droplet nuclei. Airborne
precautions require a negative pressure room, N95 respirator, and
appropriate isolation.
7. A client who is scheduled for surgery states, “I do not understand
what the surgeon will do.” What should the nurse do first?
A. Explain the procedure in simple terms
B. Have the client sign the consent form
C. Notify the surgeon that the client needs more information
D. Ask a family member to explain the procedure
C. Notify the surgeon that the client needs more information
Informed consent is the responsibility of the person performing the
procedure. If the client does not understand, the nurse must notify the
surgeon to provide additional explanation before consent is obtained.
8. The nurse is caring for a client who falls in the bathroom. After
ensuring client safety, what is the priority action?
A. Notify the family immediately
B. Complete an incident report
C. Assess the client for injuries
D. Document the fall in the nurse’s notes
C. Assess the client for injuries
The priority after a fall is to assess the client for injuries and provide
necessary interventions. Incident reports and documentation occur
after the client is stabilized.
9. Which client should the nurse assign to a licensed practical nurse
(LPN)?
A. A newly admitted client with acute chest pain
B. A client requiring discharge teaching for new insulin regimen
COMPREHENSIVE PRACTICE EXAM WITH ALL
POSSIBLE APPROVED WELL ELABORATED
PRACTICE QUESTIONS AND 100% CORRECT
VERIFIED ANSWERS WITH DETAILED RATIONALES
PLUS EXPERT ANSWER KEY (100% CORRECT
VERIFIED SOLUTIONS) 2026-2027 CURRENTLY
UPDATED VERSION Q&A GUARANTEED PASS A+
INSTANT DOWNLOAD PDF
The nurse is caring for a client who refuses a prescribed blood
transfusion. The client is alert, oriented, and understands the
consequences of refusal. Which action should the nurse take first?
A. Notify the healthcare provider immediately
B. Respect the client’s right to refuse treatment
C. Contact the hospital ethics committee
D. Ask the client’s family to persuade the client
B. Respect the client’s right to refuse treatment
A competent adult client has the legal and ethical right to refuse
treatment even if the refusal may result in harm or death. The nurse’s
first action is to respect autonomy, document the refusal, and ensure
informed refusal was given.
, 2. A nurse observes a colleague diverting controlled substances for
personal use. What is the nurse’s initial obligation?
A. Confront the colleague directly
B. Report the observation to the nurse manager or supervisor
C. Document suspicions in the client’s chart
D. Call the state board of nursing first
B. Report the observation to the nurse manager or supervisor
The nurse must report suspected impairment or diversion through the
proper chain of command immediately to protect clients and uphold
professional standards. Direct confrontation may be unsafe and
documentation belongs in incident reports, not client charts.
3. The nurse is assigned to care for four clients. Which client should
the nurse assess first?
A. A client with chronic obstructive pulmonary disease who has an
oxygen saturation of 91% on 2 L oxygen
B. A client with diabetes mellitus who reports feeling shaky and is
diaphoretic
C. A client with heart failure who has 2+ pitting edema in lower
extremities
D. A client with a urinary tract infection who reports frequency
and urgency
B. A client with diabetes mellitus who reports feeling shaky and is
diaphoretic
Symptoms of shakiness and diaphoresis suggest hypoglycemia, which
requires immediate intervention to prevent neuroglycopenic
complications. The other clients have stable or expected findings.
4. Which task is appropriate for the nurse to delegate to unlicensed
assistive personnel (UAP)?
A. Assessing a client’s lung sounds after nebulizer treatment
, B. Ambulating a stable client who is one day post-hip replacement
C. Teaching a client how to use an incentive spirometer
D. Evaluating a client’s response to pain medication
B. Ambulating a stable client who is one day post-hip replacement
Ambulation of a stable client is within UAP scope of practice.
Assessment, teaching, and evaluation require nursing judgment and
cannot be delegated.
5. A client asks the nurse to review the advance directive. The client
states, “I want to change my healthcare proxy.” Which response is
best?
A. “You cannot change your proxy once the document is signed.”
B. “You may revoke or change your advance directive at any time
while competent.”
C. “Only your physician can change your healthcare proxy.”
D. “You must wait until your next hospitalization to make
changes.”
B. “You may revoke or change your advance directive at any time
while competent.”
Advance directives may be changed or revoked by a competent client
at any time. The nurse should provide accurate information and
support the client’s right to self-determination.
6. The nurse is planning care for a client with active tuberculosis.
Which type of precautions should be implemented?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
, C. Airborne precautions
Tuberculosis is transmitted via airborne droplet nuclei. Airborne
precautions require a negative pressure room, N95 respirator, and
appropriate isolation.
7. A client who is scheduled for surgery states, “I do not understand
what the surgeon will do.” What should the nurse do first?
A. Explain the procedure in simple terms
B. Have the client sign the consent form
C. Notify the surgeon that the client needs more information
D. Ask a family member to explain the procedure
C. Notify the surgeon that the client needs more information
Informed consent is the responsibility of the person performing the
procedure. If the client does not understand, the nurse must notify the
surgeon to provide additional explanation before consent is obtained.
8. The nurse is caring for a client who falls in the bathroom. After
ensuring client safety, what is the priority action?
A. Notify the family immediately
B. Complete an incident report
C. Assess the client for injuries
D. Document the fall in the nurse’s notes
C. Assess the client for injuries
The priority after a fall is to assess the client for injuries and provide
necessary interventions. Incident reports and documentation occur
after the client is stabilized.
9. Which client should the nurse assign to a licensed practical nurse
(LPN)?
A. A newly admitted client with acute chest pain
B. A client requiring discharge teaching for new insulin regimen
