2022 HESI LEADERSHIP AND MANAGEMENT REVIEW q
h h h h h h
uestions and answers 2026 update
h h h h
Leadership Hesi h h
Review
1. Thehchargehnurse,halonghwithhonehnurse,htwohpracticalhnursesh(PN),hahunithsecretary,handht
h
wohunlicensedhassistivehpersonalh(UAP),hishcaringhforh24hclientshonhahmedicalhsurgicalhunit.h
Whichhtaskhishbesthforhthehchargehnursehtohassignhtohthehnurse?
o Thehadmissionhassessmenthofhahclienthdiagnosedhwithhbacterialhpneumonia
o Thehsubclavianhdressinghchangehonhahclienthdiagnosedhwithhinflammatoryhb
owelhdisease
o Transcriptionhofhthehhealthcarehprovider’shtreatmenthplanhforhahclienthtransfe
rredhfromhahcriticalhcarehunit
oh thehinsertionhofhahfoleyhcatheterhforhahclienthdiagnosedhwithhsepticemia
2. Thehnursehmanagerhobserveshthaththehstaffhnursehhashusedhwristhrestraintshtohhelphsecureha
nhelderlyhfemalehinhherhwheelchair.hThehclienthishpleadinghforhthehnursehtohreleasehherharm
s.hThehnursehexplainshtohthehnurse-
managerhthaththehclienthneedshtohbehretrainedhinhthehwheelchairhsohthaththehnursehcanhchang
ehherhbedhlinens.hWhathishthehpriorityhactionhbyhthehnurse-manager?
o Closehthehdoorhtohthehroomhtohavoidhdisturbinghotherhclientshinhnearbyhrooms.
oh Advisehthehstaffhnursehtohremovehthehrestraintshfromhthehclient’shwrists
o Contacththehhealthcarehproviderhtohensurehthathahprescriptionhforhrestraintsh
washwritten
o DeterminehifhthehclienthhashahPRNhprescriptionhforhanhantianxietyhagent
3. Afterhhavinghcoronaryharteryhbypasshsurgery,hahclienthdevelopshahdeephvenoushthrombosishi
nhthehlefthleg.hWhichhnursehshouldhbehresponsiblehforhcoordinatinghthehprogressionhofhthehcli
ent’shcare?
oh Riskhmanagementhnurse
o Nursehcasehmanager
o Cardiologyhunithsupervisor
o Adulthnursehpractitioner
4. Ahclienthishtransferredhtohthehsurgicalhunithfollowinghahstrangulatedhinguinalhherniahrepair.hTh
ehposthanesthesiahcarehunithnursehreportshthehtotalhintakehandhoutpuththathoccurredhduringhsur
gery,hthehsedationhreversalhagent,handhtwohepisodeshofhemesishposthextubating.hWhichhaddit
1
,ionalhinformationhshouldhthehnursehprovidehtohcompletehthishreport?
o Softhabdomen,habsenthbowelhsounds,hnohbleedinghonhdressing
oh Peripheralhpulseshpresenthwithhfullhrangehofhmotionhofhbothhlegs
o Historyhofhvomitinghathhomehforh3hdayshpriorhtohsurgery
2
, o Refuseshtohtakehicehchipshforhcomplaintshofhdryhmouth
5. Whenhassessinghahclienthwhohishreturnedhtohthehunithfollowinghahlefthnephrectomy,hthehnurs
ehnoteshahsmallhamounthofhbloodyhdrainagehaththehdrainhsite.hWhichhinterventionhish mosthim
portanthforhthehnursehtohincludehinhthishclient’shplanhofhcare?
o Documenthtemperatureheveryhfourhhours
o Turn,hcough,hdeephbreath
o Providehsipshofhwaterhandhicehchips
oh Monitorhurinaryhoutputhhourly
6. Thehnursehassignshcollectionhofhahsputumhspecimenhtohanhunlicensedhassistivehpersonnelh(
UAP).hBeforehdelegatinghthishtaskhtohthehUAP,hwhichhactionhishmosthimportanthforhthehnur
sehtohimplement?
o VerifyhthehUAPhhashreadhthehprocedurehforhcollectionhofhsputumhspecimen.
o DeterminehifhthehUAPhreceivedhtraininghtohcollecthsputumhspecimen.
o Assesshthehclient’shwillingnesshtohallowhthehUAPhtohcollecththehspecimen.
oh Reviewhthehinstitutionalhpolicyhforhdelegationhwithhthehnursinghsupervisor.
7. Ahnursehishperforminghtelephonehtriagehaththehclinichoffice.hWhichhclienthhashtheh mosth
acutehproblemhandhshouldhbehscheduledhforhthehfirsthavailablehappointment?
o Ah2-year-
oldhgirlhwithhahhistoryhofhah“cold.”hTodayhshehishtugginghonhherhearhandhhash
ahfeverhofh102hFh(38.9hC).
oh Ah42-year-
oldhmalehwhohhurthhishbackhwhilehliftinghyesterday.hTodayhhehhashnon-
radiating,hlow-hpainhratedhath10honhahscalehofh1htoh10.
o Ahclienthath38-
weeks’hgestationhwhohtodayhnotedhahsmallhamounthofhbrighthredhbloodhonh
thehtoilethpaperhafterhpassinghstool.
o Ah21-year-
oldhwithhahhistoryhofhahkidneyhtransplant.hTodayhthehclienthreportsh“flu-
hlike”hsymptomshwithhahfeverhofh100.4hFh(38hC).
8. Thehnursehhearshahnewlyhemployedhunlicensedhassistivehpersonnelh(UAP)hwhohishworking
hinhahlong-
termhcarehfacilityhcallinghthehadulthresidentsh“honey”handh“dearie.”hWhathishtheh besthactionh
forhthehnursehtohtake?
3
h h h h h h
uestions and answers 2026 update
h h h h
Leadership Hesi h h
Review
1. Thehchargehnurse,halonghwithhonehnurse,htwohpracticalhnursesh(PN),hahunithsecretary,handht
h
wohunlicensedhassistivehpersonalh(UAP),hishcaringhforh24hclientshonhahmedicalhsurgicalhunit.h
Whichhtaskhishbesthforhthehchargehnursehtohassignhtohthehnurse?
o Thehadmissionhassessmenthofhahclienthdiagnosedhwithhbacterialhpneumonia
o Thehsubclavianhdressinghchangehonhahclienthdiagnosedhwithhinflammatoryhb
owelhdisease
o Transcriptionhofhthehhealthcarehprovider’shtreatmenthplanhforhahclienthtransfe
rredhfromhahcriticalhcarehunit
oh thehinsertionhofhahfoleyhcatheterhforhahclienthdiagnosedhwithhsepticemia
2. Thehnursehmanagerhobserveshthaththehstaffhnursehhashusedhwristhrestraintshtohhelphsecureha
nhelderlyhfemalehinhherhwheelchair.hThehclienthishpleadinghforhthehnursehtohreleasehherharm
s.hThehnursehexplainshtohthehnurse-
managerhthaththehclienthneedshtohbehretrainedhinhthehwheelchairhsohthaththehnursehcanhchang
ehherhbedhlinens.hWhathishthehpriorityhactionhbyhthehnurse-manager?
o Closehthehdoorhtohthehroomhtohavoidhdisturbinghotherhclientshinhnearbyhrooms.
oh Advisehthehstaffhnursehtohremovehthehrestraintshfromhthehclient’shwrists
o Contacththehhealthcarehproviderhtohensurehthathahprescriptionhforhrestraintsh
washwritten
o DeterminehifhthehclienthhashahPRNhprescriptionhforhanhantianxietyhagent
3. Afterhhavinghcoronaryharteryhbypasshsurgery,hahclienthdevelopshahdeephvenoushthrombosishi
nhthehlefthleg.hWhichhnursehshouldhbehresponsiblehforhcoordinatinghthehprogressionhofhthehcli
ent’shcare?
oh Riskhmanagementhnurse
o Nursehcasehmanager
o Cardiologyhunithsupervisor
o Adulthnursehpractitioner
4. Ahclienthishtransferredhtohthehsurgicalhunithfollowinghahstrangulatedhinguinalhherniahrepair.hTh
ehposthanesthesiahcarehunithnursehreportshthehtotalhintakehandhoutpuththathoccurredhduringhsur
gery,hthehsedationhreversalhagent,handhtwohepisodeshofhemesishposthextubating.hWhichhaddit
1
,ionalhinformationhshouldhthehnursehprovidehtohcompletehthishreport?
o Softhabdomen,habsenthbowelhsounds,hnohbleedinghonhdressing
oh Peripheralhpulseshpresenthwithhfullhrangehofhmotionhofhbothhlegs
o Historyhofhvomitinghathhomehforh3hdayshpriorhtohsurgery
2
, o Refuseshtohtakehicehchipshforhcomplaintshofhdryhmouth
5. Whenhassessinghahclienthwhohishreturnedhtohthehunithfollowinghahlefthnephrectomy,hthehnurs
ehnoteshahsmallhamounthofhbloodyhdrainagehaththehdrainhsite.hWhichhinterventionhish mosthim
portanthforhthehnursehtohincludehinhthishclient’shplanhofhcare?
o Documenthtemperatureheveryhfourhhours
o Turn,hcough,hdeephbreath
o Providehsipshofhwaterhandhicehchips
oh Monitorhurinaryhoutputhhourly
6. Thehnursehassignshcollectionhofhahsputumhspecimenhtohanhunlicensedhassistivehpersonnelh(
UAP).hBeforehdelegatinghthishtaskhtohthehUAP,hwhichhactionhishmosthimportanthforhthehnur
sehtohimplement?
o VerifyhthehUAPhhashreadhthehprocedurehforhcollectionhofhsputumhspecimen.
o DeterminehifhthehUAPhreceivedhtraininghtohcollecthsputumhspecimen.
o Assesshthehclient’shwillingnesshtohallowhthehUAPhtohcollecththehspecimen.
oh Reviewhthehinstitutionalhpolicyhforhdelegationhwithhthehnursinghsupervisor.
7. Ahnursehishperforminghtelephonehtriagehaththehclinichoffice.hWhichhclienthhashtheh mosth
acutehproblemhandhshouldhbehscheduledhforhthehfirsthavailablehappointment?
o Ah2-year-
oldhgirlhwithhahhistoryhofhah“cold.”hTodayhshehishtugginghonhherhearhandhhash
ahfeverhofh102hFh(38.9hC).
oh Ah42-year-
oldhmalehwhohhurthhishbackhwhilehliftinghyesterday.hTodayhhehhashnon-
radiating,hlow-hpainhratedhath10honhahscalehofh1htoh10.
o Ahclienthath38-
weeks’hgestationhwhohtodayhnotedhahsmallhamounthofhbrighthredhbloodhonh
thehtoilethpaperhafterhpassinghstool.
o Ah21-year-
oldhwithhahhistoryhofhahkidneyhtransplant.hTodayhthehclienthreportsh“flu-
hlike”hsymptomshwithhahfeverhofh100.4hFh(38hC).
8. Thehnursehhearshahnewlyhemployedhunlicensedhassistivehpersonnelh(UAP)hwhohishworking
hinhahlong-
termhcarehfacilityhcallinghthehadulthresidentsh“honey”handh“dearie.”hWhathishtheh besthactionh
forhthehnursehtohtake?
3
