HESI RN LEADERSHIP PROCTORED EXAM
ALL VERSIONS QUOESTIONS AND ANSWERS
1. A nurse manager is preparing to institute a new system for scheduling staff. Several
nurses have verbalized their concern over the possible changes that will occur. Which of
the following is an appropriate method to facilitate the adoption of the new scheduling
system?
A. Identify nurses who accept the change to help influence other staff nurses
B. Provide a brief overview of the new scheduling system immediately before it
implementation
C. Introduce the new scheduling system by describing how it will save the institution money
D. Offer to reassign staff who do not support the change to another unit
2. A client who is febrile is admitted to the hospital for treatment of pneumonia. In
accordance with the care pathway, antibiotic therapy is prescribed. Which of the
following situations requires the nurse to complete a variance report with regard to the
care pathway?
, A. Antibiotic therapy was initiated 2 hr after implementation of the care pathway
B. A blood culture was obtained after antibiotic therapy has been initiated
C. The route of antibiotic therapy on the care pathway was changed from IV to PO
D. An allergy to penicillin required an alternative antibiotic to be prescribed.
3. A nurse should recognize that an incident report is required when
A. A client refuses to attend physical therapy
B. A visitor pinches his finger in the client‟s bedframe
C. A client throws a box of tissues at a nurse
D. A nurse gives a med 30 min late
5. Client satisfactory surveys from a med-surg unit indicate the pain is not being adequately
relieved during the first 12 hr post-opt. The unit manager decides to identify post-opt pain as a
quality indicator. Which of the following data sources will be helpful in determine the reason
why clients are not receiving adequate pain management after surgery?
A. Prospective chartaudit
B. Retrospective chartaudit
C. Postoperative carepolicy
D. Pain assessment policy
6. A nurse presenting a newly licensed nurse who is caring for a client who is confused and has
an IV infusion. The newly licensed nurse has placed the client in wrist restraints to prevent
dislodging the IV catheter. Which of the following questions should the presenting nurse ask?
, A. “Did you secure the restraints to the side rails of the bed?”
B. “Are you able to insert two fingers between the restraint and the client “skin?”
C. “Did you tie the restraints using double knot?”
D. “Are you removing the client’s restraints every 4hr?”
7. A nurse is caring for an older adult client who has stage III pressure ulcer. The nurse request
consultation with the wound care specialist. Which of the following actions by the nurse is
appropriate when working with consultant?
A. Arrange the consultation for time when the nurse is caring for the client is able to be
present for consultation
B. Provide the consultant with subjective opinions and beliefs about the client‟s wound
care
C. Request the consultation after several wound care treatment tried
D. Arrange for the wound care nurse specialist to see the client daily to provide the
recommended treatment
8. A client is admitted wit TB and placed in a negative pressure room. Which of the following
actions is appropriate?
A. Notify the local health department of the admission
B. Place a sign on the client‟s door with the diagnosis
C. Ensure that admitting staff undergo PPD skin-tests
D. Determine who had contact with the client in the last 48hr
, 9. A nurse is caring for a client who is unconscious and whose partner is health care proxy. The
partner has spoken with the provider and wishes to discontinue the client‟s feeding tube. The
providerstatesthenurse,“Iwillnotdiscontinuetheclient‟streatment.Hispartnerhasnorightto
make decisions regarding the client‟s care. “Which of the following responses by the nurse is
appropriate?
A. Youshouldconsiderspeakingwiththefacility‟sethicscommitteebeforemakingyour
decision
B. You have the right to make decision, even if the partner is the client‟s health
careproxy
C. The client has designated his partner as health care proxy in his advance directives
D. We‟ll need to have the nursing supervisor review the client‟s advance directives 10.
A nurse is caring for a client who has increased intracranial pressure and is receiving IV
corticosteroids. Which of the following info is most important for the nurse to report at shift
change?
A. Gas glow Coma scale score
B. Most recent blood glucose reading
C. Lab test scheduled for next shift
D. Reddened area on the coccyx
11. A nurse is assigned the following four clients for the current shift. Which of the following
clients should the nurse assess first?
A. A client who has a hip fracture and is in Buck “traction
ALL VERSIONS QUOESTIONS AND ANSWERS
1. A nurse manager is preparing to institute a new system for scheduling staff. Several
nurses have verbalized their concern over the possible changes that will occur. Which of
the following is an appropriate method to facilitate the adoption of the new scheduling
system?
A. Identify nurses who accept the change to help influence other staff nurses
B. Provide a brief overview of the new scheduling system immediately before it
implementation
C. Introduce the new scheduling system by describing how it will save the institution money
D. Offer to reassign staff who do not support the change to another unit
2. A client who is febrile is admitted to the hospital for treatment of pneumonia. In
accordance with the care pathway, antibiotic therapy is prescribed. Which of the
following situations requires the nurse to complete a variance report with regard to the
care pathway?
, A. Antibiotic therapy was initiated 2 hr after implementation of the care pathway
B. A blood culture was obtained after antibiotic therapy has been initiated
C. The route of antibiotic therapy on the care pathway was changed from IV to PO
D. An allergy to penicillin required an alternative antibiotic to be prescribed.
3. A nurse should recognize that an incident report is required when
A. A client refuses to attend physical therapy
B. A visitor pinches his finger in the client‟s bedframe
C. A client throws a box of tissues at a nurse
D. A nurse gives a med 30 min late
5. Client satisfactory surveys from a med-surg unit indicate the pain is not being adequately
relieved during the first 12 hr post-opt. The unit manager decides to identify post-opt pain as a
quality indicator. Which of the following data sources will be helpful in determine the reason
why clients are not receiving adequate pain management after surgery?
A. Prospective chartaudit
B. Retrospective chartaudit
C. Postoperative carepolicy
D. Pain assessment policy
6. A nurse presenting a newly licensed nurse who is caring for a client who is confused and has
an IV infusion. The newly licensed nurse has placed the client in wrist restraints to prevent
dislodging the IV catheter. Which of the following questions should the presenting nurse ask?
, A. “Did you secure the restraints to the side rails of the bed?”
B. “Are you able to insert two fingers between the restraint and the client “skin?”
C. “Did you tie the restraints using double knot?”
D. “Are you removing the client’s restraints every 4hr?”
7. A nurse is caring for an older adult client who has stage III pressure ulcer. The nurse request
consultation with the wound care specialist. Which of the following actions by the nurse is
appropriate when working with consultant?
A. Arrange the consultation for time when the nurse is caring for the client is able to be
present for consultation
B. Provide the consultant with subjective opinions and beliefs about the client‟s wound
care
C. Request the consultation after several wound care treatment tried
D. Arrange for the wound care nurse specialist to see the client daily to provide the
recommended treatment
8. A client is admitted wit TB and placed in a negative pressure room. Which of the following
actions is appropriate?
A. Notify the local health department of the admission
B. Place a sign on the client‟s door with the diagnosis
C. Ensure that admitting staff undergo PPD skin-tests
D. Determine who had contact with the client in the last 48hr
, 9. A nurse is caring for a client who is unconscious and whose partner is health care proxy. The
partner has spoken with the provider and wishes to discontinue the client‟s feeding tube. The
providerstatesthenurse,“Iwillnotdiscontinuetheclient‟streatment.Hispartnerhasnorightto
make decisions regarding the client‟s care. “Which of the following responses by the nurse is
appropriate?
A. Youshouldconsiderspeakingwiththefacility‟sethicscommitteebeforemakingyour
decision
B. You have the right to make decision, even if the partner is the client‟s health
careproxy
C. The client has designated his partner as health care proxy in his advance directives
D. We‟ll need to have the nursing supervisor review the client‟s advance directives 10.
A nurse is caring for a client who has increased intracranial pressure and is receiving IV
corticosteroids. Which of the following info is most important for the nurse to report at shift
change?
A. Gas glow Coma scale score
B. Most recent blood glucose reading
C. Lab test scheduled for next shift
D. Reddened area on the coccyx
11. A nurse is assigned the following four clients for the current shift. Which of the following
clients should the nurse assess first?
A. A client who has a hip fracture and is in Buck “traction
