HESI LEADERSHIP EXIT EXAM
VERSION 2 WITH CORRECT
ANSWERS 2025
1.A nurse is performing telephone triage at the clinic office. Which client
has the
acute problem
most and should be scheduled for the first available
appointment?
answers ) A 21 year old with a history of a kidney transplant. Today the
( correct
client
flu-likereports
symptoms with a fever of 100.4 F
(38 C)
2.The nurse is admitting a woman who has an arteriovenous (AV) fistula
in her
arm that
right
is used for hemodialysis. She missed her last hemodialysis
session and isshortness of breath and an irregular heartbeat. Which action
experiencing
shouldassign
nurse the to the UPA who is working with the nurse? ( correct
answers )Vital
Measure
Signs
3.The nurse should assess the client with which problem first? ( correct
answers ) secondary to an arterial
Paresthesia
occlusion
4.A young adult client with a brain tumor refuses further treatment and
requeststo
allowed todie
be a natural death. The healthcare provides does not agree
with the and
decision client's
refuses to write do-not-resuscitate instructions. Which action
shouldtake?
nurse the ( correct answers ) 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
a client.for
Which is the 1st action the nurse should implement?
( correct
Read all ofanswers
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 ( correct answers ) Unlicensed assistive personnel
wearing
mask to atake 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( correct
report? the answers ) Increasing Pulse
Pressure
8.The charge nurse notices that a respiratory therapist who has been
cross-trained
work as a phlebotomist
to and unlicensed assistive personnel (UAP)
seems toHIV
avoiding be positive clients ( correct answers ) Provide the
employee about
feedback with observed
behavior
GRADED
A+
, 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'slevels
sugar bloodusing a glucometer, which action is most important for
the nurse to ( correct answers ) Observe the UAP obtain a fingerstick
implement?
glucose
using thelevel
glucometer.
10.The nurse manager conducts regular audits of patient care medication
records that
notices and the amount of narcotic pain medications administered during
the evening
shift on a postsurgical unit ( correct answers ) Conduct a closer
examination
staff nurse's distribution
of of pain medication from
evening shift
11.The smell of cigarette smoke is coming from a client's bathroom.
Which action
should the nurse ( correct answers ) Educate the client about the hospital
policy.
smoking
12.The practical nurse (PN) reports to the charge nurse that the
transparent dressing covering a single lumen central venous catheter
inserted in the subclavian vein of a client has come loose and the
insertion site is inflamed. Which action should the charge nurse
implement? ( correct answers ) Confirm the findings of the
PN while securing the transparent dressing and notify the healthcare
13.At 0200 the nurse phones the healthcare provider to request a PRN
provider.
medication for a
client who is unable to sleep. The healthcare provider is awakened and
gives the nurse
a prescription
back, for that
and report four the
times the normal
dosage dosage.
prescribed When
is our timesquestioned
the by
the nurse, the
normal dosage.
healthcare provider responds in a sleepy ( correct answers ) Call the
14.The charge nurse notices that a female practical nurse (PN), who has
healthcare or
a long work
history on the unit and is a valued employee, seems tired and slow to
respondthe
during verbally
change of shift report. One hour later the charge nurse
overhears
telling an unlicensed
the PN assistive personnel (UAP) that she took a sleeping
pill 4and
ago hours
she is still feeling its effects. Which action should the charge
nurse take?
correct answers ) Send the PN to the employee health center for a urine(
drug Screen
15.It is most important to assign which client to a registered nurse
rather than
practical nurse?
a ( correct answers ) After ambulating, a
postoperative
grimaces and reports
client incisional pain at a "9" on a
point scale.
16.After receiving a change of shift report for clients on a medical
surgical unit, which task should the nurse ( correct answers ) Apply
hydrocolloid dressings to venous
17.The charge nurse observes unlicensed assistive personnel (UAP) and
a nurse arguing at the nurse's station. What action is best for the charge
nurse to implement?
GRADED
A+
VERSION 2 WITH CORRECT
ANSWERS 2025
1.A nurse is performing telephone triage at the clinic office. Which client
has the
acute problem
most and should be scheduled for the first available
appointment?
answers ) A 21 year old with a history of a kidney transplant. Today the
( correct
client
flu-likereports
symptoms with a fever of 100.4 F
(38 C)
2.The nurse is admitting a woman who has an arteriovenous (AV) fistula
in her
arm that
right
is used for hemodialysis. She missed her last hemodialysis
session and isshortness of breath and an irregular heartbeat. Which action
experiencing
shouldassign
nurse the to the UPA who is working with the nurse? ( correct
answers )Vital
Measure
Signs
3.The nurse should assess the client with which problem first? ( correct
answers ) secondary to an arterial
Paresthesia
occlusion
4.A young adult client with a brain tumor refuses further treatment and
requeststo
allowed todie
be a natural death. The healthcare provides does not agree
with the and
decision client's
refuses to write do-not-resuscitate instructions. Which action
shouldtake?
nurse the ( correct answers ) 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
a client.for
Which is the 1st action the nurse should implement?
( correct
Read all ofanswers
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 ( correct answers ) Unlicensed assistive personnel
wearing
mask to atake 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( correct
report? the answers ) Increasing Pulse
Pressure
8.The charge nurse notices that a respiratory therapist who has been
cross-trained
work as a phlebotomist
to and unlicensed assistive personnel (UAP)
seems toHIV
avoiding be positive clients ( correct answers ) Provide the
employee about
feedback with observed
behavior
GRADED
A+
, 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'slevels
sugar bloodusing a glucometer, which action is most important for
the nurse to ( correct answers ) Observe the UAP obtain a fingerstick
implement?
glucose
using thelevel
glucometer.
10.The nurse manager conducts regular audits of patient care medication
records that
notices and the amount of narcotic pain medications administered during
the evening
shift on a postsurgical unit ( correct answers ) Conduct a closer
examination
staff nurse's distribution
of of pain medication from
evening shift
11.The smell of cigarette smoke is coming from a client's bathroom.
Which action
should the nurse ( correct answers ) Educate the client about the hospital
policy.
smoking
12.The practical nurse (PN) reports to the charge nurse that the
transparent dressing covering a single lumen central venous catheter
inserted in the subclavian vein of a client has come loose and the
insertion site is inflamed. Which action should the charge nurse
implement? ( correct answers ) Confirm the findings of the
PN while securing the transparent dressing and notify the healthcare
13.At 0200 the nurse phones the healthcare provider to request a PRN
provider.
medication for a
client who is unable to sleep. The healthcare provider is awakened and
gives the nurse
a prescription
back, for that
and report four the
times the normal
dosage dosage.
prescribed When
is our timesquestioned
the by
the nurse, the
normal dosage.
healthcare provider responds in a sleepy ( correct answers ) Call the
14.The charge nurse notices that a female practical nurse (PN), who has
healthcare or
a long work
history on the unit and is a valued employee, seems tired and slow to
respondthe
during verbally
change of shift report. One hour later the charge nurse
overhears
telling an unlicensed
the PN assistive personnel (UAP) that she took a sleeping
pill 4and
ago hours
she is still feeling its effects. Which action should the charge
nurse take?
correct answers ) Send the PN to the employee health center for a urine(
drug Screen
15.It is most important to assign which client to a registered nurse
rather than
practical nurse?
a ( correct answers ) After ambulating, a
postoperative
grimaces and reports
client incisional pain at a "9" on a
point scale.
16.After receiving a change of shift report for clients on a medical
surgical unit, which task should the nurse ( correct answers ) Apply
hydrocolloid dressings to venous
17.The charge nurse observes unlicensed assistive personnel (UAP) and
a nurse arguing at the nurse's station. What action is best for the charge
nurse to implement?
GRADED
A+
