LEADERSHIP AND MANAGEMENT HESI EXIT EXAM UPDATED COMPLETE
PRACTICE QUESTIONS AND ANSWERS 2025
1. A new graduate nurse is employed in a small community hospital. The nurse
notices practices which seem to be very physician driven and that patients
have little input into their care. Families are seen as a nuisance rather than
as partners in potential care provision. What is the best approach for the new
nurse to use for improving care in this setting?
a) Do nothing. They are too new to the organization to make change.
b) Share with the physician the recommendations from various IOM reports.
c) Share with their team members what they know about the aims of providing
health care.
d) Report the team members to the chief nursing officer who is unlikely to know
the lack of details on this unit. ANS >> C
2. Mr. Grandion was admitted to a rehabilitation center after discharge from a
hospital. He has not walked in the 5 days while he was hospitalized and is
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, provided a wheelchair. Dining with other residents is expected, and staffing is
limited on a holiday weekend. What is the best strategy to ensure Mr. Grandion
has sufficient nutrition and exercise?
a) Tell Mr. Grandion to stay in bed and someone will bring a tray to his room
because the staff can't get him to the dining room in time for dinner
b) Assist Mr. Grandion into his wheelchair and remind him that in 2 hours he
must be in the dining room if he wishes to eat.
c) Request help from another unit before dinner and indicate the nature of help
needed.
d) Order a life device to transfer Mr. Grandion from his bed to the wheelchair. AN
>> c
3. When entering the postoperative care unit, the nurse manager notices that
the temporary agency nurse has incorrectly entered the rate of infusion for
the patient's vasopressor medication, and the arterial line blood pressure
has a reading of 76/40 mmHg. After discontinuing the intravenous medication
infusion, what is the nurse manager's next intervention?
a) Notify the nurse in charge of the unit.
b) Ask if there is an assigned resource nurse to serve as mentor for the
temporary nurse.
c) Ask if there are standing orders for interventions for hypotension.
d) Ask if the temporary nurse has had an orientation to the unit. ANS >> C
mailto:https://www.stuvia.com/en-us/user/techgrades
, 4. An incident report of the incident described in the previous question needs
to be completed. What is the appropriate wording to be included in the incident
report?
mailto:https://www.stuvia.com/en-us/user/techgrades
PRACTICE QUESTIONS AND ANSWERS 2025
1. A new graduate nurse is employed in a small community hospital. The nurse
notices practices which seem to be very physician driven and that patients
have little input into their care. Families are seen as a nuisance rather than
as partners in potential care provision. What is the best approach for the new
nurse to use for improving care in this setting?
a) Do nothing. They are too new to the organization to make change.
b) Share with the physician the recommendations from various IOM reports.
c) Share with their team members what they know about the aims of providing
health care.
d) Report the team members to the chief nursing officer who is unlikely to know
the lack of details on this unit. ANS >> C
2. Mr. Grandion was admitted to a rehabilitation center after discharge from a
hospital. He has not walked in the 5 days while he was hospitalized and is
mailto:https://www.stuvia.com/en-us/user/techgrades
, provided a wheelchair. Dining with other residents is expected, and staffing is
limited on a holiday weekend. What is the best strategy to ensure Mr. Grandion
has sufficient nutrition and exercise?
a) Tell Mr. Grandion to stay in bed and someone will bring a tray to his room
because the staff can't get him to the dining room in time for dinner
b) Assist Mr. Grandion into his wheelchair and remind him that in 2 hours he
must be in the dining room if he wishes to eat.
c) Request help from another unit before dinner and indicate the nature of help
needed.
d) Order a life device to transfer Mr. Grandion from his bed to the wheelchair. AN
>> c
3. When entering the postoperative care unit, the nurse manager notices that
the temporary agency nurse has incorrectly entered the rate of infusion for
the patient's vasopressor medication, and the arterial line blood pressure
has a reading of 76/40 mmHg. After discontinuing the intravenous medication
infusion, what is the nurse manager's next intervention?
a) Notify the nurse in charge of the unit.
b) Ask if there is an assigned resource nurse to serve as mentor for the
temporary nurse.
c) Ask if there are standing orders for interventions for hypotension.
d) Ask if the temporary nurse has had an orientation to the unit. ANS >> C
mailto:https://www.stuvia.com/en-us/user/techgrades
, 4. An incident report of the incident described in the previous question needs
to be completed. What is the appropriate wording to be included in the incident
report?
mailto:https://www.stuvia.com/en-us/user/techgrades
