HESI Management Practice test Exam
2026 Questions and Answers
The charge nurse working the 3 to 11 shift of a 24-bed medical unit in a large acute
care hospital is making assignments. Currently, there are 20 clients on the unit and
4 admissions are scheduled to arrive during the shift. Besides the charge nurse, the
staff consists of two experienced practical nurses (PN) and one unlicensed assistive
personnel (UAP) who has worked on the unit for 10 years. Taking into
consideration the acuity of each client, which distribution of clients is the best
assignment for the nurse to make?
A. 10 clients and 2 admissions to each of the PNs. Have the UAP take all vital
signs and collect all I&Os.
B. 10 clients to each of the PNs. Have the UAP take vital signs. The charge nurse
takes the 4 new admissions.
C. 8 clients to each of the PNs, 4 clients to the charge nurse, and the 4 admissions
to the UAP.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
, D. 8 clients to each of the PNs, 4 admissions to the charge nurse, and 4 low-acuity
clien - Correct answer-B
During report, the charge nurse informs a nurse that she must work on another unit.
The nurse begins to sign deeply and tosses about her belongings as she is preparing
to leave, making it known that she is very unhappy about having to "float." What is
the best immediate action for the charge nurse to take?
A. Continue with report, and talk to the nurse about the incident at a later time.
B. Ask the nurse to call the supervisor to see if she can be reassigned.
C. Stop report and remind the nurse that all the staff must "float" at some time.
D. In the presence of other staff members, inform the nurse that her behavior is
inappropriate. - Correct answer-A
The nurse is giving change-of-shift report for four clients in the emergency center
and reports the client with the terminal disease has a living will and a "Do not
resuscitate" (DNR) order on file. Which client fits the criteria for a terminal
illness?
A. 2-year-old child with esophageal burns from drinking drain cleaner who now
has a gastrostomy tube.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
2026 Questions and Answers
The charge nurse working the 3 to 11 shift of a 24-bed medical unit in a large acute
care hospital is making assignments. Currently, there are 20 clients on the unit and
4 admissions are scheduled to arrive during the shift. Besides the charge nurse, the
staff consists of two experienced practical nurses (PN) and one unlicensed assistive
personnel (UAP) who has worked on the unit for 10 years. Taking into
consideration the acuity of each client, which distribution of clients is the best
assignment for the nurse to make?
A. 10 clients and 2 admissions to each of the PNs. Have the UAP take all vital
signs and collect all I&Os.
B. 10 clients to each of the PNs. Have the UAP take vital signs. The charge nurse
takes the 4 new admissions.
C. 8 clients to each of the PNs, 4 clients to the charge nurse, and the 4 admissions
to the UAP.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
, D. 8 clients to each of the PNs, 4 admissions to the charge nurse, and 4 low-acuity
clien - Correct answer-B
During report, the charge nurse informs a nurse that she must work on another unit.
The nurse begins to sign deeply and tosses about her belongings as she is preparing
to leave, making it known that she is very unhappy about having to "float." What is
the best immediate action for the charge nurse to take?
A. Continue with report, and talk to the nurse about the incident at a later time.
B. Ask the nurse to call the supervisor to see if she can be reassigned.
C. Stop report and remind the nurse that all the staff must "float" at some time.
D. In the presence of other staff members, inform the nurse that her behavior is
inappropriate. - Correct answer-A
The nurse is giving change-of-shift report for four clients in the emergency center
and reports the client with the terminal disease has a living will and a "Do not
resuscitate" (DNR) order on file. Which client fits the criteria for a terminal
illness?
A. 2-year-old child with esophageal burns from drinking drain cleaner who now
has a gastrostomy tube.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
