NEXT GENERATION (NGN) HESI LEADERSHIP AND
MANAGEMENT EXAM 2025
Actual Questions and Answers
Expert-Verified Explanations
This Exam Contains:
✪ 50 Questions and Answers
✪ Multiple-Choice Format
✪ Expert-Verified Explanations
✪ Verified with Trusted Nursing Textbooks and HESI Resources
1.
A female client presents in the emergency department and tells the nurse she was raped last night.
Which question is most important for the nurse to ask?
A. Has she taken a bath since the rape occurred?
B. Is the place where she lives a safe place?
C. Does she know the person who raped her?
D. Did she report the rape to the police department?
Answer: A
EXPLANATION: Bathing or showering can destroy crucial forensic evidence such as DNA, hair, or
fibers. Determining whether she has bathed guides evidence collection and legal procedure.
2.
A 3-year-old with bacterial meningitis and hydrocephalus shows which sign of increased intracranial
pressure?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope
Answer: B
EXPLANATION: Unequal or sluggish pupils indicate pressure on cranial nerves from swelling.
These are early neurologic signs of elevated ICP in meningitis.
3.
A client with acute pancreatitis reports severe abdominal pain and elevated serum amylase. Which
history is most likely?
A. Pain decreases when lying supine
B. Pain lasts an hour and leaves tenderness
C. Right upper quadrant pain to right scapula
D. Drinks alcohol until intoxicated twice weekly
Answer: D
EXPLANATION: Alcohol use is a common precipitating factor for acute pancreatitis due to toxic
effects on pancreatic tissue.
, 4.
Parents of a child newly diagnosed with sickle cell anemia should receive which most important
discharge instruction?
A. Daily fluid intake requirements
B. Signs of addiction to opioids
C. Non-pharmacologic pain relief methods
D. Referral to social services
Answer: A
EXPLANATION: Adequate hydration prevents sickling and vaso-occlusive crises, the primary home
management goal in SCA.
5.
To auscultate for a carotid bruit, where should the nurse place the stethoscope?
A. Middle of sternum
B. Base of neck on the right side
C. Over the jugular vein
D. Above the clavicle
Answer: B
EXPLANATION: The carotid artery is best assessed at the base of the neck; a bruit indicates
turbulent flow from atherosclerosis.
6.
After receiving shift report, which client should the nurse assess first?
A. Large-intestine obstruction with distention
B. Post-op paralytic ileus, absent bowel sounds
C. Small-bowel obstruction with NG tube drainage
D. Volvulus with abdominal rigidity
Answer: D
EXPLANATION: Abdominal rigidity suggests peritonitis or perforation—life-threatening
emergencies requiring immediate evaluation.
7.
A teenager presents with palpitations and hyperventilation after vaping. Which acid–base imbalance is
expected?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis
Answer: D
EXPLANATION: Rapid breathing leads to CO₂ loss, raising pH—classic for respiratory alkalosis.
8.
MANAGEMENT EXAM 2025
Actual Questions and Answers
Expert-Verified Explanations
This Exam Contains:
✪ 50 Questions and Answers
✪ Multiple-Choice Format
✪ Expert-Verified Explanations
✪ Verified with Trusted Nursing Textbooks and HESI Resources
1.
A female client presents in the emergency department and tells the nurse she was raped last night.
Which question is most important for the nurse to ask?
A. Has she taken a bath since the rape occurred?
B. Is the place where she lives a safe place?
C. Does she know the person who raped her?
D. Did she report the rape to the police department?
Answer: A
EXPLANATION: Bathing or showering can destroy crucial forensic evidence such as DNA, hair, or
fibers. Determining whether she has bathed guides evidence collection and legal procedure.
2.
A 3-year-old with bacterial meningitis and hydrocephalus shows which sign of increased intracranial
pressure?
A. Tachycardia and tachypnea
B. Sluggish and unequal pupillary responses
C. Increased head circumference and bulging fontanels
D. Blood pressure fluctuations and syncope
Answer: B
EXPLANATION: Unequal or sluggish pupils indicate pressure on cranial nerves from swelling.
These are early neurologic signs of elevated ICP in meningitis.
3.
A client with acute pancreatitis reports severe abdominal pain and elevated serum amylase. Which
history is most likely?
A. Pain decreases when lying supine
B. Pain lasts an hour and leaves tenderness
C. Right upper quadrant pain to right scapula
D. Drinks alcohol until intoxicated twice weekly
Answer: D
EXPLANATION: Alcohol use is a common precipitating factor for acute pancreatitis due to toxic
effects on pancreatic tissue.
, 4.
Parents of a child newly diagnosed with sickle cell anemia should receive which most important
discharge instruction?
A. Daily fluid intake requirements
B. Signs of addiction to opioids
C. Non-pharmacologic pain relief methods
D. Referral to social services
Answer: A
EXPLANATION: Adequate hydration prevents sickling and vaso-occlusive crises, the primary home
management goal in SCA.
5.
To auscultate for a carotid bruit, where should the nurse place the stethoscope?
A. Middle of sternum
B. Base of neck on the right side
C. Over the jugular vein
D. Above the clavicle
Answer: B
EXPLANATION: The carotid artery is best assessed at the base of the neck; a bruit indicates
turbulent flow from atherosclerosis.
6.
After receiving shift report, which client should the nurse assess first?
A. Large-intestine obstruction with distention
B. Post-op paralytic ileus, absent bowel sounds
C. Small-bowel obstruction with NG tube drainage
D. Volvulus with abdominal rigidity
Answer: D
EXPLANATION: Abdominal rigidity suggests peritonitis or perforation—life-threatening
emergencies requiring immediate evaluation.
7.
A teenager presents with palpitations and hyperventilation after vaping. Which acid–base imbalance is
expected?
A. Respiratory acidosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory alkalosis
Answer: D
EXPLANATION: Rapid breathing leads to CO₂ loss, raising pH—classic for respiratory alkalosis.
8.
