HESI MANAGEMENT PRACTICE TEST
EXAM QUESTIONS AND DETAILED
ANSWERS. EXPERT VERIFIED FOR
GUARANTEED PASS.
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.
D. 8 clients to each of the PNs, 4 admissions to the charge nurse, and 4 low-acuity clien -
ANS 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.
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, 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.
- ANS 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.
B. 76-year-old female client with Alzheimer's disease who is pacing the halls and trying to "go
home".
C. 52-year-old male client who had a partial lobectomy and on a ventilator on the 2
postoperative day.
D. 43-year-old male with amyotrophic lateral sclerosis who is refusing artificial nutrition or
hydration. - ANS D
The charge nurse assigns the care of a client with diabetes who has hyperglycemia to a practical
nurse (PN). In supervising the PN, what is the charge nurse's most important action?
A. Decide which sliding scale insulin dose should be administered.
B. Obtain the blood sugar results via skin puncture and glucometer.
C. Notify the healthcare provider of the daily serum glucose results.
D. Confer with the PN about any manifestations the client is exhibiting. - ANS D
The charge nurse working on a surgical unit must discharge as many clients as possible to
prepare for emergency admissions. Which client is stable enough to be discharged from the
unit?
A. An elderly client with end-stage cirrhosis who had a liver biopsy 4 hours ago.
B. A client scheduled for a femoro-popliteal bypass surgery tomorrow.
C. A middle-aged client with acute pancreatitis and lower left quadrant pain.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
EXAM QUESTIONS AND DETAILED
ANSWERS. EXPERT VERIFIED FOR
GUARANTEED PASS.
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.
D. 8 clients to each of the PNs, 4 admissions to the charge nurse, and 4 low-acuity clien -
ANS 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.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, 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.
- ANS 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.
B. 76-year-old female client with Alzheimer's disease who is pacing the halls and trying to "go
home".
C. 52-year-old male client who had a partial lobectomy and on a ventilator on the 2
postoperative day.
D. 43-year-old male with amyotrophic lateral sclerosis who is refusing artificial nutrition or
hydration. - ANS D
The charge nurse assigns the care of a client with diabetes who has hyperglycemia to a practical
nurse (PN). In supervising the PN, what is the charge nurse's most important action?
A. Decide which sliding scale insulin dose should be administered.
B. Obtain the blood sugar results via skin puncture and glucometer.
C. Notify the healthcare provider of the daily serum glucose results.
D. Confer with the PN about any manifestations the client is exhibiting. - ANS D
The charge nurse working on a surgical unit must discharge as many clients as possible to
prepare for emergency admissions. Which client is stable enough to be discharged from the
unit?
A. An elderly client with end-stage cirrhosis who had a liver biopsy 4 hours ago.
B. A client scheduled for a femoro-popliteal bypass surgery tomorrow.
C. A middle-aged client with acute pancreatitis and lower left quadrant pain.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
