HESI RN LEADERSHIP /MANAGEMENT EXIT EXAM
2025-2026 160 QUESTIONS AND CORRECT DETAILED
ANSWERS |ALREADY GRADED A+
Overview
The HESI RN Leadership/Management Exit Exam 2025–2026 resource
offers a comprehensive review of key topics such as delegation,
prioritization, conflict resolution, ethical and legal considerations,
quality improvement, and interprofessional collaboration. Each question
mirrors the format and difficulty of the real HESI exam and includes
clear, detailed explanations to reinforce understanding. This study guide
is specifically designed to strengthen students’ leadership judgment and
clinical reasoning, essential for both HESI and real-world nursing
management roles.
Key Features
✅ 160 Verified Exam-Style Questions with Detailed Rationales
✅ Aligned with 2025–2026 HESI Leadership/Management Blueprint
✅ Reflects NCLEX-RN Clinical Judgment and Decision-Making Framework
✅ Covers Delegation, Prioritization, Communication, and Ethics
✅ A+ Quality Content Reviewed by Nursing Faculty Experts
Purpose
• To prepare students for the HESI RN Leadership/Management Exit Exam
• To strengthen leadership, management, and clinical decision-making skills
• To enhance understanding of effective team coordination and safe nursing practice
Recommended For
• Nursing students preparing for HESI leadership or management exit exams
• Educators and instructors developing leadership-based review courses
• Graduate nurses seeking to strengthen organizational and management competencies
,Your Complete HESI RN Leadership Exam Study Resource
With 160 expertly written, exam-style questions and in-depth explanations, the HESI RN
Leadership/Management Exit Exam 2025–2026 Study Guide is your most accurate, current,
and trusted tool for mastering nursing leadership concepts—and passing your HESI exam with
A+ confidence.
1. A male client with stomach cancer returns to the unit following a total gastrectomy. He has a
nasogastric tube to suction and is receiving Lactated Ringer's solution at 75 mL/hour IV. One hour after
admission to the unit, the nurse notes 300 mL of blood in the suction canister, the client's heart rate is
155 beats/minute, and his blood pressure is 78/48 mmHg. In addition to reporting the finding to the
surgeon. Which action should the nurse implement first? - ANSWER-d. Increase the infusion rate of
Lactated Ringer's solution.
2. an adult male who fell 20 feet from the roof of this home has multiple injuries, including a right
pneumothorax. Chest tubes were inserted in the emergency department prior to his transfer to the
intensive care unit (ICU). the nurse notes that the suction control chamber is bubbling at the
- 10 cm H2O mark, with fluctuation in the water seal, and over the past hour 75 ml of bright red blood is
measured in the collection chamber. Which intervention should the nurse implement? - ANSWER-a. Add
sterile water to the suction control chamber.
3. A client who received hemodialysis yesterday is experiencing a blood pressure of 200/100
mmHg, heart rate 110 beats/minute, and respiratory rate 36 breaths/minute. The client is manifesting
shortness of breath, bilateral 2+ pedal edema, and an oxygen saturation on room air of 89%. Which
action should the nurse take first? - ANSWER-c. Begin supplemental oxygen.
4. A client with Addison's crisis is admitted for treatment with adrenal cortical supplementation.
Based on the client's admitting diagnosis, which findings require immediate action by the nurse? (Select
all that apply) - ANSWER-Headache and tremors Irregular heart rate pallor and diaphoresis
5. An older client is admitted with fluid volume deficit and dehydration. Which assessment finding
is the best indicator of hydration that the nurse should report to the healthcare provider? - ANSWER-d.
Skin tenting occurs when the client's forearm is pinched.
, 6. After an inservice about electronic health record (EHR) security and safeguarding client
information, the nurse observes a colleague going home with printed copies of client information in a
uniform pocket. Which action should the nurse take? - ANSWER-a. File a detailed incident report with
the specific hiring facility.
7. The nurse is evaluating a tertiary prevention program for clients with cardiovascular disease
implemented in a rural health clinic. Which outcome indicate the program is effective? - ANSWER-c.
Clients who incurred disease complications promptly received rehabilitation.
8. The nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who uses
oxygen at 2 L/minute per nasal cannula continuously. The nurse observes that the client is having
increased shortness of breath with respirations at 23 breaths/minute. Which action should the nurse
implement first? - ANSWER-d. Assess the delivery mechanism of the oxygen tank, tubing, and cannula.
9. Which statement by a client who is 24 hours post-subtotal thyroidectomy requires an immediate
investigation by the nurse? - ANSWER-When I get out of bed quickly, I feel a little dizzy."
10. An older adult male who is in his early 70's is admitted to the emergency department because of
a COPD exacerbation. This client is struggling to breathe and the healthcare team is preparing for
endotracheal intubation. The spouse's wife, who is 30 years younger than the client, asks the nurse to
stop the procedure and provide the nurse a copy of the client's living will. Which action should the nurse
take? - ANSWER-b. Notify the healthcare provider of the client's wishes.
11. An unlicensed assistive personnel (UAP) is assigned to provide personal care for a client whose
prescribed activity is bedrest with bedside commode use. The UAP reports to the nurse that the client is
so obese that the UAP feels unable to safely assist the client in transferring from the bed to the bedside
commode. How should the nurse respond? - ANSWER-c. Advice the client to maintain bedrest so that
safety can be ensured.
12. A nurse determines that more than 25% of the students at a middle school are overweight. The
nurse presents the information at the parent-teacher meeting. What action is most important for the
nurse to include in the meeting? - ANSWER-c. Distribute a shopping list of suggested healthy snack
items.
2025-2026 160 QUESTIONS AND CORRECT DETAILED
ANSWERS |ALREADY GRADED A+
Overview
The HESI RN Leadership/Management Exit Exam 2025–2026 resource
offers a comprehensive review of key topics such as delegation,
prioritization, conflict resolution, ethical and legal considerations,
quality improvement, and interprofessional collaboration. Each question
mirrors the format and difficulty of the real HESI exam and includes
clear, detailed explanations to reinforce understanding. This study guide
is specifically designed to strengthen students’ leadership judgment and
clinical reasoning, essential for both HESI and real-world nursing
management roles.
Key Features
✅ 160 Verified Exam-Style Questions with Detailed Rationales
✅ Aligned with 2025–2026 HESI Leadership/Management Blueprint
✅ Reflects NCLEX-RN Clinical Judgment and Decision-Making Framework
✅ Covers Delegation, Prioritization, Communication, and Ethics
✅ A+ Quality Content Reviewed by Nursing Faculty Experts
Purpose
• To prepare students for the HESI RN Leadership/Management Exit Exam
• To strengthen leadership, management, and clinical decision-making skills
• To enhance understanding of effective team coordination and safe nursing practice
Recommended For
• Nursing students preparing for HESI leadership or management exit exams
• Educators and instructors developing leadership-based review courses
• Graduate nurses seeking to strengthen organizational and management competencies
,Your Complete HESI RN Leadership Exam Study Resource
With 160 expertly written, exam-style questions and in-depth explanations, the HESI RN
Leadership/Management Exit Exam 2025–2026 Study Guide is your most accurate, current,
and trusted tool for mastering nursing leadership concepts—and passing your HESI exam with
A+ confidence.
1. A male client with stomach cancer returns to the unit following a total gastrectomy. He has a
nasogastric tube to suction and is receiving Lactated Ringer's solution at 75 mL/hour IV. One hour after
admission to the unit, the nurse notes 300 mL of blood in the suction canister, the client's heart rate is
155 beats/minute, and his blood pressure is 78/48 mmHg. In addition to reporting the finding to the
surgeon. Which action should the nurse implement first? - ANSWER-d. Increase the infusion rate of
Lactated Ringer's solution.
2. an adult male who fell 20 feet from the roof of this home has multiple injuries, including a right
pneumothorax. Chest tubes were inserted in the emergency department prior to his transfer to the
intensive care unit (ICU). the nurse notes that the suction control chamber is bubbling at the
- 10 cm H2O mark, with fluctuation in the water seal, and over the past hour 75 ml of bright red blood is
measured in the collection chamber. Which intervention should the nurse implement? - ANSWER-a. Add
sterile water to the suction control chamber.
3. A client who received hemodialysis yesterday is experiencing a blood pressure of 200/100
mmHg, heart rate 110 beats/minute, and respiratory rate 36 breaths/minute. The client is manifesting
shortness of breath, bilateral 2+ pedal edema, and an oxygen saturation on room air of 89%. Which
action should the nurse take first? - ANSWER-c. Begin supplemental oxygen.
4. A client with Addison's crisis is admitted for treatment with adrenal cortical supplementation.
Based on the client's admitting diagnosis, which findings require immediate action by the nurse? (Select
all that apply) - ANSWER-Headache and tremors Irregular heart rate pallor and diaphoresis
5. An older client is admitted with fluid volume deficit and dehydration. Which assessment finding
is the best indicator of hydration that the nurse should report to the healthcare provider? - ANSWER-d.
Skin tenting occurs when the client's forearm is pinched.
, 6. After an inservice about electronic health record (EHR) security and safeguarding client
information, the nurse observes a colleague going home with printed copies of client information in a
uniform pocket. Which action should the nurse take? - ANSWER-a. File a detailed incident report with
the specific hiring facility.
7. The nurse is evaluating a tertiary prevention program for clients with cardiovascular disease
implemented in a rural health clinic. Which outcome indicate the program is effective? - ANSWER-c.
Clients who incurred disease complications promptly received rehabilitation.
8. The nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who uses
oxygen at 2 L/minute per nasal cannula continuously. The nurse observes that the client is having
increased shortness of breath with respirations at 23 breaths/minute. Which action should the nurse
implement first? - ANSWER-d. Assess the delivery mechanism of the oxygen tank, tubing, and cannula.
9. Which statement by a client who is 24 hours post-subtotal thyroidectomy requires an immediate
investigation by the nurse? - ANSWER-When I get out of bed quickly, I feel a little dizzy."
10. An older adult male who is in his early 70's is admitted to the emergency department because of
a COPD exacerbation. This client is struggling to breathe and the healthcare team is preparing for
endotracheal intubation. The spouse's wife, who is 30 years younger than the client, asks the nurse to
stop the procedure and provide the nurse a copy of the client's living will. Which action should the nurse
take? - ANSWER-b. Notify the healthcare provider of the client's wishes.
11. An unlicensed assistive personnel (UAP) is assigned to provide personal care for a client whose
prescribed activity is bedrest with bedside commode use. The UAP reports to the nurse that the client is
so obese that the UAP feels unable to safely assist the client in transferring from the bed to the bedside
commode. How should the nurse respond? - ANSWER-c. Advice the client to maintain bedrest so that
safety can be ensured.
12. A nurse determines that more than 25% of the students at a middle school are overweight. The
nurse presents the information at the parent-teacher meeting. What action is most important for the
nurse to include in the meeting? - ANSWER-c. Distribute a shopping list of suggested healthy snack
items.
