HESI LEADERSHIP EXAM 5 ACTUAL PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED A
PLUS COMPLETE REVIEW SET
◉ The unit secretary is transcribing a healthcare provider's written
order and asks the nurse to interpret an illegible phrase. Which of
the following is the most appropriate action by the nurse in
response?
Answer: Clarify the order by calling the healthcare provider
◉ A nurse has just received a report on a group of clients for the
upcoming shift. Which of the following actions by the nurse
demonstrates effective time management skills
Answer: Identify tasks there are times-specific
◉ A nurse manager is discussing when to complete an incident
report with a newly licensed nurse. For which of the following
situations should the nurse complete an incident report?
Answer: The client discovers his dentures are missing
◉ A nurse has assigned client care activities to an assistive
personnel. Which of the following statements about the AP indicates
a need for assistance with time management
,Answer: I will start working with the client in room 1, then work my
way to room 10.
◉ A nurse providing dietary teaching to a client who has dysphasia
following a stroke. Which of the following instruction should the
nurse include in the teaching?
Answer: Flex your head with your chin tucked down to assist with
swallowing
◉ A nurse is documenting in the medical record information of a
client in suspects opioid use disorder. Which of the following
manifestation shit the nurse expect and document in the clients
record?
Answer: Euphoria
◉ While administering medications to a group of clients on a
medical-surgical unit, a client who is postoperative from an
accidental above-the-knee amputation indicates to the nurse that he
is ready to talk about his feelings. The nurse keeps her promise and
returns to talk with the client as soon as she finishes administering
medications. Which of the following ethical principles is the nurse
demonstrating?
Answer: Fidelity
,◉ A staff nurse asks an assistive personnel (AP) to ambulate a client
and the AP refuses. Which of the following actions should the nurse
take?
Answer: Ask the AP about her concerns with the assignment.
◉ A nurse is conducting an education session about maintaining
confidentiality of the electronic medical record (EMR) with a group
of newly hired nurses. Which of the following statements by a newly
hired nurse demonstrates an understanding of the information?
Answer: "I should log off the EMR on the client's in-room computer
if I need to leave the room to collect supplies."
◉ A nurse manager is teaching a group of nurses about the civil
judicial process. The nurse manager should include that witness
depositions take place during which of the following steps?
Answer: Discovery step
◉ A charge nurse is providing a staff inservice on care of the
agitated or confused client. Which of the following alternatives to
physical restraints will the nurse include in the information
provided to the staff ? (Select all that apply.)
Answer: A. Involve family with monitoring the patient's activities
B. Place a confused patient in a room closest to the nurses' station
E. Use visual cues for distraction
, ◉ Which of the following points relating to personal hygiene and the
activities of daily living should you emphasize during an educational
session for a group of newly employed nursing assistants?
Answer: C. Culture and cultural practices greatly affect the client's
personal hygiene and activities of daily living
◉ A charge nurse in the intensive care unit is assigning clients.
Which of the following clients should be assigned to the most
experienced nurse?
Answer: A. A client with a potassium level of 6.0 mEq/L who has
peaked T waves
◉ A nurse is caring for a client who is scheduled for surgery. The
nurse should identify that which of the following actions is the
responsibility of the nurse?
Answer: D. Determine the client's level of understanding about the
procedure
◉ A nurse and an assistive personnel (AP) are providing care to a
group of clients. The nurse should delegate assisting which of the
following clients with their meal to the AP?
Answer: A client who has a lumbosacral spinal tumor
QUESTIONS WITH SOLUTIONS GRADED A
PLUS COMPLETE REVIEW SET
◉ The unit secretary is transcribing a healthcare provider's written
order and asks the nurse to interpret an illegible phrase. Which of
the following is the most appropriate action by the nurse in
response?
Answer: Clarify the order by calling the healthcare provider
◉ A nurse has just received a report on a group of clients for the
upcoming shift. Which of the following actions by the nurse
demonstrates effective time management skills
Answer: Identify tasks there are times-specific
◉ A nurse manager is discussing when to complete an incident
report with a newly licensed nurse. For which of the following
situations should the nurse complete an incident report?
Answer: The client discovers his dentures are missing
◉ A nurse has assigned client care activities to an assistive
personnel. Which of the following statements about the AP indicates
a need for assistance with time management
,Answer: I will start working with the client in room 1, then work my
way to room 10.
◉ A nurse providing dietary teaching to a client who has dysphasia
following a stroke. Which of the following instruction should the
nurse include in the teaching?
Answer: Flex your head with your chin tucked down to assist with
swallowing
◉ A nurse is documenting in the medical record information of a
client in suspects opioid use disorder. Which of the following
manifestation shit the nurse expect and document in the clients
record?
Answer: Euphoria
◉ While administering medications to a group of clients on a
medical-surgical unit, a client who is postoperative from an
accidental above-the-knee amputation indicates to the nurse that he
is ready to talk about his feelings. The nurse keeps her promise and
returns to talk with the client as soon as she finishes administering
medications. Which of the following ethical principles is the nurse
demonstrating?
Answer: Fidelity
,◉ A staff nurse asks an assistive personnel (AP) to ambulate a client
and the AP refuses. Which of the following actions should the nurse
take?
Answer: Ask the AP about her concerns with the assignment.
◉ A nurse is conducting an education session about maintaining
confidentiality of the electronic medical record (EMR) with a group
of newly hired nurses. Which of the following statements by a newly
hired nurse demonstrates an understanding of the information?
Answer: "I should log off the EMR on the client's in-room computer
if I need to leave the room to collect supplies."
◉ A nurse manager is teaching a group of nurses about the civil
judicial process. The nurse manager should include that witness
depositions take place during which of the following steps?
Answer: Discovery step
◉ A charge nurse is providing a staff inservice on care of the
agitated or confused client. Which of the following alternatives to
physical restraints will the nurse include in the information
provided to the staff ? (Select all that apply.)
Answer: A. Involve family with monitoring the patient's activities
B. Place a confused patient in a room closest to the nurses' station
E. Use visual cues for distraction
, ◉ Which of the following points relating to personal hygiene and the
activities of daily living should you emphasize during an educational
session for a group of newly employed nursing assistants?
Answer: C. Culture and cultural practices greatly affect the client's
personal hygiene and activities of daily living
◉ A charge nurse in the intensive care unit is assigning clients.
Which of the following clients should be assigned to the most
experienced nurse?
Answer: A. A client with a potassium level of 6.0 mEq/L who has
peaked T waves
◉ A nurse is caring for a client who is scheduled for surgery. The
nurse should identify that which of the following actions is the
responsibility of the nurse?
Answer: D. Determine the client's level of understanding about the
procedure
◉ A nurse and an assistive personnel (AP) are providing care to a
group of clients. The nurse should delegate assisting which of the
following clients with their meal to the AP?
Answer: A client who has a lumbosacral spinal tumor
