HESI LEADERSHIP EXAM 5 TEST PAPER 2026
FULL QUESTIONS AND ANSWERS VERIFIED
STUDY GUIDE FINAL PREP
◉ 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
◉ A charge nurse is teaching a newly licensed nurse about the
quality improvement process in the acute care setting. The charge
nurse should include which of the following in the teaching?
Answer: Employees at all levels of the organization should be
involved in quality improvement
◉ A nurse is presenting an in-service on legal issues affecting
nurses. The nurse should instruct the class that administering an
antibiotic medication to a competent client after the client has
refused it is an example of which of the following torts?
Answer: D. Battery
◉ Which of the following is most likely utilized by an RN case
manager? (Select all that apply)
Answer: C. Software for client data entry that integrates with
predesigned templates to track care
D. Integration of changes in regulations that affect reporting
requirements by payer agencies or eligibility for healthcare benefits
,◉ A charge nurse is making assignments for the oncoming shift.
Which of the following considerations should the charge nurse
consider when making the assignments?
Answer: D. The physiologic status of the clients on the unit
◉ A nurse and an unlicensed assistive personnel (UAP) are working
together to care for a group of clients on the pediatric unit. Which of
the following actions should the nurse request the UAP perform
first?
Answer: D. Ensure the elbow restraint is in place for an infant who is
postoperative following surgical correction of a cleft palate.
◉ A nurse is providing teaching to a client who has been newly
diagnosed with schizophrenia and is being discharged from an
inpatient facility. Which of the following community resources
should the nurse include for continued mental health care?
Answer: A. Partial hospitalization program
◉ A nurse is caring for a client who has pneumonia. Which of the
following tools should the nurse use to assist with providing cost-
effective care?
Answer: D. Critical pathway
, ◉ A nurse is caring for a client who is actively dying. Which of the
following actions by the nurse demonstrates the ethical principle of
nonmaleficence?
Answer: C. Withholding a dose of pain medication when the client
has respiratory depression
◉ A nurse is observing a newly licensed nurse insert an indwelling
urinary catheter for an adult client. Which of the following actions
by the newly licensed nurse requires intervention?
Answer: A. The nurse keeps the urine collection bag resting on the
client's lap.
◉ A nurse is caring for a client who is newly diagnosed with
metastatic lung cancer and declines treatment. Which of the
following responses would indicate paternalism?
Answer: B. You should undergo the treatment recommended by your
healthcare provider.
◉ An RN and a licensed practical nurse (LPN) are receiving change-
of-shift report on an assigned group of clients. Which of the
following statements by the nurse giving report should indicate to
the RN that she should assume total care for a client rather than
assigning tasks to the LPN?
Answer: B. "The client's blood pressure and pulse have been
fluctuating throughout the day."
FULL QUESTIONS AND ANSWERS VERIFIED
STUDY GUIDE FINAL PREP
◉ 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
◉ A charge nurse is teaching a newly licensed nurse about the
quality improvement process in the acute care setting. The charge
nurse should include which of the following in the teaching?
Answer: Employees at all levels of the organization should be
involved in quality improvement
◉ A nurse is presenting an in-service on legal issues affecting
nurses. The nurse should instruct the class that administering an
antibiotic medication to a competent client after the client has
refused it is an example of which of the following torts?
Answer: D. Battery
◉ Which of the following is most likely utilized by an RN case
manager? (Select all that apply)
Answer: C. Software for client data entry that integrates with
predesigned templates to track care
D. Integration of changes in regulations that affect reporting
requirements by payer agencies or eligibility for healthcare benefits
,◉ A charge nurse is making assignments for the oncoming shift.
Which of the following considerations should the charge nurse
consider when making the assignments?
Answer: D. The physiologic status of the clients on the unit
◉ A nurse and an unlicensed assistive personnel (UAP) are working
together to care for a group of clients on the pediatric unit. Which of
the following actions should the nurse request the UAP perform
first?
Answer: D. Ensure the elbow restraint is in place for an infant who is
postoperative following surgical correction of a cleft palate.
◉ A nurse is providing teaching to a client who has been newly
diagnosed with schizophrenia and is being discharged from an
inpatient facility. Which of the following community resources
should the nurse include for continued mental health care?
Answer: A. Partial hospitalization program
◉ A nurse is caring for a client who has pneumonia. Which of the
following tools should the nurse use to assist with providing cost-
effective care?
Answer: D. Critical pathway
, ◉ A nurse is caring for a client who is actively dying. Which of the
following actions by the nurse demonstrates the ethical principle of
nonmaleficence?
Answer: C. Withholding a dose of pain medication when the client
has respiratory depression
◉ A nurse is observing a newly licensed nurse insert an indwelling
urinary catheter for an adult client. Which of the following actions
by the newly licensed nurse requires intervention?
Answer: A. The nurse keeps the urine collection bag resting on the
client's lap.
◉ A nurse is caring for a client who is newly diagnosed with
metastatic lung cancer and declines treatment. Which of the
following responses would indicate paternalism?
Answer: B. You should undergo the treatment recommended by your
healthcare provider.
◉ An RN and a licensed practical nurse (LPN) are receiving change-
of-shift report on an assigned group of clients. Which of the
following statements by the nurse giving report should indicate to
the RN that she should assume total care for a client rather than
assigning tasks to the LPN?
Answer: B. "The client's blood pressure and pulse have been
fluctuating throughout the day."
