2026 Hesi Leadership Exam Prep Version 1 (Latest Update) with
Questions and Correct Verified Answers with Rationales/
Leadership Hesi Exam Prep Test Bank |Already Graded A+
An experienced, female practical nurse (PN) is hired to work on the
surgical unit of a tertiary hospital. The first day she is working on the
unit, the PN tells the charge nurse that she has excellent wound care
skills. It is a busy day and a postoperative client needs to have a
sterile dressing change. Which action is best for the charge nurse to
take?
Watch the PN perform sterile wound care to validate her skill level
A male client is admitted with difficulty breathing related to a recent
diagnosis of metastatic lung cancer. He tells the nurse that he does not
want to be "hooked up to any machines". His vital signs are heart rate
120 beats/minute, blood pressure 98/50 mm, respirations 30
breaths/minute, and oxygen saturation rate is 88%. Which action
should the nurse take?
Discontinue the intravenous infusion
A child is admitted to the pediatric unit after being diagnosed with
pertussis. The nurse observes an unlicensed assistive personnel (UP)
donning on a pair of gloves before entering the room to give the child
a popsicle. Which action should the nurse take?
REVIEW THE NEED TO WEAR A FACE MASK WHILE IN
CLOSE CONTACT.
The healthcare provider discusses with a male client the need for a
cardiac catheterization, describes the risks and benefits of the
procedure, and asks the nurse to have the client sign the consent form.
When the nurse presents the consent form for signature, the client
pg. 1
,hesitates and asks the nurse how the wires will keep his heart going.
Which action should the nurse take?
NOTIFY THE HEALTHCARE PROVIDER OF THE CLIENTS
LACK OF UNDERSTANDING
A client with leukemia is hospitalized for weakness, fatique, and
anemia. The client is restless and tachycardic. Which intervention is
most important nurse to include in the plan of care?
MAINTAIN PROTECTIVE ISOLATION
An adult client is admitted via the Emergency Department with a head
injury that will initially require intensive care. Which nurse should be
responsible in coordinating the progression or this client's care
through rehabilitation and discharge?
NURSE CASE MANAGER
When making assignments for residents of a long-term care facility
who require assistance with FEEDING which client give to
PRACTICAL NURSE and which client to licensed assistive
personnel (UAP)
Client who drools, but swallows solids after many
Which staff assignment, made by the primary nurse, requires the most
immediate follow-up action by the charge nurse on a medical unit?
UAP IS ASSIGNED TO CHECK A CLIENT FOR FECAL
IMPACTION
pg. 2
,A client is admitted with shortness of breath and hemoptysis. After
several tests, the healthcare provider informs the client that the
medical diagnosis is stage 4 breast cancer. The client tells the nurse
about the decision not to inform the family about the diagnosis.
Which intervention should the nurse implement?
Advise to weigh all possible outcomes prior to the decision
. After an interdisciplinary team meeting regarding the client's request
to die a natural death, the primary healthcare provider refuses to write
the do-not-
resuscitate instructions. Which action should the nurse take?
Provide the healthcare provider with a copy of the client's bill of
rights
The unlicensed assistive personnel (UP) reports to the nurse that a
male client with fluid volume overload will not allow the UAP to
blain his dally weight Which action should the nurse implement?
Ask the client why he does not want to be weighed
. A fire is reported in the kitchen on the first floor of a three-floor
community hospital, and the operator notifies the charge nurse on the
third floor to start
evacuation procedures. Which intervention should the charge nurse
implement?
pg. 3
, Shut all doors to client rooms and tell everyone to stay in their rooms
until the fire dept arrives
The nurse is caring for an older adult who was admitted with a
Urinary tract infection and is now exhibiting signs of Severe
Inflammatory Response Syndrome (SIRS). Which collaborative care
goals should the nurse include in the plan of care? (Select all that
apply)
BODY TEMP with in normal limits.
REDUCE WBC count.
NEGATIVE URINE CULTURE
The nurse is caring for clients on an orthopedic unit. Which client has
the greatest risk for developing osteomyelitis?
OLDER ADULT W/OSTEOPOROSIS WHO IS BEDFAST
FOLLOWING COMPRESSION FRACTURE OF THE
VERTABRAE
A male college student is brought to an emergency clinic by his
friends because they report that he has been vomiting for the past 3
days as the result of food poisoning. Laboratory findings indicate that
the client's potassium level is 2.5 mEq/L (2.5 mmol/L), so he is
admitted to a local hospital, Which intervention is most important for
the nurse to include in this client's plan of care?
Initiate cardiac monitoring for the clients.
pg. 4
Questions and Correct Verified Answers with Rationales/
Leadership Hesi Exam Prep Test Bank |Already Graded A+
An experienced, female practical nurse (PN) is hired to work on the
surgical unit of a tertiary hospital. The first day she is working on the
unit, the PN tells the charge nurse that she has excellent wound care
skills. It is a busy day and a postoperative client needs to have a
sterile dressing change. Which action is best for the charge nurse to
take?
Watch the PN perform sterile wound care to validate her skill level
A male client is admitted with difficulty breathing related to a recent
diagnosis of metastatic lung cancer. He tells the nurse that he does not
want to be "hooked up to any machines". His vital signs are heart rate
120 beats/minute, blood pressure 98/50 mm, respirations 30
breaths/minute, and oxygen saturation rate is 88%. Which action
should the nurse take?
Discontinue the intravenous infusion
A child is admitted to the pediatric unit after being diagnosed with
pertussis. The nurse observes an unlicensed assistive personnel (UP)
donning on a pair of gloves before entering the room to give the child
a popsicle. Which action should the nurse take?
REVIEW THE NEED TO WEAR A FACE MASK WHILE IN
CLOSE CONTACT.
The healthcare provider discusses with a male client the need for a
cardiac catheterization, describes the risks and benefits of the
procedure, and asks the nurse to have the client sign the consent form.
When the nurse presents the consent form for signature, the client
pg. 1
,hesitates and asks the nurse how the wires will keep his heart going.
Which action should the nurse take?
NOTIFY THE HEALTHCARE PROVIDER OF THE CLIENTS
LACK OF UNDERSTANDING
A client with leukemia is hospitalized for weakness, fatique, and
anemia. The client is restless and tachycardic. Which intervention is
most important nurse to include in the plan of care?
MAINTAIN PROTECTIVE ISOLATION
An adult client is admitted via the Emergency Department with a head
injury that will initially require intensive care. Which nurse should be
responsible in coordinating the progression or this client's care
through rehabilitation and discharge?
NURSE CASE MANAGER
When making assignments for residents of a long-term care facility
who require assistance with FEEDING which client give to
PRACTICAL NURSE and which client to licensed assistive
personnel (UAP)
Client who drools, but swallows solids after many
Which staff assignment, made by the primary nurse, requires the most
immediate follow-up action by the charge nurse on a medical unit?
UAP IS ASSIGNED TO CHECK A CLIENT FOR FECAL
IMPACTION
pg. 2
,A client is admitted with shortness of breath and hemoptysis. After
several tests, the healthcare provider informs the client that the
medical diagnosis is stage 4 breast cancer. The client tells the nurse
about the decision not to inform the family about the diagnosis.
Which intervention should the nurse implement?
Advise to weigh all possible outcomes prior to the decision
. After an interdisciplinary team meeting regarding the client's request
to die a natural death, the primary healthcare provider refuses to write
the do-not-
resuscitate instructions. Which action should the nurse take?
Provide the healthcare provider with a copy of the client's bill of
rights
The unlicensed assistive personnel (UP) reports to the nurse that a
male client with fluid volume overload will not allow the UAP to
blain his dally weight Which action should the nurse implement?
Ask the client why he does not want to be weighed
. A fire is reported in the kitchen on the first floor of a three-floor
community hospital, and the operator notifies the charge nurse on the
third floor to start
evacuation procedures. Which intervention should the charge nurse
implement?
pg. 3
, Shut all doors to client rooms and tell everyone to stay in their rooms
until the fire dept arrives
The nurse is caring for an older adult who was admitted with a
Urinary tract infection and is now exhibiting signs of Severe
Inflammatory Response Syndrome (SIRS). Which collaborative care
goals should the nurse include in the plan of care? (Select all that
apply)
BODY TEMP with in normal limits.
REDUCE WBC count.
NEGATIVE URINE CULTURE
The nurse is caring for clients on an orthopedic unit. Which client has
the greatest risk for developing osteomyelitis?
OLDER ADULT W/OSTEOPOROSIS WHO IS BEDFAST
FOLLOWING COMPRESSION FRACTURE OF THE
VERTABRAE
A male college student is brought to an emergency clinic by his
friends because they report that he has been vomiting for the past 3
days as the result of food poisoning. Laboratory findings indicate that
the client's potassium level is 2.5 mEq/L (2.5 mmol/L), so he is
admitted to a local hospital, Which intervention is most important for
the nurse to include in this client's plan of care?
Initiate cardiac monitoring for the clients.
pg. 4
