2026 Hesi Leadership Exam Prep Version 2 (Latest Update) with
Questions and Correct Verified Answers with Rationales/
Leadership Hesi Exam Prep Test Bank 2 |Already Graded A+
1.The nurse manager conducts regular audits of patient care
medication records and notices that the amount of narcotic pain
medications administered during the evening shift on a postsurgical
unit
Conduct a closer examination of staff nurse's distribution of pain
medication from evening shift
2.The smell of cigarette smoke is coming from a client's bathroom.
Which action should the nurse
Educate the client about the hospital smoking policy.
3.The practical nurse (PN) reports to the charge nurse that the
transparent dressing covering a single lumen central venous catheter
inserted in the subclavian vein of a client has come loose and the
insertion site is inflamed. Which action should the charge nurse
implement?
Confirm the findings of the PN while securing the transparent
dressing and notify the healthcare provider.
4.At 0200 the nurse phones the healthcare provider to request a PRN
medication for a client who is unable to sleep. The healthcare provider
is awakened and gives the nurse a prescription for four times the
normal dosage. When questioned by the nurse, the healthcare provider
responds in a sleepy
Call the healthcare or back, and report that the dosage prescribed is
our times the normal dosage.
pg. 1
, 5.The charge nurse notices that a female practical nurse (PN), who
has a long work history on the unit and is a valued employee, seems
tired and slow to respond verbally during the change of shift report.
One hour later the charge nurse overhears the PN telling an
unlicensed assistive personnel (UAP) that she took a sleeping pill 4
hours ago and she is still feeling its effects. Which action should the
charge nurse take?
Send the PN to the employee health center for a urine drug Screen
6.It is most important to assign which client to a registered nurse
rather than a practical nurse?
After ambulating, a postoperative client grimaces and reports
incisional pain at a "9" on a point scale.
7.After receiving a change of shift report for clients on a medical
surgical unit, which task should the nurse
Apply hydrocolloid dressings to venous
8.The charge nurse observes unlicensed assistive personnel (UAP)
and a nurse arguing at the nurse's station. What action is best for the
charge nurse to implement?
Inform both individuals that their behavior is inappropriate in a work
setting
9.A male client with metastatic lung cancer has requested that "no
heroic measures" are used to extend his life, so the healthcare
provider prescribes transferring the client to the palliative care
Ensure the prescriptions or transfer include the client's end-of-life
choice.
pg. 2
Questions and Correct Verified Answers with Rationales/
Leadership Hesi Exam Prep Test Bank 2 |Already Graded A+
1.The nurse manager conducts regular audits of patient care
medication records and notices that the amount of narcotic pain
medications administered during the evening shift on a postsurgical
unit
Conduct a closer examination of staff nurse's distribution of pain
medication from evening shift
2.The smell of cigarette smoke is coming from a client's bathroom.
Which action should the nurse
Educate the client about the hospital smoking policy.
3.The practical nurse (PN) reports to the charge nurse that the
transparent dressing covering a single lumen central venous catheter
inserted in the subclavian vein of a client has come loose and the
insertion site is inflamed. Which action should the charge nurse
implement?
Confirm the findings of the PN while securing the transparent
dressing and notify the healthcare provider.
4.At 0200 the nurse phones the healthcare provider to request a PRN
medication for a client who is unable to sleep. The healthcare provider
is awakened and gives the nurse a prescription for four times the
normal dosage. When questioned by the nurse, the healthcare provider
responds in a sleepy
Call the healthcare or back, and report that the dosage prescribed is
our times the normal dosage.
pg. 1
, 5.The charge nurse notices that a female practical nurse (PN), who
has a long work history on the unit and is a valued employee, seems
tired and slow to respond verbally during the change of shift report.
One hour later the charge nurse overhears the PN telling an
unlicensed assistive personnel (UAP) that she took a sleeping pill 4
hours ago and she is still feeling its effects. Which action should the
charge nurse take?
Send the PN to the employee health center for a urine drug Screen
6.It is most important to assign which client to a registered nurse
rather than a practical nurse?
After ambulating, a postoperative client grimaces and reports
incisional pain at a "9" on a point scale.
7.After receiving a change of shift report for clients on a medical
surgical unit, which task should the nurse
Apply hydrocolloid dressings to venous
8.The charge nurse observes unlicensed assistive personnel (UAP)
and a nurse arguing at the nurse's station. What action is best for the
charge nurse to implement?
Inform both individuals that their behavior is inappropriate in a work
setting
9.A male client with metastatic lung cancer has requested that "no
heroic measures" are used to extend his life, so the healthcare
provider prescribes transferring the client to the palliative care
Ensure the prescriptions or transfer include the client's end-of-life
choice.
pg. 2
